限制堕胎准入与儿童进入寄养系统之间的关联
Savannah Adkins1, Noa Talmor2, Molly H White2
1Department of Economics, Bentley University, Waltham, Massachusetts.
JAMA pediatrics
|November 6, 2023
概括
由于堕胎提供者的有针对性监管 (TRAP) 法律限制了堕胎的准入,导致托儿所入学人数增加了11%,不成比例地影响了少数民族儿童和面临住房不稳定的家庭.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生政策 卫生政策
背景情况:
- "2022年多布斯诉杰克逊妇女卫生组织决定"消除了联邦堕胎保护,使州级限制成为可能.
- 在2022年之前颁布的堕胎提供者的有针对性监管 (TRAP) 法律为研究堕胎准入限制提供了一个历史模型.
- 了解限制堕胎的后果至关重要.
研究的目的:
- 通过TRAP法律颁布作为自然实验,量化限制堕胎准入和寄养家庭条目之间的联系.
- 估计堕胎限制对美国寄养系统的影响.
主要方法:
- 一项队列研究分析了所有50个美国州和华盛顿特区的TRAP法律颁布和寄养入口的数据.
- 包括1990-2011年间受孕的儿童,以及2000-2020年的托儿所数据.
- 采用了一般化的差异差异设计,比较在实施前和实施后拥有和没有TRAP法律的州.
主要成果:
- 与没有TRAP法律的州相比,在拥有TRAP法律的州观察到托儿所安置人数增加了11% (IRR,1.11).
- 这一增长不成比例地影响了黑人儿童 (IRR,1.15) 和其他种族/少数民族 (IRR,1.15).
- 住房不足是增加寄养入户的重要因素 (IRR,1.21)
结论:
- 限制堕胎的机会给寄养系统带来压力,特别影响边缘化社区和经济脆弱的家庭.
- 这些寄养对儿童有长期影响,并带来了巨大的财务成本.
- 需要进一步的研究来预测未来的寄养增加和相关的支出后罗诉韦德.
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