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Bajo peso al nacer en Uruguay: implicaciones para las políticas de salud

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  • R. Todd Jewell

    ()
    (Departament of Economics, University of North Texas)

  • Patricia Triunfo

    (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República)

Abstract

This study analyzes the probability of low birthweight birth using a sample representing all births in Uruguay during 2003. Data from the Perinatal Information System allow us to estimate the effects of health inputs and risk factors on birthweight outcomes for a less-developed country. The results indicate that the probability of low birthweight is negatively correlated with adequacy of prenatal care usage and maternal educational attainment, while this probability is positively correlated with smoking during pregnancy, low body mass index, first pregnancies, pre-gestational hypertension, and the existence of a prior low birthweight birth. We also find a hospital-specific effect on the probability of low birthweight, positive for public hospitals and negative for private hospitals. Policy simulations indicate that a reasonable improvement in prenatal care usage could positively influence infant health in Uruguay by reducing the probability of low birthweight.

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File URL: http://decon.edu.uy/publica/2006/1706.pdf
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Bibliographic Info

Paper provided by Department of Economics - dECON in its series Documentos de Trabajo (working papers) with number 1706.

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Length: 25 pages
Date of creation: Nov 2006
Date of revision:
Handle: RePEc:ude:wpaper:1706

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Keywords: Low Birthweight; Health Risks; Uruguay;

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  1. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239.
  2. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2006. "From the cradle to the labor market? The effect of birth weight on adult outcomes," LSE Research Online Documents on Economics 19425, London School of Economics and Political Science, LSE Library.
  3. Kai Li & Dale J. Poirier, 2003. "Bayesian analysis of an econometric model of birth inputs and outputs," Journal of Population Economics, Springer, vol. 16(3), pages 597-625, 08.
  4. Guilkey, David K. & Popkin, Barry M. & Akin, John S. & Wong, Emelita L., 1989. "Prenatal care and pregnancy outcome in Cebu, Philippines," Journal of Development Economics, Elsevier, vol. 30(2), pages 241-272, April.
  5. Mark R. Rosenzweig & T. Paul Schultz, 1988. "The Stability of Household Production Technology: A Replication," Journal of Human Resources, University of Wisconsin Press, vol. 23(4), pages 535-549.
  6. Panis, Constantijn W. A. & Lillard, Lee A., 1994. "Health inputs and child mortality: Malaysia," Journal of Health Economics, Elsevier, vol. 13(4), pages 455-489.
  7. Grossman, Michael & Joyce, Theodore J, 1990. "Unobservables, Pregnancy Resolutions, and Birth Weight Production Functions in New York City," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 983-1007, October.
  8. Jeffrey J. Rous & R. Todd Jewell & Robert W. Brown, 2004. "The effect of prenatal care on birthweight: a full-information maximum likelihood approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 251-264.
  9. Mark R. Rosenzweig & T. Paul Schultz, 1982. "The Behavior of Mothers as Inputs to Child Health: The Determinants of Birth Weight, Gestation, and Rate of Fetal Growth," NBER Chapters, in: Economic Aspects of Health, pages 53-92 National Bureau of Economic Research, Inc.
  10. W. Frisbie & Douglas Forbes & Starling Pullum, 1996. "Compromised birth outcomes and infant mortality among racial and ethnic groups," Demography, Springer, vol. 33(4), pages 469-481, November.
  11. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
  12. Jason Boardman & Daniel Powers & Yolanda Padilla & Robert Hummer, 2002. "Low birth weight, social factors, and developmental outcomes among children in the United States," Demography, Springer, vol. 39(2), pages 353-368, May.
  13. Li, Kai & Poirier, Dale J., 2003. "An econometric model of birth inputs and outputs for Native Americans," Journal of Econometrics, Elsevier, vol. 113(2), pages 337-361, April.
  14. Theodore Joyce & Michael Grossman, 1990. "Pregnancy wantedness and the early initiation of prenatal care," Demography, Springer, vol. 27(1), pages 1-17, February.
  15. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
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