1
40
2
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Text
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URL Address
<a href="http://doi.org/10.2105/AJPH.2018.304592" target="_blank" rel="noreferrer noopener">http://doi.org/10.2105/AJPH.2018.304592</a>
Pages
1349–1351
Issue
10
Volume
108
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Public Program Enrollment Following US State Medicaid Expansion and Outreach.
Publisher
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American Journal of Public Health
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-10
Creator
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Lanese Bethany G; Fischbein Rebecca; Furda Chelsea
Description
An account of the resource
OBJECTIVES: To examine the joint impact of states' Medicaid expansion and participation in Medicaid enrollment outreach at the take-up of other means-tested public programs (Women, Infants, and Children [WIC], Supplemental Nutrition Assistance Program [SNAP]). METHODS: Data were used from the American Community Survey, WIC, and SNAP. We used difference-in-differences analyses to compare the combined impact of Medicaid expansion and enrollment outreach on program enrollment. RESULTS: Enrollment in means-tested programs decreased after 2014, regardless of Medicaid expansion and outreach status. However, gaps in enrollment among states that both expanded Medicaid and conducted outreach, compared with states that did neither, increased after expansion of SNAP and WIC enrollment (10.15% and 4.57%, respectively) and favored those states that did both. CONCLUSIONS: States that both expanded Medicaid and conducted Medicaid enrollment outreach experienced smaller decreases in SNAP and WIC enrollment in comparison with other states. Moreover, enrollment in SNAP has shown to reduce health care expenditures. Greater collaboration among public programs, such as streamlining eligibility data and concerted outreach efforts, is one of the achievements of the Affordable Care Act that should be continued.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2105/AJPH.2018.304592" target="_blank" rel="noreferrer noopener">10.2105/AJPH.2018.304592</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
American journal of public health
College of Medicine
Department of Family & Community Medicine
Fischbein Rebecca
Furda Chelsea
Lanese Bethany G
NEOMED College of Medicine
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1186/s40834-018-0056-y" target="_blank" rel="noreferrer noopener">http://doi.org/10.1186/s40834-018-0056-y</a>
Pages
4–4
Volume
3
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences.
Publisher
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Contraception and reproductive medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018
Subject
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Contraception; Opioid Drug Use; Pregnancy
Creator
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Fischbein Rebecca L; Lanese Bethany G; Falletta Lynn; Hamilton Kelsey; King Jennifer A; Kenne Deric R
Description
An account of the resource
Background: Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences of opioid using women is a necessary next step to understanding this phenomenon. Methods: A mixed-method study was conducted which included both self-report questionnaires along with a semi-structured qualitative interview of opioid-using pregnant or recently pregnant women in two drug treatment facilities in Ohio. Results: Forty-two women completed the study. The majority of recent (75%) and total pregnancies were unintended. Male condoms were reported as the highest form of lifetime contraception used within the present sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness. Conclusions: Most of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended pregnancy were observed in this sample. This indicates the need for contraception education, and addressing the procedural, logistical and economic barriers that may be preventing the use of LARC among this population.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1186/s40834-018-0056-y" target="_blank" rel="noreferrer noopener">10.1186/s40834-018-0056-y</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
College of Medicine
Contraception
Contraception and reproductive medicine
Department of Family & Community Medicine
Falletta Lynn
Fischbein Rebecca L
Hamilton Kelsey
Kenne Deric R
King Jennifer A
Lanese Bethany G
NEOMED College of Medicine
Opioid Drug Use
Pregnancy