The Impact of Prenatal Exposure to Cocaine on Newborn Costs and Length of Stay
AbstractThis paper determines newborn costs and lengths of stay attributable to prenatal exposure to cocaine and other illicit drugs, using as a data source all parturients who delivered at a large municipal hospital in New York City between November 18, 1991 and April 11, 1992. We performed a cross-sectional analysis in which multivariate, loglinear regressions were used to analyze differences in costs and length of stay between infants exposed and unexposed prenatally to cocaine and other illicit drugs adjusting for maternal race, age, prenatal care, tobacco, parity, type of delivery, birth weight, prematurity, and newborn infection. Urine specimens, with linked obstetric sheets and discharge abstracts provided information on exposure, prenatal behaviors, costs, length of stay and discharge disposition. Our principal findings show that infants exposed to cocaine and some other illicit drug stay approximately 7 days longer at a cost of $7,731 more than infants unexposed. Approximately 60 percent of these costs are indirect, the result of adverse birth outcomes and newborn infection. Hospital screening as recorded on discharge abstracts substantially underestimates prevalence at delivery, but overestimates its impact on costs.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 4673.
Date of creation: Mar 1994
Date of revision:
Publication status: forthcoming, Health Services Research, June 1995.
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Web page: http://www.nber.org
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- Breusch, T S & Pagan, A R, 1979. "A Simple Test for Heteroscedasticity and Random Coefficient Variation," Econometrica, Econometric Society, Econometric Society, vol. 47(5), pages 1287-94, September.
- O'Neill June E & O'Neill Dave M, 2008.
"Health Status, Health Care and Inequality: Canada vs. the U.S,"
Forum for Health Economics & Policy, De Gruyter,
De Gruyter, vol. 10(1), pages 1-45, April.
- June E. O'Neill & Dave M. O'Neill, 2007. "Health Status, Health Care and Inequality: Canada vs. the U.S," NBER Working Papers 13429, National Bureau of Economic Research, Inc.
- Joyce, Theodore, 1999.
"Impact of augmented prenatal care on birth outcomes of Medicaid recipients in New York City,"
Journal of Health Economics, Elsevier,
Elsevier, vol. 18(1), pages 31-67, January.
- Theodore Joyce, 1997. "Impact of Augmented Prenatal Care on Birth Outcomes of Medicaid Recipients in New York City," NBER Working Papers 6029, National Bureau of Economic Research, Inc.
- Carlos Dobkin & Nancy Nicosia, 2009. "The War on Drugs: Methamphetamine, Public Health, and Crime," American Economic Review, American Economic Association, American Economic Association, vol. 99(1), pages 324-49, March.
- Robert Kaestner & Theodore Joyce & Hassan Wehbeh, 1996.
"The Effect of Maternal Drug Use on Birth Weight: Measurement Error in Binary Variables,"
NBER Working Papers
5434, National Bureau of Economic Research, Inc.
- Kaestner, Robert & Joyce, Theodore & Wehbeh, Hassan, 1996. "The Effect of Maternal Drug Use on Birth Weight: Measurement Error in Binary Variables," Economic Inquiry, Western Economic Association International, Western Economic Association International, vol. 34(4), pages 617-29, October.
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