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进步时代对恶习的宣战:关闭红灯区对公共卫生的影响

The Progressive Era War on Vice: Public Health Consequences of Closing Red-Light Districts
The Journal of Economic History · 2026 · Grant Goehring

中文摘要

19世纪末,美国城市领导者设立红灯区以容纳卖淫活动。进步时代改革者认为这些区域损害公共卫生,促使它们在1910年代被关闭。本文分析关闭红灯区如何影响社区构成与公共卫生。我发现,关闭后早产和先天缺陷导致的婴儿死亡率上升,这与先天性梅毒的增加相一致。凶杀死亡并未增加,表明这些区域并未加剧犯罪。这些发现表明,改革者提出的公共卫生担忧很可能被夸大。

Abstract

In the late 1800s, city leaders in the United States established red-light districts to contain prostitution. Progressive Era reformers argued these districts harmed public health, prompting their closure in the 1910s. This paper analyzes how closing the red-light districts affected neighborhood composition and public health. I find infant mortality from premature births and congenital defects increased after closure, which is consistent with an increase in congenital syphilis. There was also no increase in homicide deaths, suggesting the districts did not increase crime. These findings suggest the public health concerns raised by reformers were likely overstated.
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