Increased WIC Eligibility and Birth Outcomes

IF 3.1 2区 经济学 Q1 ECONOMICS
Hyunkyu Ko
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Abstract

I provide quasi-experimental evidence on the effect of WIC on birth outcomes using policy variation created by adjunctive eligibility, which allows expansions in Medicaid or SNAP eligibility to affect WIC eligibility. I employ the ‘Difference in differences’ estimation strategy to identify the effects of WIC and Medicaid separately. The results show that a one percentage point increase in WIC eligibility increases average birth weight by 0.495g, which corresponds to an estimated treatment on the treated effect of 23.6g. WIC also reduces the incidence of Small for Gestational Age (SGA) by 0.021 percentage points which corresponds to a treatment on the treated effect of 10.4%. For Medicaid, a one percentage point increase in Medicaid eligibility reduces the incidence of very low birth weight by 0.002 percentage points and preterm birth by 0.015 percentage points. I find little evidence that there is a strong causal link between WIC and low birth weight or preterm birth; however, most literature on WIC found a positive causation. JEL codes: H51, I10, I13, I18
增加WIC资格和出生结果
我提供了准实验证据,证明WIC对出生结果的影响,使用了由辅助资格创造的政策变化,这允许扩大医疗补助或SNAP资格来影响WIC资格。我采用“差异中的差异”估计策略分别确定WIC和Medicaid的影响。结果表明,WIC资格每增加一个百分点,平均出生体重就会增加0.495g,这相当于对23.6g治疗效果的估计治疗。WIC还将胎龄小(SGA)的发生率降低了0.021个百分点,相当于治疗效果为10.4%。对于医疗补助来说,医疗补助资格每增加一个百分点,极低出生体重的发生率就会减少0.002个百分点,早产的发生率就会减少0.015个百分点。我发现很少有证据表明WIC与低出生体重或早产之间存在强烈的因果关系;然而,大多数关于WIC的文献都发现了积极的因果关系。JEL代码:H51, I10, I13, I18
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来源期刊
CiteScore
4.30
自引率
2.70%
发文量
34
期刊介绍: The American Journal of Health Economics (AJHE) provides a forum for the in-depth analysis of health care markets and individual health behaviors. The articles appearing in AJHE are authored by scholars from universities, private research organizations, government, and industry. Subjects of interest include competition among private insurers, hospitals, and physicians; impacts of public insurance programs, including the Affordable Care Act; pharmaceutical innovation and regulation; medical device supply; the rise of obesity and its consequences; the influence and growth of aging populations; and much more.
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