Quantile effects of prenatal care utilization on birth weight in Argentina

The effects of prenatal care utilization on birth weight (BW) may vary by unobserved fetal health endowments. This heterogeneity will be masked by estimating the effects at BW mean but can be evaluated by estimating the effects at BW quantiles as fetal health endowment is a strong correlate with the...

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Detalles Bibliográficos
Autores: Wehby, George, Murray, Jeffrey C., Castilla, Eduardo Enrique, López Camelo, Jorge Santiago, Ohsfeldt, Robert L.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Argentina
Institución:Consejo Nacional de Investigaciones Científicas y Técnicas
Repositorio:CONICET Digital (CONICET)
Idioma:inglés
OAI Identifier:oai:ri.conicet.gov.ar:11336/36889
Acceso en línea:http://hdl.handle.net/11336/36889
Access Level:acceso abierto
Palabra clave:BIRTH WEIGHT
HEALTH PRODUCTION
INFANT HEALTH
INSTRUMENTAL VARIABLES
PRENATAL CARE
QUANTILE REGRESSION
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
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spelling Quantile effects of prenatal care utilization on birth weight in ArgentinaWehby, GeorgeMurray, Jeffrey C.Castilla, Eduardo EnriqueLópez Camelo, Jorge SantiagoOhsfeldt, Robert L.BIRTH WEIGHTHEALTH PRODUCTIONINFANT HEALTHINSTRUMENTAL VARIABLESPRENATAL CAREQUANTILE REGRESSIONhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3The effects of prenatal care utilization on birth weight (BW) may vary by unobserved fetal health endowments. This heterogeneity will be masked by estimating the effects at BW mean but can be evaluated by estimating the effects at BW quantiles as fetal health endowment is a strong correlate with the BW quantile order. We estimated the effects of prenatal care visits and delay before prenatal care initiation, on BW mean and quantiles using a sample of infants from Argentina. Self-selection into prenatal care was modeled using 2SLS and instrumental variable quantile regression. Results suggest that the 'mean' effect of prenatal care utilization largely underestimates the effects at lower BW quantiles. About 35 and 77 g increase in BW mean and 0.1 quantile respectively, per visit and about 30 and 139 g decrease in BW mean and 0.1 quantile respectively, per week delayed, were estimated. Ignoring self-selection into prenatal care resulted in underestimation of mean and quantile effects. Results highlight the limitation of analyses focused on 'mean effects' in the presence of treatment heterogeneity and emphasize the importance of identifying women at risk for having infants at lower BW quantiles as they may benefit most from earlier and more intensive prenatal care.Fil: Wehby, George. University of Iowa; Estados UnidosFil: Murray, Jeffrey C.. University of Iowa; Estados UnidosFil: Castilla, Eduardo Enrique. Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno”; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: López Camelo, Jorge Santiago. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto Multidisciplinario de Biología Celular. Provincia de Buenos Aires. Gobernación. Comisión de Investigaciones Científicas. Instituto Multidisciplinario de Biología Celular. Universidad Nacional de La Plata. Instituto Multidisciplinario de Biología Celular; ArgentinaFil: Ohsfeldt, Robert L.. Texas A&M Health Science Center; Estados UnidosJohn Wiley & Sons Ltd2009-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttp://hdl.handle.net/11336/36889Wehby, George; Murray, Jeffrey C.; Castilla, Eduardo Enrique; López Camelo, Jorge Santiago; Ohsfeldt, Robert L.; Quantile effects of prenatal care utilization on birth weight in Argentina; John Wiley & Sons Ltd; Health Economics; 18; 11; 11-2009; 1307-13211057-9230CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1002/hec.1431info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/hec.1431/abstractinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2024-05-08T14:25:13Zoai:ri.conicet.gov.ar:11336/36889instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982024-05-08 14:25:13.997CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Quantile effects of prenatal care utilization on birth weight in Argentina
title Quantile effects of prenatal care utilization on birth weight in Argentina
spellingShingle Quantile effects of prenatal care utilization on birth weight in Argentina
Wehby, George
BIRTH WEIGHT
HEALTH PRODUCTION
INFANT HEALTH
INSTRUMENTAL VARIABLES
PRENATAL CARE
QUANTILE REGRESSION
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
title_short Quantile effects of prenatal care utilization on birth weight in Argentina
title_full Quantile effects of prenatal care utilization on birth weight in Argentina
title_fullStr Quantile effects of prenatal care utilization on birth weight in Argentina
title_full_unstemmed Quantile effects of prenatal care utilization on birth weight in Argentina
title_sort Quantile effects of prenatal care utilization on birth weight in Argentina
dc.creator.none.fl_str_mv Wehby, George
Murray, Jeffrey C.
Castilla, Eduardo Enrique
López Camelo, Jorge Santiago
Ohsfeldt, Robert L.
author Wehby, George
author_facet Wehby, George
Murray, Jeffrey C.
Castilla, Eduardo Enrique
López Camelo, Jorge Santiago
Ohsfeldt, Robert L.
author_role author
author2 Murray, Jeffrey C.
Castilla, Eduardo Enrique
López Camelo, Jorge Santiago
Ohsfeldt, Robert L.
author2_role author
author
author
author
dc.subject.none.fl_str_mv BIRTH WEIGHT
HEALTH PRODUCTION
INFANT HEALTH
INSTRUMENTAL VARIABLES
PRENATAL CARE
QUANTILE REGRESSION
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
topic BIRTH WEIGHT
HEALTH PRODUCTION
INFANT HEALTH
INSTRUMENTAL VARIABLES
PRENATAL CARE
QUANTILE REGRESSION
https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
description The effects of prenatal care utilization on birth weight (BW) may vary by unobserved fetal health endowments. This heterogeneity will be masked by estimating the effects at BW mean but can be evaluated by estimating the effects at BW quantiles as fetal health endowment is a strong correlate with the BW quantile order. We estimated the effects of prenatal care visits and delay before prenatal care initiation, on BW mean and quantiles using a sample of infants from Argentina. Self-selection into prenatal care was modeled using 2SLS and instrumental variable quantile regression. Results suggest that the 'mean' effect of prenatal care utilization largely underestimates the effects at lower BW quantiles. About 35 and 77 g increase in BW mean and 0.1 quantile respectively, per visit and about 30 and 139 g decrease in BW mean and 0.1 quantile respectively, per week delayed, were estimated. Ignoring self-selection into prenatal care resulted in underestimation of mean and quantile effects. Results highlight the limitation of analyses focused on 'mean effects' in the presence of treatment heterogeneity and emphasize the importance of identifying women at risk for having infants at lower BW quantiles as they may benefit most from earlier and more intensive prenatal care.
publishDate 2009
dc.date.none.fl_str_mv 2009-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/36889
Wehby, George; Murray, Jeffrey C.; Castilla, Eduardo Enrique; López Camelo, Jorge Santiago; Ohsfeldt, Robert L.; Quantile effects of prenatal care utilization on birth weight in Argentina; John Wiley & Sons Ltd; Health Economics; 18; 11; 11-2009; 1307-1321
1057-9230
CONICET Digital
CONICET
url http://hdl.handle.net/11336/36889
identifier_str_mv Wehby, George; Murray, Jeffrey C.; Castilla, Eduardo Enrique; López Camelo, Jorge Santiago; Ohsfeldt, Robert L.; Quantile effects of prenatal care utilization on birth weight in Argentina; John Wiley & Sons Ltd; Health Economics; 18; 11; 11-2009; 1307-1321
1057-9230
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1002/hec.1431
info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/hec.1431/abstract
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/vnd.openxmlformats-officedocument.wordprocessingml.document
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons Ltd
publisher.none.fl_str_mv John Wiley & Sons Ltd
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 15.812455

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