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产前保健是否能改善阿塞拜疆的出生体重结局?全国人口与健康调查结果。

Does prenatal healthcare improve child birthweight outcomes in Azerbaijan? Results of the national Demographic and Health Survey.

机构信息

School of Social Work, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9B 3P4, Canada.

出版信息

Econ Hum Biol. 2011 Jan;9(1):56-65. doi: 10.1016/j.ehb.2010.08.003. Epub 2010 Sep 17.

Abstract

This paper evaluates the effectiveness of prenatal healthcare in Azerbaijan on improving child birthweight using the 2006 Azerbaijan Demographic and Health Survey, a nationally representative survey of reproductive aged women. Two measures of prenatal health utilization are used to measure healthcare input-the number of prenatal visits and the quality index of health care. Endogeneity in prenatal healthcare utilization is controlled by 2SLS regression. Selection bias of probability of child being weighed is controlled by a binomial probit regression. We found that prenatal healthcare does improve child birthweight. The results of the 2SLS suggest that an additional prenatal visit increases birthweight by about 26g, or approximately 0.8% of the raw mean of birthweight in the country. Likewise, a unit increase in quality of prenatal healthcare increases birthweight by 21g or by approximately 1.3% of the birthweight. In general, the magnitude of prenatal care impact in Azerbaijan is comparable with that in other countries.

摘要

本文利用 2006 年阿塞拜疆人口与健康调查的数据,对阿塞拜疆的产前保健在提高儿童出生体重方面的效果进行了评估。该调查是对育龄妇女进行的全国代表性调查。本研究使用了两种产前保健利用措施来衡量医疗投入:产前检查次数和保健质量指数。使用 2SLS 回归控制了产前保健利用的内生性。通过二项 Probit 回归控制了儿童被称重的概率的选择偏差。我们发现产前保健确实可以提高儿童的出生体重。2SLS 的结果表明,额外的一次产前检查可使出生体重增加约 26 克,约占该国出生体重原始平均值的 0.8%。同样,产前保健质量提高一个单位可以使出生体重增加 21 克,约占出生体重的 1.3%。总的来说,阿塞拜疆产前保健的影响程度与其他国家相当。

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