Bishai D M
Department of Health Care Systems, Wharton School of Business, University of Pennsylvania, Philadelphia 19148, USA.
Health Econ. 1995 May-Jun;4(3):157-67. doi: 10.1002/hec.4730040302.
Previous time series analyses of infant mortality have failed to provide evidence to support their implicit assumption that infant mortality data used behaved as a stationary time series. The present study applies the augmented Dickey Fuller Test to infant mortality time series for Sweden (1800-1989), United Kingdom (1839-1989) and United States (1915-1989). The null hypothesis that each of these series is non-stationary is accepted at standard levels of significance. A conceptual framework of infant mortality which uses a combination of physical and social overhead capital as factors in a production function is developed to explain the finding of non-stationarity as derivative from the non-stationarity of a stock of health-enhancing capital. Estimation of econometric models of the socioeconomic determinants of infant mortality using differenced data with ARIMA estimation is inconclusive. Estimation of a bivariate cointegration model supports the hypothesis that infant survival and GNP/Capita are cointegrated for 19th century Sweden but not for 19th century UK. Bivariate analysis of 20th century Sweden, UK, and US data demonstrated no cointegration. This may be due to the onset of disequilibrium in the economic determination of infant mortality in the present era as technological advances and demographic shifts began to play a larger role. Supplementing the bivariate analysis with measures of unemployment, and crude birth rate in the 20th century permitted the detection of cointegration in US and UK. The multivariate results may suggest that improvements in 20th century UK GNP/capita have had greater impact on infant survival relative to US GNP/capita.
以往对婴儿死亡率的时间序列分析未能提供证据来支持其隐含假设,即所使用的婴儿死亡率数据表现为平稳时间序列。本研究将增广迪基 - 富勒检验应用于瑞典(1800 - 1989年)、英国(1839 - 1989年)和美国(1915 - 1989年)的婴儿死亡率时间序列。在标准显著性水平下,这些序列各自非平稳的原假设被接受。构建了一个婴儿死亡率的概念框架,该框架将物质和社会间接资本结合起来作为生产函数中的因素,以解释非平稳性的发现是源于增进健康资本存量的非平稳性。使用经过差分的数据并通过自回归积分移动平均模型估计来对婴儿死亡率的社会经济决定因素进行计量经济模型估计,结果尚无定论。对一个二元协整模型的估计支持了这样的假设:19世纪瑞典的婴儿存活率与人均国民生产总值是协整的,但19世纪的英国并非如此。对20世纪瑞典、英国和美国的数据进行二元分析表明不存在协整关系。这可能是由于在当今时代,随着技术进步和人口结构变化开始发挥更大作用,婴儿死亡率的经济决定因素出现了失衡。在二元分析中补充20世纪的失业率和粗出生率指标后,发现美国和英国存在协整关系。多变量结果可能表明,相对于美国的人均国民生产总值,20世纪英国人均国民生产总值的提高对婴儿存活率的影响更大。