TY - JOUR
T1 - Fertility rates in women with intellectual and developmental disabilities in Wisconsin Medicaid
AU - Rubenstein, Eric
AU - Ehrenthal, Deborah B.
AU - Nobles, Jenna
AU - Mallinson, David C.
AU - Bishop, Lauren
AU - Jenkins, Marina C.
AU - Kuo, Hsiang Hui
AU - Durkin, Maureen S.
N1 - Funding Information:
This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development ( R03HD099619 , T32 HD007014-42 , P2C HD042849 ) and the University of Wisconsin-Madison Clinical and Translational Science Award programme through the National Institutes of Health National Center for Advancing Translational Sciences ( UL1TR00427 , KL2 TR002374 ), by the University of Wisconsin-Madison School of Medicine and Public Health's Wisconsin Partnership Program, and by the University of Wisconsin- Madison Institute for Research on Poverty. This study was supported in part by a core grant to the Waisman Center from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54 HD090256). The funding agencies had no role in conducting the study.
Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2022/7
Y1 - 2022/7
N2 - Background: Women with intellectual and developmental disabilities (IDD) face stigma and inequity surrounding opportunity and care during pregnancy. Little work has quantified fertility rates among women with IDD which prevents proper allocation of care. Objective: Our objective was to cross-sectionally describe fertility patterns among women with and without intellectual and developmental disabilities (IDD) in 10-years of Medicaid-linked birth records. Study design: Our sample was Medicaid-enrolled women with live births in Wisconsin from 2007 to 2016. We identified IDD through prepregnancy Medicaid claims. We calculated general fertility-, age-specific-, and the total fertility-rates and 95% confidence intervals (95% CI) for women with and without IDD and generated estimates by year and IDD-type. Results: General fertility rate in women with IDD was 62.1 births per 1000 women with IDD (95% CI 59.2, 64.9 per 1000 women) and 77.1 per 1000 for women without IDD (95% CI: 76.8, 77.4 per 1000 women). General fertility rate ratio was 0.81 (95% CI: 0.7, 0.9). Total fertility was 1.80 births per woman with IDD and 2.05 births per woman without IDD (rate ratio: 0.89 95% CI: 0.5, 1.5). Peak fertility occurred later for autistic women (30–34 years), compared with women with other IDD (20–24 years). Conclusion: In Wisconsin Medicaid, general fertility rate of women with IDD was lower than women without IDD: the difference was attenuated when accounting for differing age distributions.
AB - Background: Women with intellectual and developmental disabilities (IDD) face stigma and inequity surrounding opportunity and care during pregnancy. Little work has quantified fertility rates among women with IDD which prevents proper allocation of care. Objective: Our objective was to cross-sectionally describe fertility patterns among women with and without intellectual and developmental disabilities (IDD) in 10-years of Medicaid-linked birth records. Study design: Our sample was Medicaid-enrolled women with live births in Wisconsin from 2007 to 2016. We identified IDD through prepregnancy Medicaid claims. We calculated general fertility-, age-specific-, and the total fertility-rates and 95% confidence intervals (95% CI) for women with and without IDD and generated estimates by year and IDD-type. Results: General fertility rate in women with IDD was 62.1 births per 1000 women with IDD (95% CI 59.2, 64.9 per 1000 women) and 77.1 per 1000 for women without IDD (95% CI: 76.8, 77.4 per 1000 women). General fertility rate ratio was 0.81 (95% CI: 0.7, 0.9). Total fertility was 1.80 births per woman with IDD and 2.05 births per woman without IDD (rate ratio: 0.89 95% CI: 0.5, 1.5). Peak fertility occurred later for autistic women (30–34 years), compared with women with other IDD (20–24 years). Conclusion: In Wisconsin Medicaid, general fertility rate of women with IDD was lower than women without IDD: the difference was attenuated when accounting for differing age distributions.
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U2 - 10.1016/j.dhjo.2022.101321
DO - 10.1016/j.dhjo.2022.101321
M3 - Article
C2 - 35430181
AN - SCOPUS:85128171838
SN - 1936-6574
VL - 15
JO - Disability and Health Journal
JF - Disability and Health Journal
IS - 3
M1 - 101321
ER -
