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药剂师现在会见你:药剂师处方的避孕药和生育率
Daniel Grossman1, Arijit Ray2, Allyssa Wadsworth3
1Department of Economics, West Virginia University, Morgantown, WV, United States of America; NBER, United States of America.
Journal of health economics
|December 28, 2024
概括
允许药剂师处方避孕药可以使每1000名妇女的出生率降低0.5%. 这一政策特别有利于25至44岁的教育程度较低的女性,影响了意外怀孕.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 生殖健康 生殖健康
背景情况:
- 增加获得避孕的机会是减少意外怀孕的经济有效策略.
- 几个州已经颁布法律,允许药剂师在没有医生的处方的情况下开处方避孕药.
- 这些政策变化旨在改善妇女的生殖健康结果.
研究的目的:
- 评估允许药剂师开处方的州法律对生育率的影响.
- 确定扩大避孕措施对意外怀孕的影响.
- 确定受这些政策变化影响最大的人口群体.
主要方法:
- 用2014-2020年的美国Natality文件进行数据分析.
- 采用差异差异策略来比较有和没有政策的州.
- 定义对待的州是那些在2020年第一季度之前颁布法律的州,控制的州是那些在2020年第一季度之后实施政策的州.
主要成果:
- 在政策实施后,每季度每1000名年龄在15-49岁的妇女中约有0.5例出生减少.
- 在25-34岁和40-44岁的女性中观察到的最显著的影响.
- 发现对高中学历或以下的女性有明显的影响.
结论:
- 允许药剂师开处方的法律与生育率的下降有关.
- 该政策在减少意外怀孕方面表现出有效性,特别是在特定的人口群体中.
- 扩大药剂师的处方权力代表了生殖健康的可行公共卫生干预.
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