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新中国农村生育医疗改善与婴幼儿健康

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本文采用1985和1987年国家统计局"深入的生育力调查"微观数据考察了改革开放前我国农村地区生育医疗变迁及其影响.数据显示,1963至1978年间农村妇女的分娩条件有着显著改善,住院分娩比例上升11.2%,在家分娩由医护人员接生的比例上升10.1%.控制母亲个体固定效应的回归结果显示,住院分娩和在家由医生或接生员接生都显著降低了婴儿死亡率.稳健性检验排除了早产和计划生育造成的干扰.工具变量回归处理了妇女健康状况可能导致的内生性,肯定了分娩条件改善的重要作用.
The Improvement of Maternity Care Services and Infant Health in Rural China
This paper employs the micro data from China In-depth Fertility Survey to examine the change of maternity care services and its effects in rural China before the Reform and Opening-up.The data reveal a significant improvement in childbirth condition:the percentage of hospital delivery increased by 11.2%and the percentage of home delivery which women receiving assistance from medical workers increased by 10.1%.Regressions with mother fixed effects show that both hospital delivery and home delivery with the assistance from doctors or midwives significantly lowered infant mortality.Robustness check excludes the disturbance of the premature delivery and the family planning policy.Instrumental regression is used to solve the endogeneity problem because of women's health status and results confirm the importance of childbirth condition improvement for infant health.

Primary Health CareMaternity Care ServicesChildbirth ConditionHealth

林友宏

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厦门大学经济学院经济学系、王亚南经济研究院,厦门,361005

初级卫生保健 生育医疗 分娩条件 健康

中央高校基本科研业务费专项资金资助项目

20720221027

2024

中国经济史研究
中国社会科学院经济研究所

中国经济史研究

CSSCICHSSCD北大核心
影响因子:0.304
ISSN:1002-8005
年,卷(期):2024.(1)
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