I am a family physician with a background of academic excellence, a solid introduction to health services research, and a demonstrated commitment to the well-being of disadvantaged women and children. Goals: In the long term, I aim to help improve reproductive health outcomes and eliminate disparities in maternal and child health. My five-year goal is to identify ectopic pregnancy incidence and outcomes in the Medicaid population and in the process to develop a new, widely-applicable methodology for studying ectopic pregnancy epidemiology. Career Development Plan: In order to accomplish these goals, I need to acquire the knowledge and skills to manage and analyze large administrative data sets. I will do so by taking formal courses in quantitative research methods and health policy, participating in workshops on the use of public insurance data, meeting regularly with mentors and advisors, and presenting my work internally and at national meetings for review. Research Plan: I will conduct secondary analysis of Medicaid Analytic Extract files, measuring ectopic pregnancy incidence, rate, and outcomes. I will then develop a multivariate model to explain individual and state-based variation in ectopic pregnancy. Research Environment: I am supported by a primary mentor with long-standing experience developing junior investigators;a diverse mentorship team of physicians and population scientists with relevant content and methodology expertise;an advisory board of national experts in maternal health epidemiology, Medicaid policy, and health econometrics;and an institution with proven dedication to research excellence.

Public Health Relevance

Ectopic pregnancy is a leading cause of maternal morbidity and mortality. Current knowledge of ectopic pregnancy epidemiology is lacking, especially for low-income women. My work will inform policy and clinical interventions to improve early pregnancy outcomes and reduce health disparities.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Clinical Investigator Award (CIA) (K08)
Project #
1K08HD060663-01
Application #
7639957
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Signore, Caroline
Project Start
2009-09-30
Project End
2014-07-31
Budget Start
2009-09-30
Budget End
2010-07-31
Support Year
1
Fiscal Year
2009
Total Cost
$123,297
Indirect Cost
Name
University of Chicago
Department
Family Medicine
Type
Schools of Medicine
DUNS #
005421136
City
Chicago
State
IL
Country
United States
Zip Code
60637
Stulberg, Debra B; Cain, Loretta; Hasham Dahlquist, Irma et al. (2017) Pre-pregnancy and Early Prenatal Care are Associated with Lower Risk of Ectopic Pregnancy Complications in the Medicaid Population: 2004-08. Paediatr Perinat Epidemiol 31:4-10
Stulberg, D B; Cain, L; Dahlquist, I H et al. (2016) Ectopic pregnancy morbidity and mortality in low-income women, 2004-2008. Hum Reprod 31:666-71
Stulberg, Debra B; Dahlquist, Irma; Jarosch, Christina et al. (2016) Fragmentation of Care in Ectopic Pregnancy. Matern Child Health J 20:955-61
Stulberg, Debra B; Cain, Loretta R; Dahlquist, Irma et al. (2014) Ectopic pregnancy rates and racial disparities in the Medicaid population, 2004-2008. Fertil Steril 102:1671-6
Stulberg, Debra B; Hoffman, Yael; Dahlquist, Irma Hasham et al. (2014) Tubal ligation in Catholic hospitals: a qualitative study of ob-gyns' experiences. Contraception 90:422-8
Stulberg, Debra (2013) The Patient Protection and Affordable Care Act and reproductive health: harnessing data to improve care. J Health Polit Policy Law 38:441-56
Stulberg, Debra B; Cain, Loretta R; Dahlquist, Irma et al. (2013) Ectopic pregnancy rates in the Medicaid population. Am J Obstet Gynecol 208:274.e1-7
Kottenstette, Jennifer Bello; Stulberg, Debra (2013) PURLs: time to routinely screen for intimate partner violence? J Fam Pract 62:90-2
Stulberg, Debra B; Dude, Annie M; Dahlquist, Irma et al. (2012) Obstetrician-gynecologists, religious institutions, and conflicts regarding patient-care policies. Am J Obstet Gynecol 207:73.e1-5
Stulberg, Debra B; Dude, Annie M; Dahlquist, Irma et al. (2011) Abortion provision among practicing obstetrician-gynecologists. Obstet Gynecol 118:609-14

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