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提高避孕措施的可及性能否减少婴儿不良健康结局?

Can Expanding Contraceptive Access Reduce Adverse Infant Health Outcomes?
Journal of Human Resources · 2026 · James Flynn

中文摘要

本文利用科罗拉多州一项私人资助的计划生育项目的实施,证明提高低收入女性获得长效可逆避孕措施的可及性,会在出生儿童的健康状况上产生正向选择,从而降低极早产率和婴儿死亡率。我最保守的估计表明,每1,000例活产中,极早产减少1.1例,婴儿死亡减少0.9例,其中因婴儿猝死综合征(SIDS)导致的死亡减少幅度最大。这表明,提高避孕措施的可及性可能有助于缩小美国与其他主要经济体之间的婴儿死亡率差距。

Abstract

Abstract This paper uses the implementation of a privately funded family planning program in Colorado to demonstrate that expanding access to long-acting reversible contraceptives to lower income women creates positive selection in the health of the children being born, reducing the rates of extremely preterm births and infant mortality. My most conservative estimates suggest reductions of 1.1 extremely preterm births and 0.9 infant deaths per 1,000 live births, with the largest reduction in deaths due to Sudden Infant Death Syndrome (SIDS). This suggests that expanding contraceptive access could help close the infant mortality gap between the U.S. and other leading economies.
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