An article published in the October 2022 issue sheds light on the perinatal health risks and outcomes among US women with self-reported disability.
Analysis of survey data by Willi Horner-Johnson and coauthors shows that pregnant women with self-reported disabilities are slower to begin prenatal care, more likely to have a preterm birth, and more likely to have a low-birthweight baby than pregnant women who do not report having a disability.
The authors also find that using self-reported disability status reveals a higher rate of disability among pregnant women than rates found using diagnosis codes.
When discussing policy implications, Horner-Johnson and coauthors suggest
that measurement and analysis of self-reported disability would facilitate better understanding of the full extent of disability-related disparities.
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Elsewhere At Health Affairs
Today on Forefront Debra Lipson and coauthors discuss how states implementing cost-growth target initiatives may need to strengthen their accountability tools if payers and providers fail to keep spending in line.
Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking
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Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.