婴儿的相对劣势揭示:接触北美自由贸易协定和出生结果
1College of Business, Austin Peay State University, Marion St, Clarksville, TN 37040, USA.
概括
北美自由贸易协定 (NAFTA) 对美国的婴儿健康产生了负面影响,特别是对于低出生体重和早产婴儿. 收入减少和获得医疗保健等经济因素可能导致了这些不良结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会学 社会学 社会学
背景情况:
- 贸易自由化政策,如北美自由贸易协定 (NAFTA),可能对人口健康产生深远影响.
- 了解贸易政策在各地区的影响差异对于公共卫生干预至关重要.
研究的目的:
- 调查地区接触北美自由贸易协定和美国婴儿健康结果之间的关系.
- 检查不同程度的进口竞争如何影响这些健康结果.
主要方法:
- 使用了事件研究和差异回归.
- 分析使用了来自Natality数据的超过8800万份出生记录.
- 与北美自由贸易协定实施和区域进口竞争水平相比,比较出生结果.
主要成果:
- 观察到对广泛的婴儿出生结果有显著的负面影响.
- 低出生体重和较短妊娠年龄的婴儿的不良影响不成比例地更大.
- 潜在的途径包括收入-就业率下降,住房财富下降以及医疗保健利用率/质量下降.
结论:
- 区域贸易自由化,以北美自由贸易协定为例,与美国婴儿健康状况较差有关.
- 弱势群体,特别是低出生体重和早产儿群体,经历了最严重的负面影响.
- 经济和医疗保健准入因素似乎调解了贸易暴露与婴儿健康之间的关系.
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