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地方效应与出生健康的地理不平等

Place Effects and Geographic Inequality in Health at Birth
American Economic Journal: Economic Policy · 2025 · Eric Chyn、Na’ama Shenhav

中文摘要

本文利用出生记录和发生迁移的母亲,量化出生地点对生命早期健康的绝对和相对重要性。利用包含母亲固定效应和地点固定效应的模型,我们发现,从出生体重低于中位数的地区迁往高于中位数的地区,会带来儿童出生体重的显著改善,其影响量级与针对孕产妇健康的政策相当。地方效应对长距离迁移更大,对非大学学历母亲的孩子更具影响力。我们发现,污染是婴儿健康地方效应的最强预测因素。(JEL I12、I14、J13、J16、Q51、Q53)

Abstract

This paper uses birth records and mothers who move to quantify the absolute and relative importance of birth location for early-life health. Using a model that includes mother and location fixed effects, we find that moving from a below- to an above-median-birth-weight location leads to important improvements in child birth weight, with comparable magnitudes to policies targeting maternal health. Place effects are larger for longer-distance moves and more influential for children of non-college-educated mothers. We find that pollution is the strongest predictor of place effects on infant health. (JEL I12, I14, J13, J16, Q51, Q53)
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