Association between punitive policies and neonatal abstinence syndrome among Medicaid-insured infants in complex policy environments.

ABSTRACT:

Aims

To estimate the association between punitive policies for women with substance use during pregnancy and odds of neonatal abstinence syndrome (NAS) diagnosis among Medicaid-insured infants, and to estimate this association controlling for the presence of four other policies related to substance use in pregnancy.

Design, setting and participants

Analysis of live births in Medicaid claims data from 39 US states in varying years between 2006 and 2014 using weighted generalized linear models with clustered standard errors and state and year fixed-effects.

Measurements

NAS rates in states without punitive policies were compared with rates in states with policies before and after policy enactment using logistic regression models adjusted for individual and county-level

SUBMITTER: Faherty LJ 

PROVIDER: S-EPMC8648865 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature