{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T21:57:14Z","timestamp":1777586234405,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Intimate partner violence (IPV) is elevated among rural residents and contributes to maternal morbidity and mortality. Postpartum health insurance expansion efforts could address multiple causes of maternal morbidity and mortality, including IPV. The objective of this study was to describe the relationship between perinatal health insurance, IPV, and postpartum abuse screening among rural US residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using 2016\u20102020 data on rural residents from the Pregnancy Risk Assessment Monitoring System, we assessed self\u2010report of experiencing physical violence by an intimate partner and rates of abuse screening at postpartum visits. Health insurance at childbirth and postpartum was categorized as private, Medicaid, or uninsured. We also measured insurance transitions from childbirth to postpartum (continuous private, continuous Medicaid, Medicaid to private, and Medicaid to uninsured).<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>IPV rates varied by health insurance status at childbirth, with the highest rates among Medicaid beneficiaries (7.7%), compared to those who were uninsured (1.6%) or privately insured (1.6%). When measured by insurance transitions, the highest IPV rates were reported by those with continuous Medicaid coverage (8.6%), followed by those who transitioned from Medicaid at childbirth to private insurance (5.3%) or no insurance (5.9%) postpartum.<\/jats:p><jats:p>Nearly half (48.1%) of rural residents lacked postpartum abuse screening, with the highest proportion among rural residents who were uninsured at childbirth (66.1%) or postpartum (52.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rural residents who are insured by Medicaid before or after childbirth are at elevated risk for IPV. Medicaid policy efforts to improve maternal health should focus on improving detection and screening for IPV among rural residents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12843","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T06:58:11Z","timestamp":1715410691000},"page":"655-663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Health insurance coverage and experiences of intimate partner violence and postpartum abuse screening among rural US residents who gave birth 2016\u20102020"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-9049","authenticated-orcid":false,"given":"Katy Backes","family":"Kozhimannil","sequence":"first","affiliation":[{"name":"Division of Health Policy and Management Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily C.","family":"Sheffield","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyssa H.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8579-6623","authenticated-orcid":false,"given":"Julia D.","family":"Interrante","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0273-0387","authenticated-orcid":false,"given":"Carrie","family":"Henning\u2010Smith","sequence":"additional","affiliation":[{"name":"Division of Health Policy and Management Rural Health Research Center, University of Minnesota School of Public Health  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie A.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2022.05.003"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2019.8072"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.o2499"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318249ff74"},{"key":"e_1_2_9_6_1","unstructured":"Centers for Disease Control and Prevention.Intimate Partner Violence.2022. 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