{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:04:32Z","timestamp":1789099472178,"version":"build-2803163510"},"reference-count":25,"publisher":"American Public Health Association","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Objectives. To assess the relationship between doula utilization and health outcomes of females enrolled in Medicaid-affiliated plans in the United States.<\/jats:p>\n                  <jats:p>Methods. In this retrospective, observational cohort study, we used Medicaid claims data from a national health insurer to compare health outcomes between females who used and who did not use a doula (2014\u20132023). We conducted propensity score matching using a 1:1 case\u2012control match, without replacement, and fit logistic regressions to analyze the relative risks for maternal health outcomes.<\/jats:p>\n                  <jats:p>Results. The study population included 722 matched pairs with and without a doula. Results indicate females with doulas had a 47% lower risk of cesarean delivery and a 29% lower risk of preterm birth, and were 46% more likely to attend a postpartum checkup (all differences P\u2009&lt;\u2009.05).<\/jats:p>\n                  <jats:p>Conclusions. Doula care is associated with improved health outcomes among Medicaid enrollees.<\/jats:p>\n                  <jats:p>Public Health Implications. Doulas have garnered increasing interest from policymakers as a strategy to address increasing trends in maternal morbidity and persistent health disparities. This study provides evidence from Medicaid enrollees across the United States that doula care can improve maternal health. ( Am J Public Health. 2024;114(11):1275\u20131285. https:\/\/doi.org\/10.2105\/AJPH.2024.307805 )<\/jats:p>","DOI":"10.2105\/ajph.2024.307805","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T16:03:06Z","timestamp":1727884986000},"page":"1275-1285","source":"Crossref","is-referenced-by-count":23,"title":["Role of Doulas in Improving Maternal Health and Health Equity Among Medicaid Enrollees, 2014\u20122023"],"prefix":"10.2105","volume":"114","author":[{"given":"April M.","family":"Falconi","sequence":"first","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1682-7965","authenticated-orcid":false,"given":"Leah","family":"Ramirez","sequence":"additional","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Cobb","sequence":"additional","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1893-0167","authenticated-orcid":false,"given":"Carrie","family":"Levin","sequence":"additional","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Nguyen","sequence":"additional","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Inglis","sequence":"additional","affiliation":[{"name":"April M. Falconi, Leah Ramirez, Rebecca Cobb, Carrie Levin, and Michelle Nguyen are with the Public Policy Institute, Elevance Health, Washington, DC. Tiffany Inglis is with Carelon Health, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","volume-title":"Severe Maternal Morbidity in the United States: A Primer.","author":"Declercq E","year":"2021"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.17641"},{"key":"bib3","volume-title":"US Health Care From a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes.","author":"Gunja MZ","year":"2023"},{"key":"bib4","unstructured":"Office of the Surgeon General.\n                      The Surgeon General\u2019s Call to Action to Improve Maternal Health\n                      . Washington, DC:  US Department of Health and Human Services; 2020."},{"issue":"8","key":"bib7","first-page":"e340","volume":"20","author":"Kozhimannil KB","year":"2014","journal-title":"Am J Manag Care."},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101531"},{"key":"bib9","volume-title":"the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services","author":"Knocke K.","year":"2022"},{"issue":"5","key":"bib10","first-page":"e39451","volume":"15","author":"Sobczak A","year":"2023","journal-title":"Cureus."},{"key":"bib12","author":"Safon CB","year":"2021","journal-title":"Health Affairs Blog."},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301201"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.5.344"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.2716"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000349"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.2188\/jea.JE20210145"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-B"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwu469"},{"key":"bib24","unstructured":"Bonito AJ, Bann C, Eicheldinger C, Carpenter L. Creation of new race-ethnicity codes and socioeconomic status (SES) indicators for Medicare beneficiaries. Final Report, Sub-Task 2. AHRQ Publication No. 08-0029-EF. Rockville, MD:  Agency for Healthcare Research and Quality; January 2008."},{"issue":"166","key":"bib25","first-page":"1","author":"Ingram DD","year":"2014","journal-title":"Health Statistics. 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