{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:31:52Z","timestamp":1783020712887,"version":"3.54.6"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>High\u2010quality prekindergarten (pre\u2010K) programs can promote school readiness and generate lifetime benefits. However, little is known about how pre\u2010K programs affect mothers. We examine the effects of New York City's universal pre\u2010K program (UPK) on the health of low\u2010income mothers enrolled in Medicaid. We use a difference\u2010in\u2010regression\u2010discontinuities approach that exploits the introduction of UPK and cutoffs for participation of children, to address potential confounders. We compare mothers of children born just inside the eligibility cutoff and mothers of those born just outside the eligibility cutoff, before and after the initiation of UPK. We find that the effects of UPK differ between single and non\u2010single mothers, and that the effects also differ between mothers whose 4\u2010year\u2010old is the youngest child in the household and those with other, younger children at home. Specifically, the introduction of UPK was associated with significant reductions in use of non\u2010addictive pain\u2010relief drugs and in use of hormones (e.g.,\u00a0for birth control and menstrual disorders) among (single) mothers whose eligible children were the youngest in the household. While we do not find evidence of the effects of UPK on other types of utilization, these results reveal a new dimension on which UPK may affect maternal wellbeing.<\/jats:p>","DOI":"10.1002\/hec.70108","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T03:24:48Z","timestamp":1776309888000},"page":"1192-1223","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kids Give You Headaches? Universal Prekindergarten and Maternal Prescriptions for Pain\u2010Relief and Hormone Medications"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0656-4491","authenticated-orcid":false,"given":"Kai","family":"Hong","sequence":"first","affiliation":[{"name":"New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9615-137X","authenticated-orcid":false,"given":"Kacie L.","family":"Dragan","sequence":"additional","affiliation":[{"name":"New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry","family":"Glied","sequence":"additional","affiliation":[{"name":"New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Social Epidemiology","author":"Avendano M.","year":"2014"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20105982.2011.01668.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/591908"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.econedurev.2012.07.016"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1086\/657124"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebo.2013.07.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ectj\/utz022"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jomf.12320"},{"key":"e_1_2_11_10_1","first-page":"243","volume-title":"Handbook of Parenting: Volumn 5: Practical Issues in Parenting","author":"Crnic K.","year":"2002"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2202\/1935\u20101682.1897"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1086\/648666"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3368\/jhr.47.3.583"},{"key":"e_1_2_11_14_1","volume-title":"The Long, Slow Growth of Prekindergarten in New York City","author":"Flippen A.","year":"2014"},{"key":"e_1_2_11_15_1","volume-title":"The Preschool Years: Family Strategies that Work\u2010From Experts and Parents","author":"Galinsky E.","year":"1990"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/07350015.2017.1366909"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3368\/jhr.xl.3.533"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1156019"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1257\/app.20150076"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1515\/bejeap\u20102020\u20100129"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.2964"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecresq.2014.12.005"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2307\/4615733"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2019.01.004"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2022.306765"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3386\/w33038"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1086\/690652"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3138\/cpp.39.2.263"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeconom.2007.05.003"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728\u20104457.2011.00389.x"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/2156869318767488"},{"key":"e_1_2_11_32_1","unstructured":"New York City Department of Education.2026.Pre\u2010K.https:\/\/www.schools.nyc.gov\/enrollment\/enroll\u2010grade\u2010by\u2010grade\/pre\u2010k."},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/jomf.12646"},{"key":"e_1_2_11_34_1","unstructured":"Office of the Mayor.2014.In First Wave of UPK Implementation Mayor de Blasio Announces More Than 4 200 New Full\u2010Day Pre\u2010K Seats Added to Public Schools.http:\/\/www1.nyc.gov\/office\u2010of\u2010the\u2010mayor\/news\/123\u201014\/in\u2010first\u2010wave\u2010upk\u2010implementation\u2010mayor\u2010de\u2010blasio\u2010more\u20104\u2010200\u2010new\u2010fullday\u2010pre\u2010k#\/0."},{"key":"e_1_2_11_35_1","first-page":"3","volume-title":"School Readiness and the Transition to Kindergarten in the Era of Accountability","author":"Pianta R. C.","year":"2007"},{"key":"e_1_2_11_36_1","unstructured":"Potter H.2015. \u201cLessons From New York City\u2019s Universal Pre\u2010K Expansion.\u201d Technical report The Century Foundation.https:\/\/policycommons.net\/artifacts\/1329280\/lessons\u2010from\u2010new\u2010york\u2010citys\u2010universal\u2010pre\u2010k\u2010expansion\/1932570\/."},{"key":"e_1_2_11_37_1","doi-asserted-by":"crossref","DOI":"10.3386\/w34677","volume-title":"The Impact of Preschool Entry Age on Children\u2019s Behavioral and Developmental Health in Medicaid (No. w34677)","author":"Rossin\u2010Slater M.","year":"2026"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecin.12002"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/esr\/jcw006"},{"key":"e_1_2_11_40_1","unstructured":"Shapiro E. andB.Cheney.2015. \u201cCity Enrolls 68k in Pre\u2010K With Big Growth in Poorest Neighborhoods.\u201d Politico.https:\/\/www.politico.com\/states\/new\u2010york\/city\u2010hall\/story\/2015\/12\/city\u2010enrolls\u201068k\u2010in\u2010pre\u2010k\u2010with\u2010big\u2010growth\u2010in\u2010poorest\u2010neighborhoods\u2010029284."},{"key":"e_1_2_11_41_1","volume-title":"Technical Supplement. ASPE and OPRE Report #2024\u2010324, Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services; and Office of Planning, Research, and Evaluation, Administration for Children and Families","author":"Spitzer A.","year":"2024"},{"key":"e_1_2_11_42_1","doi-asserted-by":"crossref","unstructured":"Timilsina L.2025. \u201cKids to School and Moms to Work: New York City's Universal Pre\u2010K Expansion and Mother's Employment.\u201dSSRN 5165484.","DOI":"10.2139\/ssrn.5165484"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdev.12099"},{"key":"e_1_2_11_44_1","volume-title":"Do We Already Have Universal Preschool","author":"Whitehurst G.","year":"2015"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/pam.20310"}],"container-title":["Health Economics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hec.70108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hec.70108","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hec.70108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:08:04Z","timestamp":1783015684000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hec.70108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":44,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/hec.70108"],"URL":"https:\/\/doi.org\/10.1002\/hec.70108","archive":["Portico"],"relation":{},"ISSN":["1057-9230","1099-1050"],"issn-type":[{"value":"1057-9230","type":"print"},{"value":"1099-1050","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]},"assertion":[{"value":"2025-07-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}