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剖宫产的长期效应

The Long-Run Effects of Cesarean Sections
Journal of Human Resources · 2020 · Ana Costa-Ramón、Mika Kortelainen、Ana Rodríguez‐González、Lauri Sääksvuori

中文摘要

本文分析了潜在可避免的剖宫产对儿童健康的长期效应。利用芬兰行政数据,我们发现医生在周末或公共假日前的正常工作时间内会实施更多计划外剖宫产,并将这一外生变异作为剖宫产的工具变量。我们结合了双重差分估计策略来补充工具变量结果,该策略利用了同胞对内部及家庭之间的分娩方式变异。结果表明,可避免的计划外剖宫产增加了患哮喘的风险,但不影响先前与剖宫产相关的其他免疫介导疾病。

Abstract

This paper analyzes the long-term effects of potentially avoidable cesarean sections on children's health.Using Finnish administrative data, we document that physicians perform more unplanned C-sections during their regular working hours on days that precede a weekend or public holiday and use this exogenous variation as an instrument for C-sections.We supplement our instrumental variables results with a differencesin-differences estimation strategy that exploits variation in birth mode within sibling pairs and across families.Our results suggest that avoidable unplanned C-sections increase the risk of asthma, but do not affect other immune-mediated disorders previously associated with C-sections.
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