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Effects of posted point-of-sale warnings on alcohol consumption during pregnancy and on birth outcomes

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  • Cil, Gulcan

Abstract

In 23 states and Washington D.C., alcohol retailers are required by law to post alcohol warning signs (AWS) that warn against the risks of drinking during pregnancy. Using the variation in the adoption of these laws across states and within states over time, I find a statistically significant reduction in prenatal alcohol use associated with AWS. I then use this plausibly exogenous change in drinking behavior to establish a causal link between prenatal alcohol exposure and birth outcomes. I find that AWS laws are associated with decreases in the odds of very low birth weight and very pre-term birth.

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  • Cil, Gulcan, 2017. "Effects of posted point-of-sale warnings on alcohol consumption during pregnancy and on birth outcomes," Journal of Health Economics, Elsevier, vol. 53(C), pages 131-155.
    • Handle: RePEc:eee:jhecon:v:53:y:2017:i:c:p:131-155
    DOI: 10.1016/j.jhealeco.2017.03.004
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    Cited by:

    1. Alexandra Budenz & Richard P. Moser & Raimee Eck & Tanya Agurs-Collins & Timothy S. McNeel & William M. P. Klein & David Berrigan, 2022. "Awareness of Alcohol and Cancer Risk and the California Proposition 65 Warning Sign Updates: A Natural Experiment," IJERPH, MDPI, vol. 19(19), pages 1-12, September.
    2. Conway, Karen S. & Menclova, Andrea K., 2023. "You’ll never walk alone – The effects of walkability on pregnancy behaviors and outcomes," Economics & Human Biology, Elsevier, vol. 50(C).
    3. Norman Giesbrecht & Emilene Reisdorfer & Isabelle Rios, 2022. "Alcohol Health Warning Labels: A Rapid Review with Action Recommendations," IJERPH, MDPI, vol. 19(18), pages 1-28, September.
    4. Meenakshi S Subbaraman & Sarah C M Roberts, 2019. "Costs associated with policies regarding alcohol use during pregnancy: Results from 1972-2015 Vital Statistics," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-7, May.
    5. Noghanibehambari, Hamid & Fletcher, Jason, 2023. "In utero and childhood exposure to alcohol and old age mortality: Evidence from the temperance movement in the US," Economics & Human Biology, Elsevier, vol. 50(C).

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    More about this item

    Keywords

    Alcohol; Point-of-sale warnings; Infant health; Birth weight; Pre-term birth;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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