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The Consequences and Costs of Maternal Substance Abuse in New York City

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  • Theodore Joyce
  • Andrew D. Racine
  • Naci Mocan

Abstract

We use a pooled time-series cross-section of live births in New York City between 1980 and 1989 to investigate the dramatic rise in low birthweight, especially among Blacks, that occurred in the mid 1980s. After controlling for other risk factors, we estimate that the number of excess low birthweight births attributable to illicit substance abuse over this period ranged from approximately 1,900 to 3,800 resulting in excess neonatal admission costs of between $22 and $53 million. We conclude that illicit substance use was a major contributory factor in rapid rise of low birthweight among Blacks in New York City in the latter part of the 1980s. The impact of prenatal illicit substance use on Whites and Hispanics is less conclusive.

Suggested Citation

  • Theodore Joyce & Andrew D. Racine & Naci Mocan, 1992. "The Consequences and Costs of Maternal Substance Abuse in New York City," NBER Working Papers 3987, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:3987
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    References listed on IDEAS

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    Cited by:

    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. Kelly Noonan & Nancy E. Reichman & Hope Corman & Dhaval Dave, 2007. "Prenatal drug use and the production of infant health," Health Economics, John Wiley & Sons, Ltd., vol. 16(4), pages 361-384, April.
    3. Cragg, Michael & O'Flaherty, Brendan, 1999. "Do Homeless Shelter Conditions Determine Shelter Population? The Case of the Dinkins Deluge," Journal of Urban Economics, Elsevier, vol. 46(3), pages 377-415, November.
    4. 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, vol. 34(4), pages 617-629, October.
    5. Charles L. Baum, 2005. "The Effects of Employment while Pregnant on Health at Birth," Economic Inquiry, Western Economic Association International, vol. 43(2), pages 283-302, April.
    6. Naci H. Mocan & Kudret Topyan, 1993. "Illicit Drug Use and Health: Analysis and Projections of New York City Birth Outcomes Using a Kalman Filter Model," NBER Working Papers 4359, National Bureau of Economic Research, Inc.
    7. Frank J. Chaloupka & Michael Grossman & Warren K. Bickel & Henry Saffer, 1999. "Introduction to "The Economic Analysis of Substance Use and Abuse: An Integration of Econometrics and Behavioral Economic Research"," NBER Chapters, in: The Economic Analysis of Substance Use and Abuse: An Integration of Econometric and Behavioral Economic Research, pages 1-14, National Bureau of Economic Research, Inc.

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