{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T02:44:53Z","timestamp":1785465893301,"version":"3.56.0"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["RWJF77962"],"award-info":[{"award-number":["RWJF77962"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA051777"],"award-info":[{"award-number":["K01DA051777"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We study the effect of punitive and priority treatment policies relating to illicit substance use during pregnancy on the rate of neonatal drug withdrawal syndrome, low birth weight, low gestational age, and prenatal care use. Punitive policies criminalize prenatal substance use, or define prenatal substance exposure as child maltreatment in child welfare statutes or as grounds for termination of parental rights. Priority treatment policies are supportive and grant pregnant women priority access to substance use disorder treatment programs. Our empirical strategy relies on administrative data from 2008 to 2018 and a difference\u2010in\u2010differences framework that exploits the staggered implementation of these policies. We find that neonatal drug withdrawal syndrome increases by 10%\u201318% following the implementation of a punitive policy. This growth is accompanied by modest reductions in prenatal care, which may reflect deterrence from healthcare utilization. In contrast, priority treatment policies are associated with small reductions in low gestational age (2%) and low birth weight (2%), along with increases in prenatal care use. Taken together, our findings suggest that punitive approaches may be associated with unintended adverse pregnancy outcomes, and that supportive approaches may be more effective for improving perinatal health.<\/jats:p>","DOI":"10.1002\/hec.4518","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T03:54:19Z","timestamp":1650513259000},"page":"1452-1467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Prenatal substance use policies and newborn health"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6597-6755","authenticated-orcid":false,"given":"Ang\u00e9lica","family":"Meinhofer","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Witman","sequence":"additional","affiliation":[{"name":"Cameron School of Business University of North Carolina Wilmington  Wilmington North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8581-0672","authenticated-orcid":false,"given":"Johanna Catherine","family":"Maclean","sequence":"additional","affiliation":[{"name":"Department of Economics Temple University NBER, &amp; IZA  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhua","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Weill Cornell Medicine  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Guidance on amendments made to the child abuse prevention and treatment act (CAPTA) by public law 114\u2010198, the comprehensive addiction and Recovery act of 2016","author":"Administration for Children and Families","year":"2017"},{"key":"e_1_2_10_3_1","volume-title":"State statutes search, definitions of child abuse and neglect","author":"Administration for Children & Families","year":"2021"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2016.09.002"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00785"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2021.106194"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3931"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeconom.2020.12.001"},{"key":"e_1_2_10_9_1","volume-title":"2018 national survey on substance use and health: Detailed tables","author":"Center for Behavioral Health Statistics and Quality","year":"2018"},{"key":"e_1_2_10_10_1","unstructured":"Christian S. 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