Korenbrot C C, Dudley R A, Greene J D
Institute for Health Policy Studies, University of California San Francisco, USA.
Matern Child Health J. 2000 Dec;4(4):241-50. doi: 10.1023/a:1026695605457.
To determine whether passage of welfare and immigration policies was followed in California by changes in births to foreign-born women in California with respect to total numbers, payer sources, prenatal care use, or health outcomes.
Comparison of births to foreign-born and US-born women from 1990 to 1997 using adjusted odds ratios generated with multivariate logistic regression.
Policies passed in 1994 and 1996 were followed by decreases in adjusted odds of births to foreign-born women with prenatal Medicaid coverage, without a corresponding increase in uninsured foreign-born women. There was no decline in the use of prenatal care by foreign-born women, and no worsening of birth outcomes after passage of the reforms. Foreign-born women, however, remained more likely to have inadequate prenatal care than US-born women, and the improvement in outcomes that occurred for US-born women from 1994 to 1997 did not occur for foreign-born women.
In spite of the fact that pregnant immigrant women remained eligible for Medicaid after passage of welfare and immigration policies in California, the volume of births to foreign-born women using Medicaid declined. The lack of a corresponding increase in births to uninsured foreign-born women appears to have prevented deterioration in the use of prenatal care or birth outcomes.
确定加利福尼亚州福利和移民政策通过后，该州外国出生女性的生育情况在总数、付款来源、产前护理使用或健康结果方面是否发生变化。
使用多变量逻辑回归生成的调整优势比，比较1990年至1997年外国出生女性和美国出生女性的生育情况。
1994年和1996年通过的政策实施后，有产前医疗补助保险的外国出生女性的生育调整优势比下降，而未参保的外国出生女性并未相应增加。外国出生女性的产前护理使用率没有下降，改革实施后出生结果也没有恶化。然而，外国出生女性获得充分产前护理的可能性仍低于美国出生女性，并且1994年至1997年美国出生女性出现的结果改善在外国出生女性中并未出现。
尽管加利福尼亚州福利和移民政策通过后，怀孕移民女性仍有资格获得医疗补助，但使用医疗补助的外国出生女性的生育数量有所下降。未参保的外国出生女性生育数量没有相应增加，这似乎避免了产前护理使用或出生结果的恶化。
