State social policy interventions for maternal health

Active Project Grant Awarded Last action

Award ID
R01HD111444
Recipient
Awarding agency
Obligated
$2,706,175

Award facts

Completion date 46% complete
Place of performance
New Orleans, LA 70118, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Poverty is the most widely studied fundamental determinant of maternal mental health, morbidity, mortality, and inequities in the U.S. And worldwide. Low absolute and relative income and low socioeconomic status are associated with financial hardship, food and housing insecurity, discrimination, limited healthcare access, other social stressors, and subsequent depression during the preconception, perinatal, postpartum, and parenting years; effects are disproportionately adverse for racial and ethnic minority, rural-residing, and other structurally disadvantaged groups of women. Public policies that shape the social conditions in which women live, notably those that assure economic resources and supports during the early childbearing years, can set life-long trajectories of maternal and child wellbeing. Thus, economic security laws have strong potential as public health interventions for women's mental health and health equity; yet the most timely and promising state-level laws within the dynamic, complex policy landscape over the last two decades have not been collectively or rigorously evaluated. The goal of this R01 is to empirically test the effects of six state-level economic security policies targeting low-income women on maternal mental health outcomes and disparities across the U.S. Over the last 20 years. We focus on paid family leave, paid medical leave, child care and development fund, earned income tax credits, minimum wage, and temporary assistance for needy families. First, we will use our team's validated novel legal measurement, analysis, and mapping methods to conduct a detailed state- year-level policy surveillance study of the six economic policies across all 50 states and washington D.C. From 2000 to 2023. Second, we will estimate the independent effects of each economic security policy (and specific dimensions of each policy) on a range of mental health indicators spanning the preconception, perinatal, postpartum, and parenting periods among U.S. Women ages 18 to 45. We will use a rigorous quasi- experimental approach (DIFFERENCE-in-DIFFERENCES), exploiting state-year-level policy variation and six different population datasets, to provide causal estimates and maximize statistical power. We will examine DIFFERENCES in policy effects by race, ethnicity, socioeconomic status, rurality/urbanicity, and age. Third, we will use interaction analyses to test whether combinations of economic security policies have greater impact than each alone and determine which policy combinations have the greatest effects on maternal mental health outcomes and for which groups. Fourth, we will use mediation analysis to test whether economic outcomes, health care access, psychosocial and behavioral outcomes, and social stressors are mechanisms linking the economic policies to health. This research will substantially advance our understanding of how social policies can be optimally used for population maternal health promotion. Findings will guide policymakers toward evidence- based policy interventions at a critical time in U.S. History when public health crises of mental health morbidity, maternal mortality, and poverty are colliding for childbearing women of structural disadvantage.

Transactions

Action Obligated Date
Amendment Economic security laws and maternal health - depression during the preconception, perinatal, and postpartum periods is the leading burden of disease for… $637,936
Amendment Economic security laws and maternal health $650,897
Amendment $0
Amendment $0
Amendment $708,671
Original award $708,671

Subawards

Subrecipient Amount Awarded
Temple University-Of The Commonwealth System Of Higher Education Test the effects of six state-level economic security policies targeting low-income women on maternal mental health outcomes and disparities across the U.S.… $81,244
Emory University Hospital This study aims to evaluate the impact of six state-level economic security policies on maternal mental health and disparities across the U.S., using rigorous… $36,324
National Bureau Of Economic Research Inc. Evaluates six state-level economic policies’ impact on maternal mental health and disparities among low-income women in the U.S. from 2000–2023, using policy… $76,469

Quick answers

Who received award R01HD111444?

R01HD111444 was awarded to The Administrators Of Tulane Educational Fund by National Institute of Child Health and Human Development (National Institutes of Health) on August 12, 2024.

How much is award R01HD111444 worth?

$2,706,175 has been obligated on R01HD111444.

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