Early start

A cost-beneficial perinatal substance abuse program

Nancy C. Goler, Mary Anne Armstrong, Veronica M. Osejo, Yun Yi Hung, Monica Haimowitz, Aaron Caughey

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

OBJECTIVE: To conduct a cost-benefit analysis of Early Start, an integrated prenatal intervention program for stopping substance use in pregnancy. METHODS: A retrospective cohort study was conducted of 49,261 women who had completed prenatal substance abuse screening questionnaires at obstetric clinics and who had undergone urine toxicology screening tests. Four study groups were compared: women screened and assessed positive and followed by Early Start (screened-assessed-followed, n=2,032), women screened and assessed positive without follow-up (screened-assessed, n=1,181), women screened positive only (screened-positive-only, n=149), women in the control group who screened negative (control, n=45,899). Costs associated with maternal health care (prenatal through 1 year postpartum), neonatal birth hospitalization care, and pediatric health care (through 1 year) were adjusted to 2009 dollars. Mean costs were calculated and adjusted for age, race, education, income, marital status, and amount of prenatal care. RESULTS: Screened-positive-only group adjusted mean maternal total costs ($10,869) were significantly higher than screened-assessed-followed, screened-assessed, and control groups ($9,430; $9,230; $8,282; all P

Original languageEnglish (US)
Pages (from-to)102-110
Number of pages9
JournalObstetrics and Gynecology
Volume119
Issue number1
DOIs
StatePublished - Jan 2012

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Substance-Related Disorders
Costs and Cost Analysis
Delivery of Health Care
Control Groups
Prenatal Care
Marital Status
Toxicology
Postpartum Period
Obstetrics
Cost-Benefit Analysis
Hospitalization
Cohort Studies
Retrospective Studies
Mothers
Urine
Parturition
Pediatrics
Education
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Goler, N. C., Armstrong, M. A., Osejo, V. M., Hung, Y. Y., Haimowitz, M., & Caughey, A. (2012). Early start: A cost-beneficial perinatal substance abuse program. Obstetrics and Gynecology, 119(1), 102-110. https://doi.org/10.1097/AOG.0b013e31823d427d

Early start : A cost-beneficial perinatal substance abuse program. / Goler, Nancy C.; Armstrong, Mary Anne; Osejo, Veronica M.; Hung, Yun Yi; Haimowitz, Monica; Caughey, Aaron.

In: Obstetrics and Gynecology, Vol. 119, No. 1, 01.2012, p. 102-110.

Research output: Contribution to journalArticle

Goler, NC, Armstrong, MA, Osejo, VM, Hung, YY, Haimowitz, M & Caughey, A 2012, 'Early start: A cost-beneficial perinatal substance abuse program', Obstetrics and Gynecology, vol. 119, no. 1, pp. 102-110. https://doi.org/10.1097/AOG.0b013e31823d427d
Goler, Nancy C. ; Armstrong, Mary Anne ; Osejo, Veronica M. ; Hung, Yun Yi ; Haimowitz, Monica ; Caughey, Aaron. / Early start : A cost-beneficial perinatal substance abuse program. In: Obstetrics and Gynecology. 2012 ; Vol. 119, No. 1. pp. 102-110.
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