大规模公共卫生政策：政府资助信息宣传活动对丹麦婴儿死亡率的影响
Public Health Policy at Scale: Impact of a Government-Sponsored Information Campaign on Infant Mortality in Denmark
Review of Economics and Statistics · 2022 · [{"name": "Onur Altındağ", "affiliation": ["Bentley University", "Economic Research Forum"]}, {"name": "Jane Greve", "affiliation": ["VIVE - The Danish Center for Social Science Research"]}, {"name": "Erdal Tekin", "affiliation": ["National Bureau of Economic Research"]}]
中文摘要
我们利用丹麦人口数据，采用断点回归研究设计，评估了一项全国性公共卫生干预对婴儿猝死综合征（SIDS）死亡的影响。该信息宣传活动主要通过一项普遍性护士家访项目实施，使婴儿死亡率降低了17.2%，并在每万例出生中挽救了11.6至13.5条生命。相对于总体人群，该效应规模在低出生体重和早产婴儿中高出11至14倍。婴儿死亡率的改善集中在社会经济地位较低、获取健康信息渠道有限的群体中，从而缩小了出生时的健康不平等。
Abstract
Abstract We evaluate the impact of a nationwide public health intervention on deaths from sudden infant death syndrome (SIDS), using population data from Denmark in a regression discontinuity research design. The information campaign—implemented primarily through a universal nurse home visiting program—reduced infant mortality by 17.2% and saved between 11.6 and 13.5 lives over 10,000 births. The estimated effect sizes are 11–14 times larger among low-birthweight and preterm infants relative to the overall population. Improvement in infant mortality is concentrated among those with low socioeconomic status and with limited access to health information, thereby reducing health inequities at birth.