American Indian or Alaska Native
1%
Meghea, C. I., You, Z., Raffo, J., Leach, R. E., & Roman, L. A. (2015). Statewide Medicaid enhanced prenatal care programs and infant mortality. Pediatrics, 136(2), 334–342.
Model(s): Maternal Infant Health Program (MIHP)
Study design characteristics contributing to rating
| 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 |
Not assessed in manuscripts reviewed under Handbook of Procedures and Standards, Version 1 |
Child Health
| Outcome Measure | Timing of Follow-Up | Rating | Direction of Effect | Effect Size (Absolute Value) | Stastical Significance | Sample Size | Sample Description |
|---|---|---|---|---|---|---|---|
| Infant death < 1 year | One year following birth | Moderate | 0.19 | Statistically significant, p < 0.01 | 126880 infants | Full sample; Michigan Medicaid 2009-2012 birth cohort | |
| Infant death < 28 days | 28 days following birth | Moderate | 0.22 | Statistically significant, p < 0.01 | 126880 infants | Full sample; Michigan Medicaid 2009-2012 birth cohort | |
| Infant death 28-365 days | One year following birth | Moderate | 0.15 | Statistically significant, p = 0.02 | 126880 infants | Full sample; Michigan Medicaid 2009-2012 birth cohort |
This study included participants from the following locations:
- Michigan
Study Participants
The study population included 126,880 women who were recipients of Medicaid and delivered a baby during the 2009-2012 calendar years in Michigan, with 63,440 women each in the treatment and comparison groups. The study sample was, on average, 24.5 years old. Twenty-six percent of the women were married. About 57 percent of women in the research sample were white, 36 percent were black, less than 1 percent were American Indian, and 6 percent were another race or ethnicity. More than 26 percent of women in the research sample were living at less than 33 percent of the federal poverty level, and 55 percent were receiving Medicaid before their pregnancy.
Setting
The study took place throughout the state of Michigan.
Intervention condition
Note: Navigate to the model page for more information about the home visiting model. See the source manuscript for more information about how the model was implemented in this study.
Comparison Conditions
Women in the comparison condition received Medicaid during the study period but did not volunteer to participate in any MIHP services.
Subgroups examined
• Race/ethnicity (Black or non-Black)
Funding Sources
The study was funded in part by the Michigan Department of Community Health.