2023-09-28 14:46:10 +00:00
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abstract: 'The prevalence of chronic conditions among children has been rising in
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the past four decades. Despite the policy relevance and plausible
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mechanisms through which child disability and severe early life health
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conditions can impact subsequent maternal reproductive behavior, there
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has been limited investigation of this question particularly in the US.
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Child disability or severe early life health problems such as very
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preterm birth (VPTB) and very low birth weight (VLBW) can constrain
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household resources to have another child but may also increase parental
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demand for healthy children and modify allocation of resources between
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children. Empirical assessment of this question is complicated by
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unobservables such as maternal health and preferences. We examine
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whether giving birth to a child with disabilities or severe adverse
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birth outcomes including VPTB and VLBW impacts subsequent maternal
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fertility. We employ a mother fixed-effect duration model for maternal
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fertility over time as a function of the proportion of previously born
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children with disabilities/health conditions in order to account for
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time-invariant unobservables, using merged data from the 1993 National
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Health Interview Survey and 1995 National Survey of Family Growth. We
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find no evidence that having disabled children reduces subsequent live
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births when using the mother fixed-effect model, in contrast to the
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classical model using within and between mother variation which suggests
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a fertility decline. Similarly, we find no evidence that having VPTB or
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VLBW children reduces fertility. Overall, our findings indicate no
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impact of child disability or health conditions on subsequent maternal
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fertility. Additional analyses excluding women who may qualify for AFDC
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show overall a similar pattern of results, suggesting that the findings
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may be generalizable post the AFDC. Time-varying unobservables may still
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be at work, but they likely result in an opposite (negative) bias toward
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reduction in fertility.'
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affiliation: 'Wehby, GL (Corresponding Author), Natl Bur Econ Res, Cambridge, MA 02138
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USA.
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Wehby, GL (Corresponding Author), Univ Iowa, Dept Hlth Management \& Policy, 145
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N Riverside Dr,100 Coll Publ Hlth Bldg, Iowa City, IA 52242 USA.
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Wehby, GL (Corresponding Author), Univ Iowa, Dept Econ, Iowa City, IA 52242 USA.
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Wehby, George L.; Hockenberry, Jason M., Natl Bur Econ Res, Cambridge, MA 02138
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USA.
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Wehby, George L., Univ Iowa, Dept Hlth Management \& Policy, 145 N Riverside Dr,100
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Coll Publ Hlth Bldg, Iowa City, IA 52242 USA.
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Wehby, George L., Univ Iowa, Dept Econ, Iowa City, IA 52242 USA.
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Hockenberry, Jason M., Emory Univ, Rollins Sch Publ Hlth, Dept Hlth Policy \& Management,
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Atlanta, GA 30322 USA.'
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author: Wehby, George L. and Hockenberry, Jason M.
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author-email: 'george-wehby@uiowa.edu
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jason.hockenberry@emory.edu'
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author_list:
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- family: Wehby
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given: George L.
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- family: Hockenberry
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given: Jason M.
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da: '2023-09-28'
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doi: 10.1007/s11150-015-9311-z
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eissn: 1573-7152
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files: []
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issn: 1569-5239
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journal: REVIEW OF ECONOMICS OF THE HOUSEHOLD
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keywords: 'Disability; Child health; Fertility; Intergenerational effects;
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Disparities; Household economics'
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keywords-plus: 'UNITED-STATES; ADULT HEALTH; BIRTH-WEIGHT; MOTHERS; EMPLOYMENT; DIVORCE;
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QUALITY; DISEASE'
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language: English
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month: SEP
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number: '3'
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number-of-cited-references: '37'
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pages: 995-1016
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papis_id: 5d784a43904d9589cc7ce74323d03b98
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ref: Wehby2017impactchild
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times-cited: '4'
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title: Impact of child health and disability on subsequent maternal fertility
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000404928000013
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '15'
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web-of-science-categories: Economics
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year: '2017'
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