Cesarean Section, Childhood Health, and Schooling: Quasi-Experimental Evidence From Denmark, Norway and Sweden.

IF 2 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2024-11-22 DOI:10.1002/hec.4914
Jessica Á Rogvi, Aline Bütikofer, Lone Krebs, Hanna Mühlrad, Miriam Wüst
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引用次数: 0

Abstract

Despite being one of the most common surgical procedures in industrialized countries, there is limited causal evidence on the long-term consequences of Cesarean section (CS). We study the impacts of CS on health during ages 1-12 years and human capital outcomes at age 16 years, using exogenous variation in the probability of receiving a CS for breech births at term-a group with high CS risk. We use administrative data from Denmark, Norway, and Sweden to show that preventing complicated vaginal births benefits health at birth and reduces the number of all-cause hospital nights during childhood. Our findings for childhood diagnoses for asthma, allergies, diabetes mellitus type 1, and school outcomes are imprecise and do thus not lend strong support for prominent hypotheses on CS causing long-term immune dysfunction disorders and, thereby, worse human capital outcomes.

剖腹产、儿童健康和入学:来自丹麦、挪威和瑞典的准实验证据。
尽管剖腹产(CS)是工业化国家最常见的外科手术之一,但有关其长期后果的因果证据却很有限。我们研究了剖腹产对 1-12 岁儿童健康和 16 岁儿童人力资本结果的影响,研究中使用了臀位临产(剖腹产风险较高的群体)接受剖腹产概率的外生变化。我们利用丹麦、挪威和瑞典的行政数据表明,预防阴道难产有利于婴儿出生时的健康,并能减少儿童时期因各种原因住院的次数。我们对儿童期哮喘、过敏、1 型糖尿病和学校成绩的诊断结果并不精确,因此并不能有力地支持关于CS 会导致长期免疫功能失调,从而导致人力资本结果更差的重要假设。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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