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Healthy Immigrant Effect or Over-Medicalization of Pregnancy? Evidence from Birth Certificates

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  • Bertoli, P.; Grembi, V.; Kazakis, P.;

Abstract

We investigate the consumption of health care by immigrants by using newborn- and motherlevel data from birth certificates. We use a predictive algorithm based on machine learning to identify the observables affecting birth health outcomes and the use of prenatal care. Using these observables, our empirical analysis pinpoints an advantage of immigrants over natives regarding newborns’ birth weight and a lower use of prenatal care and of c-sections by immigrant mothers. To disentangle the healthy immigrant effect explanation for our results from an over-medicalization of pregnancy explanation, we use an IV approach. Our results support the over-medicalization of pregnancy hypothesis.

Suggested Citation

  • Bertoli, P.; Grembi, V.; Kazakis, P.;, 2017. "Healthy Immigrant Effect or Over-Medicalization of Pregnancy? Evidence from Birth Certificates," Health, Econometrics and Data Group (HEDG) Working Papers 17/26, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:17/26
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    References listed on IDEAS

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    1. Shurtz, Ity, 2013. "The impact of medical errors on physician behavior: Evidence from malpractice litigation," Journal of Health Economics, Elsevier, vol. 32(2), pages 331-340.
    2. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    3. Osea Giuntella, 2016. "Assimilation and Health: Evidence From Linked Birth Records of Second- and Third-Generation Hispanics," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 1979-2004, December.
    4. Hope Corman & Theodore J. Joyce & Michael Grossman, 1987. "Birth Outcome Production Function in the United States," Journal of Human Resources, University of Wisconsin Press, vol. 22(3), pages 339-360.
    5. 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.
    6. Abraído-Lanza, A.F. & Dohrenwend, B.P. & Ng-Mak, D.S. & Turner, J.B., 1999. "The Latino mortality paradox: A test of the 'salmon bias' and healthy migrant hypotheses," American Journal of Public Health, American Public Health Association, vol. 89(10), pages 1543-1548.
    7. David Dranove & Yasutora Watanabe, 2009. "Influence and Deterrence: How Obstetricians Respond to Litigation against Themselves and Their Colleagues," American Law and Economics Review, American Law and Economics Association, vol. 12(1), pages 69-94.
    8. McDonald, James Ted & Kennedy, Steven, 2004. "Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada," Social Science & Medicine, Elsevier, vol. 59(8), pages 1613-1627, October.
    9. Sonchak, Lyudmyla, 2015. "Medicaid reimbursement, prenatal care and infant health," Journal of Health Economics, Elsevier, vol. 44(C), pages 10-24.
    10. Sendhil Mullainathan & Jann Spiess, 2017. "Machine Learning: An Applied Econometric Approach," Journal of Economic Perspectives, American Economic Association, vol. 31(2), pages 87-106, Spring.
    11. Wingate, Martha S & Alexander, Greg R, 2006. "The healthy migrant theory: Variations in pregnancy outcomes among US-born migrants," Social Science & Medicine, Elsevier, vol. 62(2), pages 491-498, January.
    12. Conway, Karen Smith & Deb, Partha, 2005. "Is prenatal care really ineffective? Or, is the 'devil' in the distribution?," Journal of Health Economics, Elsevier, vol. 24(3), pages 489-513, May.
    13. Jere R. Behrman & Mark R. Rosenzweig, 2004. "Returns to Birthweight," The Review of Economics and Statistics, MIT Press, vol. 86(2), pages 586-601, May.
    14. Rubalcava, L.N. & Teruel, G.M. & Thomas, D. & Goldman, N., 2008. "The healthy migrant effect: New findings from the Mexican Family Life Survey," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 78-84.
    15. 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.
    16. Steven Stillman & John Gibson & David Mckenzie, 2012. "The Impact Of Immigration On Child Health: Experimental Evidence From A Migration Lottery Program," Economic Inquiry, Western Economic Association International, vol. 50(1), pages 62-81, January.
    17. Douglas Almond & Bhashkar Mazumder, 2011. "Health Capital and the Prenatal Environment: The Effect of Ramadan Observance during Pregnancy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(4), pages 56-85, October.
    18. Barry Chiswick, 1999. "Are Immigrants Favorably Self-Selected?," American Economic Review, American Economic Association, vol. 89(2), pages 181-185, May.
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    More about this item

    Keywords

    Healthy Immigrant Effect; Deliveries; Prenatal Care; Consumption of Health care;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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