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Association of Punitive and Reporting State Policies Related to Substance Use in Pregnancy With Rates of Neonatal Abstinence Syndrome.


ABSTRACT: Importance:Despite the rapidly changing policy environment regarding substance use during pregnancy, information is lacking on the association of state policies with neonatal abstinence syndrome (NAS). Objective:To determine if punitive or reporting state policies related to substance use during pregnancy are associated with NAS rates. Design, Setting, and Participants:This repeated cross-sectional study used retrospective, difference-in-difference analysis of live births in the State Inpatient Databases from 8 US states in varying years between January 1, 2003, and December 31, 2014. States without punitive or reporting policies were compared with states with policies before and after policy enactment using logistic regression models adjusted for individual and county-level factors and st

SUBMITTER: Faherty LJ 

PROVIDER: S-EPMC6902764 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature