To the Editor Racial/ethnic disparities in birth outcomes and infant mortality have been pervasive despite advances in perinatal science. Dr Brown and colleagues found decreased disparities in birth outcomes for black infants relative to white infants, according to states’ Medicaid expansion status.1 As highlighted by the authors, it is not enough to document the association of policies with outcomes when significant racial/ethnic disparities exist in that outcome; the association of policies with disparities also must be explored.
Montoya-Williams D, Burris H, Fuentes-Afflick E. Perinatal Outcomes in Medicaid Expansion and Nonexpansion States Among Hispanic Women. JAMA. 2019;322(9):893–894. doi:10.1001/jama.2019.9825
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