Author:
Karasek Deborah,Batra Akansha,Baer Rebecca J.,Butcher Brittany D. Chambers,Feuer Sky,Fuchs Jonathan D.,Kuppermann Miriam,Gomez Anu Manchikanti,Prather Aric A.,Pantell Matt,Rogers Elizabeth,Snowden Jonathan M.,Torres Jacqueline,Rand Larry,Jelliffe-Pawlowski Laura,Hamad Rita
Abstract
Abstract
Background
The largest poverty alleviation program in the US is the earned income tax credit (EITC), providing $60 billion to over 25 million families annually. While research has shown positive impacts of EITC receipt in pregnancy, there is little evidence on whether the timing of receipt may lead to differences in pregnancy outcomes. We used a quasi-experimental difference-in-differences design, taking advantage of EITC tax disbursement each spring to examine whether trimester of receipt was associated with perinatal outcomes.
Methods
We conducted a difference-in-differences analysis of California linked birth certificate and hospital discharge records. The sample was drawn from the linked CA birth certificate and discharge records from 2007–2012 (N = 2,740,707). To predict eligibility, we created a probabilistic algorithm in the Panel Study of Income Dynamics and applied it to the CA data. Primary outcome measures included preterm birth, small-for-gestational age (SGA), gestational diabetes, and gestational hypertension/preeclampsia.
Results
Eligibility for EITC receipt during the third trimester was associated with a lower risk of preterm birth compared with preconception. Eligibility for receipt in the preconception period resulted in improved gestational hypertension and SGA.
Conclusion
This analysis offers a novel method to impute EITC eligibility using a probabilistic algorithm in a data set with richer sociodemographic information relative to the clinical and administrative data sets from which outcomes are drawn. These results could be used to determine the optimal intervention time point for future income supplementation policies. Future work should examine frequent income supplementation such as the minimum wage or basic income programs.
Funder
Building Interdisciplinary Research Careers in Women's Health Program (BIRCWH) National Institute of Child Health and Human Development (NICHD) and the Office of Research on Women's Health
Transdisciplinary Postdoctoral Fellowship with the California Preterm Birth Initiative, funded by Marc and Lynne Benioff
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference53 articles.
1. Blumenshine P, Egerter S, Barclay CJ, Cubbin C, Braveman PA. Socioeconomic disparities in adverse birth outcomes: a systematic review. Am J Prev Med. 2010;39:263–72.
2. Braveman P. What is health equity: and how does a life-course approach take us further toward it? Matern Child Health J. 2014;18:366–72.
3. Collins JW, Wambach J, David RJ, Rankin KM. Women’s lifelong exposure to neighborhood poverty and low birth weight: a population-based study. Matern Child Health J. 2009;13:326–33.
4. Braveman P, Marchi K, Egerter S, Kim S, Metzler M, Stancil T, et al. Poverty, near-poverty, and hardship around the time of pregnancy. Matern Child Health J. 2010;14:20–35.
5. Greater financial supports could improve household economic wellbeing around a birth. UC Davis Center for Poverty Research. https://poverty.ucdavis.edu/policy-brief/greater-financial-supports-could-improve-household-economic-wellbeing-around-birth. Accessed 3 Sep 2019.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献