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Updated Estimates of the Impact of Prenatal Care on Birthweight Outcomes by Race

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  • Richard G. Frank
  • Donna Strobino
  • David S. Salkever
  • Catherine A. Jackson

Abstract

This paper estimates a quasi-structural birthweight production function using data on counties for the years 1975-1984. The analysis focuses on the effects of first trimester initiation of prenatal care, controlling for use of abortion services, cigarette smoking, birth order and income. Fixed effects model is used to control for unmeasured differences in health endowments across counties. The results indicate that early first trimester initiation of prenatal care leads to a reduction in low birthweight for both blacks and whites. Differences in use of prenatal care by race explain only a small part of the black-white differences in the fraction of low birthweight births.

Suggested Citation

  • Richard G. Frank & Donna Strobino & David S. Salkever & Catherine A. Jackson, 1991. "Updated Estimates of the Impact of Prenatal Care on Birthweight Outcomes by Race," NBER Working Papers 3624, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:3624
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    1. Reichman, Nancy E. & Florio, Maryanne J., 1996. "The effects of enriched prenatal care services on Medicaid birth outcomes in New Jersey," Journal of Health Economics, Elsevier, vol. 15(4), pages 455-476, August.
    2. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    3. Currie, Janet & Gruber, Jonathan & Fischer, Michael, 1995. "Physician Payments and Infant Mortality: Evidence from Medicaid Fee Policy," American Economic Review, American Economic Association, vol. 85(2), pages 106-111, May.
    4. Currie, Janet & Gruber, Jonathan, 1996. "Saving Babies: The Efficacy and Cost of Recent Changes in the Medicaid Eligibility of Pregnant Women," Journal of Political Economy, University of Chicago Press, vol. 104(6), pages 1263-1296, December.
    5. Ruhm, Christopher J., 2000. "Parental leave and child health," Journal of Health Economics, Elsevier, vol. 19(6), pages 931-960, November.
    6. 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, March.
    7. 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.
    8. Aparna Lhila & Sharon Long, 2012. "What is driving the black–white difference in low birthweight in the US?," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 301-315, March.
    9. Swati Mukerjee & Michael A. Quinn, 2008. "Federal Medicaid Assistance To States: Impact On Prenatal Care," Contemporary Economic Policy, Western Economic Association International, vol. 26(3), pages 380-397, July.
    10. Janet Currie & Jonathan Gruber, 1994. "Saving Babies: The Efficacy and Cost of Recent Expansions of Medicaid Eligibility for Pregnant Women," NBER Working Papers 4644, National Bureau of Economic Research, Inc.
    11. Geoffrey Warner, 1998. "Birthweight Productivity of Prenatal Care," Southern Economic Journal, John Wiley & Sons, vol. 65(1), pages 42-63, July.

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