水里有什么？氟化对健康和经济自给自足的长期影响。

IF 3.4 2区经济学 Q1 ECONOMICS

Journal of Health Economics Pub Date : 2024-10-18 DOI:10.1016/j.jhealeco.2024.102934

Adam Roberts

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引用次数: 0

摘要

社区饮水加氟因其在改善牙齿健康方面的作用而被评为 20 世纪十大公共卫生成就之一。氟化物在高剂量时有很大的负面影响，在低剂量时有明显的益处，但最佳剂量尚不明确。我利用采用氟化物时间上的县级差异，结合将 2900 多万人与其出生县联系起来的限制性美国人口普查数据，来估计儿童氟化物暴露的因果效应。在经济自给自足指数（-1.9% SD）、体能和健康指数（-1.2% SD）方面，零到五岁接触社区氟化水的儿童成年后的情况更差。他们高中毕业（-1.5 个百分点）或服兵役（-1.0 个百分点）的可能性也大大降低。这些发现对现有的氟暴露安全水平结论提出了挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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What’s in the water? Long-run effects of fluoridation on health and economic self-sufficiency

Community water fluoridation has been named one of the 10 greatest public health achievements of the 20th century for its role in improving dental health. Fluoride has large negative effects at high doses, clear benefits at low levels, and an unclear optimal dosage level. I leverage county-level variation in the timing of fluoride adoption, combined with restricted U.S. Census data that link over 29 million individuals to their county of birth, to estimate the causal effects of childhood fluoride exposure. Children exposed to community water fluoridation from age zero to five are worse off as adults on indices of economic self-sufficiency (−1.9% of a SD) and physical ability and health (−1.2% of a SD). They are also significantly less likely to graduate high school (−1.5 percentage points) or serve in the military (−1.0 percentage points). These findings challenge existing conclusions about safe levels of fluoride exposure.

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来源期刊

Journal of Health Economics 医学-卫生保健

CiteScore

6.10

自引率

2.90%

发文量

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.