产后抑郁药物治疗与母婴结果

Journal of Human Resources · 2023 · [{"name": "Janet Currie", "affiliation": ["Stockholm University", "Princeton University", "Singapore Management University", "University of Amsterdam"]}, {"name": "Esmée Zwiers", "affiliation": ["Centrum Wiskunde & Informatica", "Stockholm University", "Princeton University", "Singapore Management University", "University of Amsterdam"]}]

中文摘要

本文利用超过42万名荷兰初产妇的数据，考察产后抗抑郁药使用的影响。荷兰全科医生必须能够提供上门出诊服务。因此，我们以当地医生对46至65岁女性开具抗抑郁药的处方倾向，作为女性产后获得抗抑郁药的工具变量。普通最小二乘估计表明产后抗抑郁药存在负面影响，但这是由进入治疗的选择性所致。工具变量估计表明，边际受处理患者很可能长期持续服用抗抑郁药，且产后一年内就业的可能性较低，几乎没有证据表明存在其他影响。

Abstract

<h3>Abstract</h3> We use data on over 420,000 first-time Dutch mothers to examine the effects of postpartum antidepressant use. Dutch general practitioners (GPs) must be available for house calls. We therefore instrument a woman’s receipt of antidepressants postpartum with local practitioners’ propensity to prescribe antidepressants to women 46 to 65. Ordinary least squares suggests negative effects of postpartum antidepressants but this is due to selection into treatment. Instrumental variables estimates indicate that the marginal treated patient is likely to continue taking antidepressants long term and is less likely to be employed in the year after birth, with little evidence of other effects.