Alsan Marcella, Wanamaker Marianne
Stanford University, NBER and BREAD.
University of Tennessee, NBER and IZA.
Q J Econ. 2018 Feb;133(1):407-455. doi: 10.1093/qje/qjx029. Epub 2017 Aug 2.
I14, O15 For forty years, the Tuskegee Study of Untreated Syphilis in the Negro Male passively monitored hundreds of adult black males with syphilis despite the availability of effective treatment. The study's methods have become synonymous with exploitation and mistreatment by the medical profession. To identify the study's effects on the behavior and health of older black men, we use an interacted difference-in-difference-in-differences model, comparing older black men to other demographic groups, before and after the Tuskegee revelation, in varying proximity to the study's victims. We find that the disclosure of the study in 1972 is correlated with increases in medical mistrust and mortality and decreases in both outpatient and inpatient physician interactions for older black men. Our estimates imply life expectancy at age 45 for black men fell by up to 1.5 years in response to the disclosure, accounting for approximately 35% of the 1980 life expectancy gap between black and white men and 25% of the gap between black men and women.
I14,O15 四十年来,“塔斯基吉梅毒研究:未接受治疗的黑人男性梅毒情况”被动监测了数百名患有梅毒的成年黑人男性,尽管当时已有有效的治疗方法。该研究的方法已成为医学界剥削和虐待的代名词。为了确定该研究对老年黑人男性行为和健康的影响,我们使用了一种交互的双重差分模型,在塔斯基吉事件曝光前后,将老年黑人男性与其他人口群体进行比较,比较不同距离的研究受害者。我们发现,1972年该研究的曝光与老年黑人男性对医疗信任度的下降、死亡率的上升以及门诊和住院医生互动的减少有关。我们的估计表明,由于这一曝光事件,45岁黑人男性的预期寿命下降了多达1.5年,约占1980年黑人和白人男性预期寿命差距的35%,以及黑人男性和女性预期寿命差距的25%。