The children of the missed pill.
The children of the missed pill.
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DOI：
10.1016/j.jhealeco.2021.102496
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发表时间：
2021-09
影响因子：
3.5
通讯作者：
Urzúa S
中科院分区：
文献类型：
--
作者：
Rau T;Sarzosa M;Urzúa S
我们评估了口服避孕药价格的外源性变化对生育决策和新生儿结局的影响--持续一年的下降，随后由于记录在案的共谋案件而急剧上升。我们的实证策略遵循中断的时间序列设计，这是使用多个来源的行政信息。随着价格的飙升（几周内45%），避孕药的消费量大幅下降，每周受孕率增加（几个月后3.2%）。我们显示出对未婚母亲、20岁出头的母亲和产妇所生子女数量的巨大影响。低出生体重和胎儿/婴儿死亡的发生率随着避孕药费用的上升（下降）而上升（下降）。此外，我们还记录了每周流产和死胎率的不成比例的增加。随着儿童达到入学年龄，我们发现入学率降低，参加特殊教育方案的人数增加。我们的证据表明，这些“额外”的概念更有可能在发展的关键时期面临不利条件。
We assess the impact of exogenous variation in oral contraceptives prices—a year-long decline followed by a sharp increase due to a documented collusion case—on fertility decisions and newborns’ outcomes. Our empirical strategy follows an interrupted time-series design, which is implemented using multiple sources of administrative information. As prices skyrocketed (45% within a few weeks), the Pill’s consumption plunged, and weekly conceptions increased (3.2% after a few months). We show large effects on the number of children born to unmarried mothers, to mothers in their early twenties, and to primiparae women. The incidence of low birth weight and fetal/infant deaths increased (declined) as the cost of birth control pills rose (fell). In addition, we document a disproportional increase in the weekly miscarriage and stillbirth rates. As children reached school age, we find lower school enrollment rates and higher participation in special education programs. Our evidence suggests these “extra” conceptions were more likely to face adverse conditions during critical periods of development.
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