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童年生存:将儿童带离家庭的影响

Surviving Childhood: Effects of Removing a Child From Home
Review of Economic Studies · 2025 · Ronja Helénsdotter

中文摘要

本文研究法院下令将儿童带离家庭对健康、犯罪和教育的影响。为分离因果效应,我在工具变量设计中利用法官分配的准随机变异,结合不同法官在倾向于支持带离决定上的差异。我使用一个基于瑞典法院文件构建的新数据集(N=26,579)——这些文件由我转录并与详细的登记数据相链接——发现法院下令的寄养安置对边际儿童的死亡率具有巨大的不利影响。这些影响主要由被带离儿童仍处于寄养安置期间发生的自杀所驱动。带离还导致因精神疾病和非毒品类犯罪住院的比例上升。几乎没有证据表明这对亲生父母的健康产生不利影响。我探讨了儿童健康受损的潜在原因,发现不利的照料条件与同伴暴露似乎是重要渠道。

Abstract

Abstract This paper studies the effects of the court-ordered removal of children from home on health, crime, and education. To isolate causal effects, I exploit quasi-random variation in judge assignment together with across-judge variation in the tendency to favour removal in an instrumental variable design. Using a novel data set (N=26,579) based on Swedish court documents that I transcribe and link with detailed register data, I find that court-ordered out-of-home placement has large adverse effects on the mortality of the marginal child. These effects are primarily driven by suicides that occur while the removed child is still placed in out-of-home care. Removal also causes an increase in hospitalizations for mental illness and non-narcotic crimes. There is little evidence of adverse health effects for birth parents. I explore potential explanations for the detrimental effects on child health. Adverse care conditions and peer exposure appear to be important channels.
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