国家和地方政府支出和婴儿死亡率
Shivani J Sowmyan1, Ashley H Hirai2, Jay S Kaufman3
1Kennedy Krieger Institute, Baltimore, Maryland.
Pediatrics
|November 6, 2024
概括
对环境,教育和总支出的公共支出显著降低了婴儿死亡率 (IMRs). 这项研究发现,比以前报告的减少更大,突出了公共投资的价值.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 人口统计学 人口统计学
背景情况:
- 以前的研究表明,州和地方政府支出与较低的婴儿死亡率 (IMRs) 之间存在联系.
- 最初的研究估计侧重于年度变化,而不是支出对IMR的总体主要影响.
- 这项研究旨在通过更新的数据和改进的方法来复制和复制原始发现.
研究的目的:
- 重现政府支出对婴儿死亡率 (IMRs) 的主要影响.
- 用更新的数据和精细的方法复制分析.
- 评估公共支出对IMR和黑白IMR差异的影响.
主要方法:
- 复制分析使用了相同的方法和数据 (2000-2014年美国人口普查局数据,2年滞后的IMR,随机拦截模型与时间支出相互作用).
- 复制分析纳入了另外5年的数据,并调整了固定状态差异和通货膨胀.
- 统计模型分析了人均政府支出与IMR之间的关联.
主要成果:
- 复制揭示了总体,环境和教育支出对IMR的主要影响远远大于之前报告的相互作用效应.
- 人均总支出增加1个SD,与每1000个活产婴儿死亡率减少0.35个婴儿死亡率有关.
- 复制分析显示了更大的主要效应 (例如,每1000 SD 死亡人数减少0.51,总支出增加).
- 增加的总支出与黑白IMR差距的绝对减少相关,但不是相对减少.
结论:
- 州和地方政府的支出与婴儿死亡率的减少比以前理解的要大得多.
- 这些发现强调了持续的公共投资对公共卫生倡议的至关重要.
- 对政府计划的持续投资对于提高婴儿存活率至关重要.
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