Health Insurance Coverage Associated With Lower Odds of Alcohol During Pregnancy

by Dr. Trupti Shirole on  July 27, 2016 at 11:08 AM Research News
RSS Email Print This Page Comment bookmark
Font : A-A+

Prenatal substance use is a major public health concern, and poses significant threats to maternal and child health. Researchers at Columbia University's Mailman School of Public Health studied the relationship between health insurance coverage and tobacco and alcohol use among reproductive age women in the United States, and whether there were differences according to pregnancy status.
 Health Insurance Coverage Associated With Lower Odds of Alcohol During Pregnancy
Health Insurance Coverage Associated With Lower Odds of Alcohol During Pregnancy

The findings showed that pregnant women with insurance coverage had lower odds of alcohol use in the past month; however the odds of tobacco use were not affected. For non-pregnant women, insurance coverage resulted in higher odds of alcohol use but lower odds of using tobacco. The study is published online in the journal Drug and Alcohol Dependence.

Dr. Qiana L. Brown, postdoctoral research fellow in the Department of Epidemiology, and the study's first author, said, "The widespread availability of health insurance through the Affordable Care Act may serve as a universal prevention intervention to help reduce prenatal substance use."

The researchers studied data from 97,788 women ages 12 to 44 years old who participated in the U.S. National Survey of Drug Use and Health from 2010 to 2014. Among these women, 3% were pregnant. Controlling for age, race, and ethnicity, education, marital status, and poverty, there were significant differences between pregnant and non-pregnant women in the relationship between health insurance and alcohol use and health insurance and tobacco use.

A larger proportion of pregnant women used alcohol and tobacco in their first trimester as compared to the second and third trimesters, regardless of insurance status: 19% drank alcohol in the past month during the first trimester, and 22% used tobacco in the past month during the first trimester. For all women of reproductive age, 22% with insurance reported tobacco use in the last 30 days versus 33% of the women without coverage. Additionally, among all reproductive age women, 50% of those with insurance reported alcohol use in the past month, compared to 47% of uninsured women.

"Prenatal visits may present a good opportunity for screening and brief intervention regarding tobacco and particularly alcohol use," noted co-author Deborah Hasin, professor of Epidemiology at the Mailman School of Public Health and in the Department of Psychiatry at Columbia University Medical Center. "Particularly for alcohol, evidence indicates that screening and brief advice can be surprisingly effective for medical patients whose drinking is greater than advisable levels but who are not alcohol dependent."

"In addition, there is the need for greater health provider attention to smoking among pregnant women," said Silvia Martins, associate professor of Epidemiology at the Mailman School of Public Health, and a co-author of the paper. "Our results suggest missed opportunities for tobacco prevention in prenatal visits."

Source: Eurekalert

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

Related Links

More News on:

Alcoholic Liver Disease Trimester of pregnancy Pregnancy and Exercise Home Pregnancy Test Pregnancy Psychological Changes In Pregnancy Alcoholism Cannabis Health Insurance Plan Third Party Administrators for Health Insurance 

News A - Z


News Search

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor

Stay Connected

  • Available on the Android Market
  • Available on the App Store

News Category

News Archive