The maternal and infant health consequences of restricted access to abortion in the United States

IF 3.4 2区 经济学 Q1 ECONOMICS
Graham Gardner
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Abstract

Since the recent US Supreme Court decision in Dobbs v. Jackson Women's Health Organization, people across the country have experienced large sudden changes in their access to abortion care. In this paper, I look to the history of abortion access in the United States to inform predictions for this new future. I study the effects of targeted regulations on abortion providers (TRAP laws) on a variety of maternal and infant health outcomes, using variation in the timing of policy adoption across states and a direct measure of the distance to an abortion provider. I implement difference-in-differences techniques across outcomes from restricted-use microdata on the universe of US births. I find that TRAP laws lead to 11–16 % increased rates of hypertensive disorders of pregnancy. Additionally, I find evidence that TRAP laws widen existing disparities in adverse infant health outcomes across parental race. These results demonstrate the potentially wide-ranging health effects of restricting access to abortion.
美国限制堕胎对母婴健康造成的后果
自美国最高法院最近对多布斯诉杰克逊妇女健康组织一案做出裁决以来,全国各地的人们在获得堕胎护理方面经历了巨大的突变。在本文中,我将从美国堕胎的历史来预测这一新的未来。我研究了针对堕胎服务提供者的法规(TRAP 法律)对各种母婴健康结果的影响,研究中使用了各州政策采用时间的变化以及与堕胎服务提供者距离的直接测量方法。我从美国出生人口的限用微观数据中采用了不同结果间的差异技术。我发现,TRAP 法律导致妊娠高血压疾病的发病率增加了 11-16%。此外,我还发现有证据表明,TRAP 法扩大了父母种族间在婴儿不良健康结果方面的现有差距。这些结果表明,限制堕胎可能会对健康产生广泛的影响。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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