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Tobacco use during pregnancy among Iowa Medicaid mothers. Debra J Kane MCH Epidemiologist/CDC Assignee Iowa Department of Public Health 12 th Annual MCH EPI Conference 12/6/06. Acknowledgements . Bureau of Family Health Jane Borst Stephanie Trusty Kim Piper Lucia Dhooge

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Tobacco use during pregnancy among iowa medicaid mothers

Tobacco use during pregnancy among Iowa Medicaid mothers

Debra J Kane

MCH Epidemiologist/CDC Assignee

Iowa Department of Public Health

12th Annual MCH EPI Conference

12/6/06


Acknowledgements
Acknowledgements

  • Bureau of Family Health

    • Jane Borst

    • Stephanie Trusty

    • Kim Piper

    • Lucia Dhooge

  • Bureau of Health Statistics

    • Jill France

    • Xia Chen

  • Bureau of Information Management

    • Diane Boden

  • Department of Human Services

    • Sally Nadolsky

Kane et al., MCH EPI 12/06/06


Study background
Study background

  • Medicaid match in Iowa

    • Rich data base with innumerable options

    • Select a focus based on HI 2010 goals

  • Smoking among Medicaid mothers

    • Who are the mothers?

    • Where and how to reach smokers?

Kane et al., MCH EPI 12/06/06


Study design and sample
Study design and sample

  • Linked file for calendar year 2003

    • Medicaid claims data

    • Birth certificate files

      • Mother match rate 95%

      • Infant match rate 98%

  • Cross-sectional study

  • Birth records with either mother or infant Medicaid claim

    • Analysis limited to blacks and whites

Kane et al., MCH EPI 12/06/06


Descriptive results
Descriptive Results

  • Healthy Iowans 2010 goal

    • 12%

  • Overall

    • 15.8%; n=38,139

  • Non-Medicaid mothers

    • 10.7%; n=27,437

  • Medicaid mothers

    • 28.8%; n=10,702

Kane et al., MCH EPI 12/06/06


Descriptive results n 10 702
Descriptive Results(n= 10,702)

Kane et al., MCH EPI 12/06/06


Descriptive results n 10 7021
Descriptive Results(n= 10,702)

Kane et al., MCH EPI 12/06/06


Descriptive results n 10 7022
Descriptive Results(n= 10,702)

Kane et al., MCH EPI 12/06/06


Descriptive results n 10 7023
Descriptive Results(n= 10,702)

Kane et al., MCH EPI 12/06/06


Bivariate results
Bivariate Results

Kane et al., MCH EPI 12/06/06


Bivariate results1
Bivariate Results

Kane et al., MCH EPI 12/06/06


Bivariate results2
Bivariate Results

Kane et al., MCH EPI 12/06/06


Discussion
Discussion

  • Who are smokers?

    • Whites

    • 18 - 34 years of age

    • Less than 12 years of education

    • Parity

    • Prenatal care access

Kane et al., MCH EPI 12/06/06


Discussion1
Discussion

  • Where to reach smokers?

    • Family planning clinics

      • Des Moines area Planned Parenthood

    • WIC

    • Prenatal care

Kane et al., MCH EPI 12/06/06


Limitations
Limitations

  • Data sources not created for research

  • Birth certificate reliability

    • Smoking variable

      • Women who quit after becoming pregnant

  • Need to go to next level of analysis

Kane et al., MCH EPI 12/06/06



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