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悄然扼杀处方:低排放区与儿童从出生到入学的健康

Killing Prescriptions Softly: Low Emission Zones and Child Health from Birth to School
American Economic Journal: Economic Policy · 2021 · Hannah Klauber、Felix Holub、Nicolas Koch、Nico Pestel、Nolan Ritter、Alexander Rohlf

中文摘要

我们利用覆盖德国三分之一儿童的公共医疗保险行政记录,考察了生命早期空气污染暴露对儿童从出生到入学期间健康影响的持续性。为了识别因果效应,我们利用了低排放区实施(一项对高排放车辆施加行驶限制的政策)所带来的空气质量改善。我们的结果表明,出生前后暴露于更清洁空气的儿童在至少五年内所需药物更少。最初潜在的健康反应仅逐渐体现在较低的用药量上,这使得重要但细微的健康益处未能在常见的婴儿健康指标中被检测到。

Abstract

We examine the persistence of the impact of early-life exposure to air pollution on children's health from birth to school enrollment using administrative public health insurance records covering one third of all children in Germany. For identification, we exploit air quality improvements caused by the implementation of Low Emission Zones, a policy imposing driving restrictions on high-emission vehicles. Our results indicate that children exposed to cleaner air around birth require less medication for at least five years. The initially latent health response materializes only gradually in lower medication usage, leaving important but subtle health benefits undetected in common measures of infant health.
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