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Financial Hardship Among Pregnant and Postpartum Women in the United States, 2013 to 2018

Karen F. Taylor, Sarah D. Compton, G. Kolenic, J. Scott, Nora V. Becker, V. Dalton, M. Moniz

JAMA Network Open, 2021

3,509 participants · 84 citations

Abstract

Key Points Question What is the prevalence of financial hardship, including unmet health care need due to cost, health care unaffordability, and general financial stress, among peripartum women in the United States? Findings This cross-sectional study of 3509 peripartum women, weighted to represent more than 1 million women, found that financial hardship was common: from 2013 to 2018, 24% reported unmet health care needs; 60%, health care unaffordability; and 54%, general financial stress. Private insurance was associated with lower odds of unmet health care need but higher odds of health care unaffordability, and lower household income was associated with higher odds of both unmet health care need and health care unaffordability. Meaning These findings suggest that financial hardship is highly prevalent among peripartum women, which should prompt policy interventions to promote the economic well-being of families.

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 3,509 participants or records.

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