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Book
Did Legalized Abortion Lower Crime?
Authors: ---
Year: 2001 Publisher: Cambridge, Mass. National Bureau of Economic Research

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Abstract

This paper examines the relationship between the legalization of abortion and subsequent decreases in crime. In a current study, researchers estimate that the legalization of abortion explains over half of the recent decline in national crime rates. The association is identified by correlating changes in crime with changes in the abortion ratio weighted by the proportion of the criminal population exposed to legalized abortion. In this paper, I use an alternative identification strategy. I analyze changes in homicide and arrest rates among teens and young adults born before and after 1970 in states that legalized abortion prior to Roe v. Wade. I compare these changes with variation in homicide and arrest rates among cohorts from the same period but who were unexposed to legalized abortion. I find little evidence to support the claim that legalized abortion caused the reduction in crime. I conclude that the association between abortion and crime is not causal, but most likely the result of confounding from unmeasured period effects such as changes in crack cocaine use and its spillover effects.

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Book
Chip Shots : Association Between the State Children's Health Insurance Programs and Immunization Coverage and Delivery
Authors: --- ---
Year: 2003 Publisher: Cambridge, Mass. National Bureau of Economic Research

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Abstract

By age two a child who is up to date for immunizations will have received up to 19 shots delivered over eight visits at a market cost of $525 dollars for the vaccines alone, a far more expensive and demanding regimen that the 8 shots received in 1987. In recognition of the potential importance of health insurance to immunization coverage rates, the State Children's Health Insurance Program (SCHIP) mandated that all plans cover the cost and administration of childhood vaccines. We use data from the recently released National Immunization Survey for the years 1995 to 2001 to test whether SCHIP was associated with differential changes among poor and near-poor children relative to their non-poor counterparts in either age-appropriate immunization rates or in the proportion of vaccines delivered by private providers. We show that the probability that a child was up to date for the varicella vaccine increased between 7 and 16 percentage points more among poor and near-poor relative to non-poor children after implementation of SCHIP. The increase was greater among children from urban areas, among Hispanics and among those from states with the highest rates of uninsured children prior to SCHIP than among children nationally. We found small to inconsequential changes for other vaccines. We also found that the probability that a poor or near-poor child obtained all vaccines at a private provider fell relative to the same probability among non-poor children over the study period. SCHIP appears to have affected the uptake of a recently introduced vaccine, which suggests that insurance coverage may be important for the rapid adoption of the latest and increasingly more expensive agents such as the pneumococcal conjugate vaccine.

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Book
What Did the "Illegitimacy Bonus" Reward?
Authors: --- --- --- ---
Year: 2004 Publisher: Cambridge, Mass. National Bureau of Economic Research

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Abstract

The 'Illegitimacy Bonus,' part of 1996 welfare reform legislation, awarded $100 million in each of five years to the five states with the greatest reduction in the nonmarital birth ratio. Three states -- Alabama, Michigan, and Washington DC -- won bonuses four or more times each, claiming nearly 60% of award monies. However, in none of these three states was the decline in the nonmarital birth ratio linked to increases in proportions married, and only in Michigan was it linked to declines in nonmarital (relative to marital) fertility within demographic groups, behavioral changes that the Illegitimacy Bonus was presumably intended to reward. Shifts in the racial composition of births accounted for 1/3 (Michigan), 2/3 (DC) or all (Alabama) of the decline in the nonmarital birth ratio. The non-marital birth ratio fell most in DC, averaging 1.5 percentage points per year over the award period. However, the number of black children born in DC fell by nearly one half from 1991 to 2001. Changes in population composition alone primarily a decline in the number of black women aged 15 to 34 can account for the entire decline in the nonmarital birth ratio in DC between 1990 and 2000.

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Book
The Changing Association Between Prenatal Participation in WIC and Birth Outcomes in New York City
Authors: --- --- ---
Year: 2004 Publisher: Cambridge, Mass. National Bureau of Economic Research

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We analyze the relationship between prenatal WIC participation and birth outcomes in New York City from 1988-2001. The analysis is unique for several reasons. First, we restrict the analysis to women on Medicaid and or WIC who have no previous live births and who initiate prenatal care within the first four months of pregnancy. Our goal is to lessen heterogeneity between WIC and non-WIC participants by limiting the sample to women who initiate prenatal care early and who have no experience with WIC from a previous pregnancy. Second, we focus on measures of fetal growth distinct from preterm birth, since there is little clinical support for a link between nutritional supplementation and premature delivery. Third, we analyze a large sub-sample of twin deliveries. Multifetal pregnancies increase the risk of anemia and fetal growth retardation and thus, may benefit more than singletons from nutritional supplementation. We find no relationship between prenatal WIC participation and measures of fetal growth except among a sub-sample of US-born Blacks between 1990-1992. A similarly sporadic pattern of association exists among US-born Black twins. Our finding that the modest association between WIC and fetal growth is limited to a specific racial and ethnic group during specific years and even specific ages suggests that the protective effect of prenatal WIC on adverse birth outcomes in New York City has been minimal.

Keywords

Prenatal care.


Book
Family Cap Provisions and Changes in Births and Abortions
Authors: --- --- --- ---
Year: 2004 Publisher: Cambridge, Mass. National Bureau of Economic Research

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As part of welfare reform efforts in the 1990s, twenty-three states implemented family caps, provisions that deny or reduce cash assistance to welfare recipients who have additional births. We use birth and abortion records from 24 states to estimate effects of family caps on birth and abortion rates. We use age, marital status and completed schooling to identify women at high risk for use of public assistance, and parity (number of previous live births) to identify those most directly affected by the family cap. In family cap states, birth rates fell more and abortion rates rose more among high-risk women with at least one previous live birth compared to similar childless women, consistent with an effect of the family cap. However, this parity-specific pattern of births and abortions also occurred in states that implemented welfare reform with no family cap. Thus, the effects of welfare reform may have differed between mothers and childless women, but there is little evidence of an independent effect of the family cap.

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Book
The Effect of Cigarette Excise Taxes on Smoking Before, During and After Pregnancy
Authors: --- --- ---
Year: 2002 Publisher: Cambridge, Mass. National Bureau of Economic Research

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Recent analyses suggest that cigarette excise taxes lower prenatal smoking. It is unclear, however, whether the association between taxes and prenatal smoking represents a decline among women of reproductive age or a particular response by pregnant women. We address this question directly with an analysis of quit and relapse behavior during and after pregnancy. We find that the price elasticity of prenatal quitting and postpartum relapse is close to one in absolute value. We conclude that direct financial incentives to stop smoking during and after pregnancy should be considered.

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Book
Determinants of Health

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Abstract

This collection of Michael Grossman's most important papers adds essential background and depth to his work on economic determinants of public health. Each of the book's four sections includes an introduction that contextualizes the issues and addresses the larger stakes of his work. An afterword discusses the significance of Grossman's approach for subsequent research on health economics, as well as the work others have done to advance and extend his innovative perspective.Determinants of Health explains how the economic choices people make influence health and health behaviors. It begins with a section on the theoretical underpinnings and empirical results of Grossman's groundbreaking health economics model, first introduced in the 1970s, followed by essays on the relationship between health and schooling; determinants of infant health, with a special emphasis on public policies and programs; and the economics of unhealthy behaviors. Grossman treats health as a form of human capital. He shows that public policies and programs that determine the price and availability of key inputs have critical effects on outcomes ranging from birth weight and infant mortality to cigarette smoking, alcohol abuse, illegal drug use, and obesity. Grossman's approach has led to a major stream of literature in the field, sparking contributions by the world's leading health economists, including Joseph Newhouse, Jonathan Gruber, Amy Finkelstein, Michael Greenstone, and David Cutler. His clarity on the role that economics play in people's good and bad health choices is immensely valuable to the debate over how we legislate and spend on health.

Keywords

Health status indicators --- Health --- Medical economics --- Health Status Indicators --- Socioeconomic Factors --- Risk Factors --- Models, Economic --- Economic Model --- Model, Economic --- Economic Models --- Economics --- Population at Risk --- Populations at Risk --- Health Correlates --- Risk Factor Scores --- Risk Scores --- Correlates, Health --- Factor, Risk --- Risk Factor --- Risk Factor Score --- Risk Score --- Score, Risk --- Score, Risk Factor --- Organs at Risk --- Factors, Socioeconomic --- High-Income Population --- Land Tenure --- Standard of Living --- Social Inequalities --- Social Inequality --- Factor, Socioeconomic --- High Income Population --- High-Income Populations --- Inequalities, Social --- Inequality, Social --- Living Standard --- Living Standards --- Population, High-Income --- Populations, High-Income --- Socioeconomic Factor --- Tenure, Land --- Health Status Indexes --- Health Risk Appraisal --- Health Status Index --- Appraisal, Health Risk --- Appraisals, Health Risk --- Health Risk Appraisals --- Health Status Indicator --- Health Status Indices --- Index, Health Status --- Indexes, Health Status --- Indicator, Health Status --- Indicators, Health Status --- Indices, Health Status --- Risk Appraisal, Health --- Risk Appraisals, Health --- Economics, Medical --- Health economics --- Hygiene --- Medical care --- Medicine --- Health indicators --- Health status indexes --- Indexes, Health status --- Indicators, Health status --- Health surveys --- Medical statistics --- Public health --- Quality of life --- Social indicators --- Social aspects --- Economic aspects --- Methodology --- E-books --- Health status indicators. --- Health behavior --- Community health --- Health services --- Hygiene, Public --- Hygiene, Social --- Public health services --- Public hygiene --- Social hygiene --- Human services --- Biosecurity --- Health literacy --- Medicine, Preventive --- National health services --- Sanitation --- Behavior, Health --- Health habits --- Diseases --- Habit --- Health attitudes --- Human behavior --- Medicine and psychology --- Economic aspects. --- Social aspects. --- Causes and theories of causation --- Social Risk Factors --- Factor, Social Risk --- Factors, Social Risk --- Risk Factor, Social --- Risk Factors, Social --- Social Risk Factor --- Economic and Social Factors --- Social and Economic Factors --- Socioeconomic Characteristics --- Characteristic, Socioeconomic --- Socioeconomic Characteristic

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