Analyzing Distinctions in Birth Outcomes and Maternal Morbidities across insurance types of African American Pregnant Women in Georgia Público

Abstract

To understand how insurance status affects pregnancy outcomes in a cohort of African American women is to gain a deeper insight into why African American women remain the most disproportionately affected by sexual and reproductive health conditions. This study examines pregnancy outcomes and complications across three insurance groups for African American women in the state of Georgia; low-income Medicaid, Right to Start Medicaid, and private insurance. The overall goal was to discover which insurance group would manifest the highest prevalence of adverse pregnancy outcomes. Through computational data analysis, the insurance groups were each characterized by common socioeconomic status indicators of age, marital status, household size, and years of education. Each insurance group was then analyzed for significant differences of pregnancy complications such as preterm birth, gestational diabetes or hypertension, preeclampsia, and substance use through one-way ANOVA and chi-square tests. Using Pearson’s Correlation test, the correlation between income-ratio (income/household size) and multiple socioeconomic determinants was calculated. The results showed that insurance status is capturing multiple SES indicators as a majority and that there were no significant differences in adverse pregnancy outcomes across all insurance groups. Both Medicaid subcategories showed the highest rates of marijuana use compared to the privately insured group. The outliers can be attributed to the concept of entrepreneurship. The overall findings therefore suggest that socioeconomic determinants play a vital role in healthcare accessibility for pregnant African American women in Georgia.

Table of Contents

Table of Contents

Introduction…………………………………………………………………….1-3

Table 1…..…………………………………………………………….……….…2

Methods………………………………………………………………………..…3-6

Results………………………………………………………………………….…6-9

Table 2………………………………………….…………………………………7

Table 3………………………………….…………………………………………8

Table 4………………………………….…………………………………………9

Discussion………………………………….…………………………………….9-11

References ………………………………….……………………………………12

About this Honors Thesis

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School	Emory College
Department	Biology
Degree	B.S.
Submission	Honors Thesis
Language	English
Research Field	African American Studies Sociology, Public and Social Welfare Health Sciences, Obstetrics and Gynecology
Palavra-chave	African American Healthcare Pregnant Gynecology
Committee Chair / Thesis Advisor	Smith, Alicia, Emory University
Committee Members	O'Toole, Kate, Emory University Dunlop, Anne, Emory University

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