Black or African American
38.70%
Source
Meghea, C. I., Raffo, J. E., Zhu, Q., & Roman, L. (2013). Medicaid home visitation and maternal and infant healthcare utilization. American Journal of Preventive Medicine, 45(4), 441–447.
Model(s) Reviewed
Funding Sources
The study was funded in part by the Michigan Department of Community Health.
Study Design
| Design | Attrition | Baseline equivalence | Confounding factors | Valid, reliable measures? |
|---|---|---|---|---|
| Non-experimental comparison group design | Not applicable | Established on race/ethnicity and SES; outcome(s) not feasible to assess at baseline | None |
Notes
Study Participants
The study population included women who were recipients of Medicaid and delivered a baby in Michigan in 2010. The authors obtained records from the state Medicaid program and the Michigan Department of Community Health to identify pregnant mothers who submitted a Medicaid claim identifying Maternal and Infant Health Program (MIHP) participation during pregnancy or an MIHP prenatal risk screening. These mothers were matched one-to-one with mothers in Medicaid claims data who did not participate in the MIHP program at pregnancy. Matching created groups similar on race, age, socio-economic status, marital status, and markers for maternal health. A total of 16,044 matched pairs of mothers were included in the analysis. Mothers were 26 years old, on average. One-third were married. About half were white, 39 percent were black, 7 percent were Hispanic, and 3 percent were another race. All mothers were eligible for Medicaid during pregnancy and 17 percent were living at or below 33 percent of the federal poverty level.
Setting
The study took place throughout the state of Michigan.
Home Visiting Services
MIHP provides prenatal and postnatal home visiting to pregnant women and infants living in Michigan who are Medicaid beneficiaries. Participation is voluntary, and includes health risk screenings, care coordination, referrals to other services, and interventions that are tailored to the needs of each person. These interventions may address healthy pregnancies, positive birth outcomes, infant safety, and infant health and development.
Comparison Conditions
Mothers in the comparison condition did not volunteer to participate in MIHP services or receive an MIHP prenatal risk screening during pregnancy.
Findings that rate moderate or high in this manuscript
| Outcome measure | Timing of follow-up | Rating | Direction of Effect | Effect size | Stastical significance | Sample size | Sample description | |
|---|---|---|---|---|---|---|---|---|
| Any prenatal care | 12 months postpartum | Moderate | 0.65 | Statistically significant, p < 0.05 | 32088 mothers | Full sample; Michigan Medicaid 2010 birth cohort | ||
| Appropriate postnatal visit | 12 months postpartum | Moderate | 0.25 | Statistically significant, p < 0.05 | 32088 mothers | Full sample; Michigan Medicaid 2010 birth cohort | ||
| Adequate prenatal care | 12 months postpartum | Moderate | 0.04 | Statistically significant, p < 0.05 | 32088 mothers | Full sample; Michigan Medicaid 2010 birth cohort |
This study included participants with the following characteristics at enrollment:
Race/Ethnicity
Maternal Education
Other Characteristics
This study included participants from the following locations:
- Michigan