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同一药丸的两面?避孕药的生育控制与心理健康效应

Two Sides of the Same Pill? Fertility Control and Mental Health Effects of the Contraceptive Pill
Journal of Labor Economics · 2024 · Franziska Valder

中文摘要

本文考察避孕药的可及性与心理健康、教育及劳动力市场结果之间的联系。避孕药通过其生育控制功能对教育和劳动力市场产生的自由化效应已得到充分证实。然而,近期医学文献指出,激素避孕与抑郁之间存在关联。利用避孕药可及性的差异,本文记录了避孕药对心理健康的显著影响。这些心理健康效应主要由具有抑郁遗传易感性的个体所驱动,而这些个体并未获得避孕药在教育和劳动力市场结果方面的积极效应。

Abstract

I investigate the link between access to the contraceptive pill, mental health, education, and labor market outcomes. Liberalizing education and labor market effects of access to the pill via its fertility control function are well established. More recently, however, a medical literature suggests a link between hormonal contraception and depression. Exploiting variation in access to the pill, I document substantial mental health effects of the pill. These mental health effects are driven by individuals with a genetic predisposition for depression who then do not experience the positive effects on education and labor market outcomes.
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