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在狂欢节期间操纵出生时间对巴西出生指标的影响
Carolina Melo1, Naercio Menezes-Filho2
1Insper Institute of Education and Research, São Paulo, Brazil.
Health economics
|June 1, 2024
概括
在巴西的狂欢节假期周围操纵出生时间导致更长的妊娠期和降低婴儿死亡率,但对于高风险的分娩来说,出生体重也更低. 政策制定者必须权衡这些双重影响.
科学领域:
- 公共卫生 公共卫生
- 人口统计学 人口统计学
- 卫生政策 卫生政策
背景情况:
- 巴西的狂欢节扰乱了正常的医疗保健服务,包括分娩程序.
- 在这个假期周围观察到出生时间操纵,预期和推迟.
研究的目的:
- 为了调查巴西狂欢节周围的出生时间操纵模式.
- 估计这种操纵对关键出生指标的影响,包括死亡率和出生体重.
主要方法:
- 分析与狂欢节假期时间相关的出生数据.
- 统计估计出生迁移对新生儿和新生儿早期死亡率和出生体重的影响.
主要成果:
- 在嘉年华周围发生了重大出生时间操纵 (预期和推迟).
- 推迟分娩,通常是预定的剖腹产,导致妊娠时间增加和降低新生儿/早期新生儿死亡率.
- 预期的分娩,特别是高风险婴儿的分娩,导致出生体重降低.
结论:
- 关于分娩程序的嘉年华相关限制具有混合的后果:对某些婴儿的结果有益,对其他婴儿有害.
- 政策制定者需要解决这些假期引起的出生时间转移的双面性质.
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