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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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