The Effectiveness of Prenatal Care in a Low Income Population: A Panel Data Approach
This paper analyzes the impact of prenatal care on the likelihood of low birth weight and prematurity using panel data on births taking place between 1995 and 2008 in the largest maternity ward in Uruguay. The use of difference-Generalized Method of Moments estimation addresses biases due to time invariant unobserved heterogeneity and feedback effects from prior pregnancies. Our estimates are larger than those usually found for developed countries: an adequate use of prenatal care - as defined by the Kessner criterion - decreases the probability of low birth weight by half and the likelihood of a pre-term birth by 70%. Even when imposing less stringent requirements on the total number of prenatal controls, the improvements over birth outcomes are considerable. In addition to indicating the crucial role of prenatal care in the birth outcomes of low-income populations, our analysis highlights the importance of using econometric techniques that use the full distribution of pregnancies to estimate the effectiveness of prenatal care.
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- Jason Abrevaya, 2006. "Estimating the effect of smoking on birth outcomes using a matched panel data approach," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 21(4), pages 489-519.
- Janet Currie & Jeffrey Grogger, 2000.
"Medicaid Expansions and Welfare Contractions: Offsetting Effects on Prenatal Care and Infant Health?,"
NBER Working Papers
7667, National Bureau of Economic Research, Inc.
- Currie, Janet & Grogger, Jeffrey, 2002. "Medicaid expansions and welfare contractions: offsetting effects on prenatal care and infant health?," Journal of Health Economics, Elsevier, vol. 21(2), pages 313-335, March.
- 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.
- Michael Grossman & Theodore J. Joyce, 1991. "Unobservables, Pregnancy Resolutions, and Birthweight Production Functions in New York City," NBER Working Papers 2746, National Bureau of Economic Research, Inc.
- 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.
- Anne Case & Angela Fertig & Christina Paxson, 2004.
"The Lasting Impact of Childhood Health and Circumstance,"
246, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
- Janet Currie & Enrico Moreti, 2005.
"Biology As Destiny? Short And Long-Run Determinants Of Intergenerational Transmission Of Birth Weight,"
- Janet Currie & Enrico Moretti, 2007. "Biology as Destiny? Short- and Long-Run Determinants of Intergenerational Transmission of Birth Weight," Journal of Labor Economics, University of Chicago Press, vol. 25, pages 231-264.
- Janet Currie & Enrico Moretti, 2005. "Biology as Destiny? Short and Long-Run Determinants of Intergenerational Transmission of Birth Weight," NBER Working Papers 11567, National Bureau of Economic Research, Inc.
- 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.
- Partha Deb & Karen Smith Conway, 2002. "Is Prenatal Care Really Ineffective? Or, is the 'Devil' in the Distribution?," Economics Working Paper Archive at Hunter College 02/2, Hunter College Department of Economics.
- Geoffrey Warner, 1998. "Birthweight Productivity of Prenatal Care," Southern Economic Journal, Southern Economic Association, vol. 65(1), pages 42-63, July.
- 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.
- Sandra E Black & Paul J Devereux & Kjell G Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, MIT Press, vol. 122(1), pages 409-439, 02.
- Sandra E. Black & Paul Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," Working Papers 200718, Geary Institute, University College Dublin.
- Sandra E. Black & Paul Devereux & Kjell Salvanes, 2006. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," CEE Discussion Papers 0061, Centre for the Economics of Education, LSE.
- Sandra E. Black & Paul J. Devereux & Kjell Salvanes, 2005. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," NBER Working Papers 11796, National Bureau of Economic Research, Inc.
- Black, Sandra E. & Devereux, Paul J. & Salvanes, Kjell G., 2005. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," IZA Discussion Papers 1864, Institute for the Study of Labor (IZA).
- George L. Wehby & Jeffrey C. Murray & Eduardo E. Castilla & Jorge S. Lopez-Camelo & Robert L. Ohsfeldt, 2009. "Quantile effects of prenatal care utilization on birth weight in Argentina," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1307-1321.
- R. Todd Jewell & Patricia Triunfo, 2006. "The impact of prenatal care on birthweight: the case of Uruguay," Health Economics, John Wiley & Sons, Ltd., vol. 15(11), pages 1245-1250.
- 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.
- Paula Veiga & Ronald P. Wilder, 2006. "Maternal smoking during pregnancy and birthweight - A propensity score matching approach," NIMA Working Papers 32, Núcleo de Investigação em Microeconomia Aplicada (NIMA), Universidade do Minho.
- 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.
- James Cramer, 1995. "Racial and Ethnic Differences in Birthweight: The Role of Income and Financial Assistance," Demography, Springer, vol. 32(2), pages 231-247, May.
- 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.
- 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.
- Nancy E. Reichman & Hope Corman & Kelly Noonan & Dhaval Dave, 2009. "Infant health production functions: what a difference the data make," Health Economics, John Wiley & Sons, Ltd., vol. 18(7), pages 761-782.
- Robert Kaestner & Won Chan Lee, 2005.
"The effect of welfare reform on prenatal care and birth weight,"
John Wiley & Sons, Ltd., vol. 14(5), pages 497-511.
- Robert Kaestner & Won Chan Lee, 2003. "The Effect of Welfare Reform on Prenatal Care and Birth Weight," NBER Working Papers 9769, National Bureau of Economic Research, Inc.
- Theodore Joyce & Michael Grossman, 1990. "Pregnancy wantedness and the early initiation of prenatal care," Demography, Springer, vol. 27(1), pages 1-17, February.
- 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.
- Jewell R. Todd & Patricia Triunfo & Rafael Aguirre, 2007. "El peso al nacer de los niños de la principal maternidad de Uruguay: 1995 a 2004," REVISTA DESARROLLO Y SOCIEDAD, UNIVERSIDAD DE LOS ANDES-CEDE.
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