Table 4.
Predictors* of Attending a Postpartum Obstetric Visit Within 3 Months of Delivery, Stratified by Medicaid and Commercial Health Insurance
| Characteristic | Medicaid insurance | Commercial insurance | ||||
|---|---|---|---|---|---|---|
| OR | 95 % CI | p value | OR | 95 % CI | p value | |
| N = 23,692 | N = 3,877 | |||||
| Race/ethnicity† (Black = ref) | ||||||
| White | 1.22 | 1.14–1.31 | < 0.001 | N/A | N/A | N/A |
| Hispanic | 1.48 | 1.28–1.70 | < 0.001 | N/A | N/A | N/A |
| Other races | 1.67 | 1.32–2.12 | < 0.001 | N/A | N/A | N/A |
| Age (Age 18–24 = ref) | ||||||
| Age ≤ 17 | 1.06 | 0.96–1.18 | 0.26 | 1.64 | 0.15–18.46 | 0.69 |
| Age 25-34 | 1.00 | 0.94–1.06 | 0.90 | 0.84 | 0.65–1.10 | 0.21 |
| Age > 35 | 0.99 | 0.89–1.12 | 0.92 | 0.70 | 0.52–0.93 | 0.01 |
| Pregnancy and delivery complications | ||||||
| Any hypertensive disorder in pregnancy | 0.83 | 0.67–1.03 | 0.09 | 0.95 | 0.55–1.64 | 0.86 |
| Chronic hypertension in pregnancy | 1.28 | 1.05–1.57 | 0.02 | 1.13 | 0.67–1.92 | 0.65 |
| Preeclampsia or eclampsia | 1.30 | 1.11–1.52 | 0.001 | 1.38 | 0.94–2.02 | 0.10 |
| Gestational hypertension | 1.13 | 0.92–1.38 | 0.24 | 1.10 | 0.65–1.87 | 0.72 |
| Gestational diabetes | 1.14 | 1.03–1.26 | 0.01 | 1.12 | 0.92–1.36 | 0.26 |
| Pregestational diabetes | 1.06 | 0.84–1.33 | 0.65 | 1.45 | 0.90–2.32 | 0.13 |
| Preterm delivery | 0.92 | 0.84–1.02 | 0.10 | 1.13 | 0.89–1.44 | 0.30 |
| Cesarean delivery | 1.29 | 1.22–1.38 | < 0.001 | 1.11 | 0.97–1.28 | 0.12 |
| Other medical illnesses | ||||||
| Thyroid disease | 1.33 | 1.10–1.61 | 0.003 | 1.16 | 0.91–1.47 | 0.23 |
| HIV | 0.73 | 0.50–1.07 | 0.11 | 0.63 | 0.10–3.95 | 0.62 |
| Asthma | 0.96 | 0.89–1.04 | 0.36 | 0.99 | 0.79–1.25 | 0.95 |
| Substance use and mental health | ||||||
| Either drug or alcohol use | 0.71 | 0.62–0.81 | < 0.001 | 0.73 | 0.22–2.44 | 0.61 |
| Current smoking | 1.11 | 1.04–1.18 | 0.002 | 1.09 | 0.91–1.30 | 0.37 |
| Depression | 1.22 | 1.07–1.40 | 0.003 | 1.17 | 0.86–1.60 | 0.33 |
| Other mental disorders complicating pregnancy | 0.81 | 0.75–0.89 | < 0.001 | 1.43 | 1.08–1.88 | 0.01 |
| Insurance coverage | ||||||
| Any preconception coverage | 0.95 | 0.89–1.02 | 0.15 | N/A | N/A | N/A |
| Medicaid eligibility based on pregnancy | 1.16 | 1.09–1.24 | < 0.001 | N/A | N/A | N/A |
| Neighborhood characteristics (tertile 2 = ref) | ||||||
| % Black residents | ||||||
| Tertile 1 (lowest) | 1.15 | 1.07–1.23 | < 0.001 | 1.29 | 1.07–1.55 | 0.01 |
| Tertile 3 (highest) | 1.06 | 0.98–1.14 | 0.15 | 0.95 | 0.81–1.12 | 0.56 |
| % age > 25 without HS diploma | ||||||
| Tertile 1 (lowest) | 1.02 | 0.94–1.10 | 0.68 | 0.76 | 0.65–0.89 | 0.001 |
| Tertile 3 (highest) | 0.70 | 0.65–0.76 | < 0.001 | 0.94 | 0.76–1.17 | 0.60 |
| % residents below federal poverty | ||||||
| Tertile 1 (lowest) | 0.97 | 0.89–1.05 | 0.46 | 0.97 | 0.80–1.18 | 0.76 |
| Tertile 3 (highest) | 0.96 | 0.88–1.04 | 0.31 | 1.02 | 0.81–1.29 | 0.85 |
CI confidence interval; HS high school; OR odds ratio; N/A not available in the data set for commercial insurance plan
*Models adjusted for listed variables, as well as other medical complications of pregnancy, drug use and smoking, neighborhood characteristics, access to care during pregnancy and preconception
†Race/ethnicity information available in Medicaid data only