Search Results
Source: Mary Ann Liebert, Inc.
Resulting in 2 citations.
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Horne, Gabrielle Gautam, Amber Tumin, Dmitry |
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Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults Population Health Management published online (25 Oct 2021): DOI: 10.1089/pop.2021.0211. Also: https://www.liebertpub.com/doi/full/10.1089/pop.2021.0211 Cohort(s): NLSY97 Publisher: Mary Ann Liebert, Inc. Keyword(s): Health Care; Health/Health Status/SF-12 Scale; Insurance, Health Permission to reprint the abstract has not been received from the publisher. In cross-sectional data, gaps in health insurance coverage are associated with worse health and lower utilization of preventive services. The authors investigated if these associations persisted 2-6 years after disruption of insurance coverage in a cohort of young adults. Data from the National Longitudinal Survey of Youth 1997, a longitudinal cohort study of participants who were ages 13-17 years in 1997, were analyzed. Annual interview data from 2007 through 2017 were included and analyzed in 2021. Health outcomes (general self-rated health, annual preventive care use, and work-related health limitations) in each year were regressed on insurance coverage status, classified as: continuous private coverage, continuous public coverage, gap in coverage, or year-round lack of coverage. In a series of models, insurance coverage status was lagged by 2, 4, or 6 years to capture long-term associations with health outcomes. The analytic sample included 8197 young adults contributing 49,580 observations. Contemporaneous gaps in coverage were associated with 17% lower odds of reporting better self-rated health (odds ratio [OR]: 0.83, 95% confidence interval [CI]: 0.78, 0.88; P < 0.001), compared to year-round private insurance. This association remained similar when the insurance covariate was lagged 2, 4, or 6 years (eg, 6-year lagged OR: 0.82; 95% CI: 0.72, 0.93; P = 0.002). Results were similar for preventive care use and work-related health limitation. Among young adults, gaps in coverage are adversely associated with health status and health care utilization up to 6 years later. Policy efforts should target insurance continuity during this life course stage. |
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Bibliography Citation
Horne, Gabrielle, Amber Gautam and Dmitry Tumin. "Short- and Long-Term Health Consequences of Gaps in Health Insurance Coverage among Young Adults." Population Health Management published online (25 Oct 2021): DOI: 10.1089/pop.2021.0211.
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Walker, Jasmine Huria, Atima Buckman, Cierra Tumin, Dmitry |
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The Influence of a Sister's Breastfeeding Experience on a Mother's Breastfeeding Behavior: Is There an Intragenerational Effect? Breastfeeding Medicine 16,11 (Nov 2021): 863-868. Also: https://www.liebertpub.com/doi/full/10.1089/bfm.2021.0108 Cohort(s): NLSY79 Publisher: Mary Ann Liebert, Inc. Keyword(s): Breastfeeding; Sisters Permission to reprint the abstract has not been received from the publisher. Objective: Intergenerational transmission of breastfeeding attitudes and behaviors from mother to daughter are well known, but there is limited research on intragenerational transmission of breastfeeding attitudes or behaviors within families. This study aimed to understand how initiation and duration of breastfeeding are influenced by past breastfeeding experiences of sisters among women in a longitudinal population-based cohort. Methods: Data were obtained on women enrolled in the 1979 National Longitudinal Survey of Youth (NLSY) who had at least one child enrolled in a substudy of cohort members' children. For each mother in the study, we determined whether any of her sisters also enrolled in the main NLSY study had previously breastfed one of their children. Results: Mothers whose sister(s) had prior breastfeeding experience were more likely to breastfeed their first-born child on unadjusted analysis (70% versus 45%, chi-square p < 0.001) and had a longer median of breastfeeding duration (median 14.5 versus 12 weeks, rank-sum p = 0.039). However, on a multivariable analysis accounting for potential confounding by maternal characteristics, infant characteristics, and differences among households, sisters' breastfeeding experience was no longer independently associated with the likelihood of breastfeeding initiation (odds ratio: 1.16; confidence interval [95% CI]: 0.73–1.85; p = 0.520) or the hazard of breastfeeding discontinuation (hazard ratio: 0.96; 95% CI: 0.82–1.12; p = 0.598). Conclusion: After adjusting for socioeconomic characteristics, intragenerational transmission of breastfeeding behavior was negligible among mothers raised in the same household. Other forms of intragenerational transmission (e.g., influence of extended family members) may be more salient influences on women's decision to breastfeed. |
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Bibliography Citation
Walker, Jasmine, Atima Huria, Cierra Buckman and Dmitry Tumin. "The Influence of a Sister's Breastfeeding Experience on a Mother's Breastfeeding Behavior: Is There an Intragenerational Effect?" Breastfeeding Medicine 16,11 (Nov 2021): 863-868.
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