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Racial and ethnic disparities in perinatal insurance coverage

Obstetrics and Gynecology Apr 03, 2020

Daw JR, Kolenic GE, Dalton VK, et al. - Researchers examined if and how race–ethnicity is associated with insurance status at preconception, delivery, and postpartum and the frequency of insurance gaps and transitions (disruptions) across these time points. They assessed survey data from 107,921 women in 40 states participating in the Centers for Disease Control and Prevention's Pregnancy Risk Assessment and Monitoring System from 2015 to 2017 in this cross-sectional analysis. Observations revealed disproportionate effect of disruptions in perinatal insurance coverage on indigenous, Hispanic, and black non-Hispanic women. A significantly higher predicted probability of uninsurance in the preconception and postpartum period was observed in correlation with lower-income Hispanic women and indigenous women vs white non-Hispanic women. Possibly, there are important implications of differential insurance coverage for racial–ethnic disparities in access to perinatal care and maternal–infant health.

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