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Title: The Dynamics of Health Behaviors, Pregnancies, and Birth Outcomes
Resulting in 1 citation.
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Klimek, Jacob |
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The Dynamics of Health Behaviors, Pregnancies, and Birth Outcomes Ph.D. Dissertation, Department of Economics, The University of North Carolina at Chapel Hill, 2022 Cohort(s): NLSY97 Publisher: ProQuest Dissertations & Theses (PQDT) Keyword(s): Birthweight; Drug Use; Pre-natal Care/Exposure; Pregnancy and Pregnancy Outcomes; Smoking (see Cigarette Use) Permission to reprint the abstract has not been received from the publisher. Women who smoke and use marijuana during pregnancy are significantly more likely to experience poor birth outcomes than those who don’t. However, little is known about how these behaviors prior to pregnancy impact birth outcomes. Using data that chronicles annual behaviors and pregnancies of women from adolescence through their fecund years, I jointly estimate a set of multiple dynamic equations to examine the impact of health behavior histories on birth outcomes. I use the estimated parameters to simulate counterfactual scenarios consisting of different histories of health behaviors to quantify resulting changes in pregnancy, live birth, gestation length, and birthweight. I find that a woman's history of smoking increases her likelihood of having a low birthweight child after accounting for multiple sources of endogeneity bias associated with selection, simultaneity, and habitual behavior. Conversely, I find no evidence of a history of marijuana use impacting birth outcomes beyond the negative impacts of use during or immediately prior to pregnancy. |
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Bibliography Citation
Klimek, Jacob. The Dynamics of Health Behaviors, Pregnancies, and Birth Outcomes. Ph.D. Dissertation, Department of Economics, The University of North Carolina at Chapel Hill, 2022. |