{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T17:00:40Z","timestamp":1783443640970,"version":"3.54.6"},"reference-count":34,"publisher":"American Medical Association (AMA)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n \n The 2022 Supreme Court decision in\n Dobbs v Jackson Women\u2019s Health Organization<\/jats:italic>\n resulted in immediate abortion bans or severe restrictions in 22 US states. While mental health consequences of restricted abortion access have been suggested, their distribution across socioeconomic strata remain unclear for postpartum depression (PPD) among Medicaid populations.\n <\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n \n To assess associations of state-level abortion bans enacted after\n Dobbs<\/jats:italic>\n with the incidence of PPD, focusing on socioeconomic status (SES) differences.\n <\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This retrospective cohort study used a difference-in-differences (DD) analysis for Medicaid claims data from Kythera Labs (approximately 60% of US Medicaid population) from January 2019 to December 2024. Women and adolescents aged 12 to 55 years with pregnancies resulting in live births or stillbirths were stratified into SES terciles based on zip code\u2013level census data.<\/jats:p>\n <\/jats:sec>\n \n Exposure<\/jats:title>\n \n State-level abortion bans or restrictions implemented after\n Dobbs<\/jats:italic>\n , defined by residence in trigger law states.\n <\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n The primary outcome was incidence of PPD within 12 months following delivery, identified through validated claims-based algorithms.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The study comprised 102\u202f597 individuals pre-\n Dobbs<\/jats:italic>\n (mean [SD] age, 27.21 [5.82] years; 47\u202f305 individuals in trigger states and 55\u202f292 individuals in nontrigger states) and 61\u202f113 individuals post-\n Dobbs<\/jats:italic>\n (mean [SD] age, 27.48 [5.92] years; 30\u202f451 individuals in trigger states and 30\u202f662 individuals in nontrigger states). Individuals in trigger states were younger than individuals in nontrigger states both pre-\n Dobbs<\/jats:italic>\n (mean [SD] age, 26.53 [5.69] years vs 27.97 [5.84] years) and post-\n Dobbs<\/jats:italic>\n (mean [SD] age, 26.61 [5.77] years vs 28.34 [5.94] years). Both pre- and post-\n Dobbs<\/jats:italic>\n , individuals in trigger states were more likely to reside in rural areas (pre-\n Dobbs<\/jats:italic>\n : 10\u202f562 individuals [22.33%] vs 10\u202f079 individuals [18.23%]; post-\n Dobbs<\/jats:italic>\n : 6739 individuals [22.13%] vs 5220 individuals [17.02%]) and low-SES areas (pre-\n Dobbs<\/jats:italic>\n : 20\u202f136 individuals [42.57%] vs 13\u202f771 individuals [24.91%]; post-\n Dobbs<\/jats:italic>\n : 12\u202f924 individuals [42.44%] vs 7283 [23.75%]); they were less likely to have obstetrical complications (pre-\n Dobbs<\/jats:italic>\n : 31\u202f243 individuals [66.05%] vs 42\u202f780 individuals [77.37%]; post-\n Dobbs<\/jats:italic>\n : 21\u202f052 individuals [69.13%] vs 24\u202f577 individuals [80.15%]) or maternal complications (pre-\n Dobbs<\/jats:italic>\n :7732 individuals [16.34%] vs 10\u202f839 of individuals [19.60%]; post-\n Dobbs<\/jats:italic>\n : 5779 of 30\u202f451 individuals [19.04%] vs 6508 individuals [21.17%]). Women with lowest SES residing in trigger states experienced a 9.0% relative increase in PPD diagnoses post-\n Dobbs<\/jats:italic>\n vs similar women in nontrigger states (DD coefficient, 0.090; 95% CI, 0.035-0.146;\n P<\/jats:italic>\n \u2009=\u2009.001). No associations were observed in middle or high SES groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n \n In this cohort study, state-level abortion bans following\n Dobbs<\/jats:italic>\n were associated with a disproportionate increase in the risk of PPD among women and adolescents in low-SES communities. These findings underscore the need for targeted mental health support and policy interventions to mitigate the unequal burden of such legislation on vulnerable populations.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2025.57337","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T16:00:27Z","timestamp":1770134427000},"page":"e2557337","source":"Crossref","is-referenced-by-count":1,"title":["Socioeconomic Status and Postpartum Depression Risk After the\n Dobbs v Jackson Women\u2019s Health Organization<\/i>\n Decision, Based on State Trigger Laws"],"prefix":"10.1001","volume":"9","author":[{"given":"Onur","family":"Baser","sequence":"first","affiliation":[{"name":"School of Public Health, City University of New York, New York, New York"},{"name":"Department of Economics, Bogazici University, Istanbul, 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