Spillover Effects of Prenatal Care Coordination on Older Siblings Beyond the Mother-Infant Dyad.

ABSTRACT:

Background

Pregnancy care coordination increases preventive care receipt for mothers and infants. Whether such services affect other family members' health care is unknown.

Objective

To estimate the spillover effect of maternal exposure to Wisconsin Medicaid's Prenatal Care Coordination (PNCC) program during pregnancy with a younger sibling on the preventive care receipt for an older child.

Research design

Gain-score regressions-a sibling fixed effects strategy-estimated spillover effects while controlling for unobserved family-level confounders.

Subjects

Data came from a longitudinal cohort of linked Wisconsin birth records and Medicaid claims. We sampled 21,332 sibling pairs (one older; one younger) who were born during 2008-2015, who were <4 years apart in a

SUBMITTER: Mallinson DC 

PROVIDER: S-EPMC10009763 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature