{"title":"Determinants of mHealth Effectiveness: Evidence from a Large-Scale Experiment","authors":"Weiguang Wang, Yanfang Su, G. Gao, Ritu Agarwal","doi":"10.2139/ssrn.3167637","DOIUrl":"https://doi.org/10.2139/ssrn.3167637","url":null,"abstract":"mHealth, the use of mobile technologies for healthcare management and delivery, offers great promise to promote health and improve care. However, to date, most mHealth treatments have failed to demonstrate a significant impact on clinical outcomes, and there is surprisingly little knowledge of factors that drive its efficacy. This study examines mHealth effectiveness by investigating both mHealth design and social support. To do so, we leverage one of the world’s largest field experiments on improving the health of expectant mothers and reducing the rate of cesarean sections. We hypothesize that 1) the combination of both self-directed mHealth and provider-directed mHealth ensures the highest mHealth effectiveness; 2) the husband, as one of the most significant social supports for expectant women, can be an important moderator of mHealth effectiveness. Our analyses show that the combined mHealth design achieves significant reduction in cesarean section use. In addition, a husband’s healthy behavior is pivotal in enabling mHealth interventions to be effective we find that the cesarean section reduction rate of women whose husbands engage in healthy behavior is four times higher than it is for those whose husbands do not fully engage in healthy behavior. Further analyses reveal that the husband’s healthy behavior has a stronger influence on mHealth effectiveness when the wife has higher status in the marriage. Our findings represent the first study to examine the effectiveness of these two mHealth designs (self-directed and provider-directed) and the critical role of social support in determining mHealth effectiveness. The study has important implications for both academic research and the practice of mHealth.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128596861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Legal Cannabis on Poverty and Homelessness in Pueblo County","authors":"T. McGettigan","doi":"10.2139/ssrn.3141525","DOIUrl":"https://doi.org/10.2139/ssrn.3141525","url":null,"abstract":"There is no evidence that poverty has either increased or decreased in Pueblo, Colorado as a result of cannabis legalization. There is evidence that homelessness in Pueblo has increased recently. Apart from anecdotal reports, there is no scientific evidence that links increased homelessness to legal cannabis. Instead, Black Hills Energy disconnected utilities from more than 7,000 Pueblo homes in 2016 and is, according to Posada’s Anne Stattelman, the largest single cause of homelessness in Pueblo, \"It's the number one reason families are becoming homeless in our community\" (Girardin 2016).","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130750854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Paid Maternity Leave on Maternal Health.","authors":"A. Butikofer, Julie Riise, Meghan M. Skira","doi":"10.2139/ssrn.3139823","DOIUrl":"https://doi.org/10.2139/ssrn.3139823","url":null,"abstract":"We examine the impact of the introduction of paid maternity leave in Norway in 1977 on maternal health. Before the policy reform, mothers were eligible for 12 weeks of unpaid leave. Mothers giving birth after July 1, 1977 were entitled to 4 months of paid leave and 12 months of unpaid leave. We combine Norwegian administrative data with survey data on the health of women around age 40 and estimate the medium- and long-term impacts of the reform using regression discontinuity and difference-inregression discontinuity designs. Our results suggest paid maternity leave benefits are protective of maternal health. The reform improved a range of maternal health outcomes, including BMI, blood pressure, pain, and me mntal health, and it increased health-promoting behaviors, such as exercise and not smoking. The effects were larger for first-time and low-resource mothers and women who would have taken little unpaid leave in the absence of the reform. We also study the maternal health effects of subsequent expansions in paid maternity leave and find evidence of diminishing returns to leave length.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"240 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131434839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tanika Chakraborty, A. Mukherjee, S. Rachapalli, Sarani Saha
{"title":"Stigma of Sexual Violence and Women's Decision to Work","authors":"Tanika Chakraborty, A. Mukherjee, S. Rachapalli, Sarani Saha","doi":"10.1016/J.WORLDDEV.2017.10.031","DOIUrl":"https://doi.org/10.1016/J.WORLDDEV.2017.10.031","url":null,"abstract":"","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"259 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"119672304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Female Migration in Lesotho: Determinants and Opportunities","authors":"I. Botea, Nell Compernolle, Shubha Chakravarty","doi":"10.1596/1813-9450-8307","DOIUrl":"https://doi.org/10.1596/1813-9450-8307","url":null,"abstract":"Migration, internal and external, continues to be a dominant livelihood strategy for households in Lesotho, with almost half (43 percent) of households reporting at least one member living away. The past decade has seen a sharp increase in female migration, due to a halt in new hires of Basotho men in South African mines and a concomitant expansion of jobs primarily for women in the export garment sector in Maseru and Maputsoe. This study analyzes female migration using three waves of the Demographic and Health Survey (2004, 2009, and 2014) as well as primary data collected by the research team in March-April 2015. The findings indicate that female migration in Lesotho is primarily driven by economic \"push\" (rather than \"pull\" ) factors, often due to shocks to the household, such as job loss, death, or bad crops. Migrants are often seen as \"strugglers\" and their households of origin are just as poor as rural households with no migrants. Moreover, the study finds conclusive evidence that women's employment in sectors dominated by migrants is strongly correlated with HIV/AIDS: 55 percent of women working in garment factories and 38 percent of domestic workers are HIV positive, as opposed to the national average of 30 percent. These findings point to three policy recommendations to support female migrants and their families: (i) lower the barriers to secondary education in rural areas, (ii) diversify and expand employment opportunities for men and women, and (iii) provide HIV/AIDS prevention and treatment services to garment factory workers as well as migrants working in the informal sector.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133517515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Battaglia, Bastien Chabé-Ferret, Lara Lebedinski
{"title":"Segregation and Fertility: The Case of the Roma in Serbia","authors":"M. Battaglia, Bastien Chabé-Ferret, Lara Lebedinski","doi":"10.2139/ssrn.3029799","DOIUrl":"https://doi.org/10.2139/ssrn.3029799","url":null,"abstract":"We study the effect of residential segregation on fertility for the socially excluded and marginalized Roma ethnic minority. Using original survey data we collected in Serbia, we investigate whether fertility differs between ethnically homogeneous and mixed neighbor- hoods. Our results show that Roma in less segregated areas tend to have significantly fewer children (around 0.9). Most of the difference arises from Roma in less segregated areas waiting substantially more after having a boy than their counterparts in more segregated areas. We account for the endogeneity of the level of segregation using (il)legal possibility to build in the area at the time of its creation as an instrument. We find that the true gap due to segregation is actually larger than that estimated by OLS (around 1.4). We finally provide evidence that exposure to the Serbian majority culture is the main mechanism at play, as opposed to differences in opportunity cost of time, migration patterns, family arrangements and returns to education.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133713035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Lasting Legacy of Seasonal Influenza: In-Utero Exposure and Labor Market Outcomes","authors":"H. Schwandt","doi":"10.2139/ssrn.2981617","DOIUrl":"https://doi.org/10.2139/ssrn.2981617","url":null,"abstract":"Pregnancy conditions have been shown to matter for later economic success, but many threats to fetal development that have been identified are difficult to prevent. In this paper I study seasonal influenza, a preventable illness that comes around every year and causes strong inflammatory responses in pregnant women. Using administrative data from Denmark, I identify the effects of maternal influenza on the exposed offspring via sibling comparison, exploiting both society-wide influenza spread and information on individual mothers who suffer strong infections during pregnancy. In the short term, maternal influenza leads to a doubling of prematurity and low birth weight, by triggering premature labor among women infected in the third trimester. Following exposed offspring into young adulthood, I observe a 9% earnings reduction and a 35% increase in welfare dependence. These long-term effects are strongest for influenza infections during the second trimester and they are partly explained by a decline in educational attainment, pointing to cognitive impairment. This effect pattern suggests that maternal influenza damages the fetus through multiple mechanisms, and much of the damage may not be visible at birth. Taken together, these results provide evidence that strong infections during pregnancy are an often overlooked prenatal threat with long-term consequences.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"28 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132359976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Lasting Effect of the HIV/AIDS Pandemic: Orphans and Pro-Social Behavior","authors":"Bryan C. McCannon, Zachary B Rodriguez","doi":"10.2139/ssrn.3097705","DOIUrl":"https://doi.org/10.2139/ssrn.3097705","url":null,"abstract":"The HIV/AIDS pandemic has caused numerous deaths. One unfortunate consequence of this is the deterioration in family structure and the prevalence of orphanhood. We investigate whether individuals who were orphaned as a child suffer long-term consequences through a underinvestment in their social capital. We conduct a framed field experiment in rural, southern Uganda where the HIV/AIDS pandemic hit hardest. In the experiment, subjects made decisions to contribute to a public good. Results indicate that adults who were orphaned as a child free ride more contributing less to the public good. We explore the mechanism through which their background operates. We provide evidence that an important channel is through social norms. Subjects orphaned when young tend to have lower expectations regarding typical behavior of others. A strong interaction effect is identified where those with the lowest expectations who were also orphaned contribute the least to the public good. Thus, we document long-term consequences to a community of the adverse health event.","PeriodicalId":192226,"journal":{"name":"Women & Health eJournal","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134271909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}