Fetal health shocks and early inequalities in healthcapital accumulation

Autores
Wehby, George L.; Nyarko, Kwame A.; Lopez Camelo, Jorge Santiago
Año de publicación
2013
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Several stu dies report socioeconomic inequalities in c hild health and consequence s of ea rly disease. However, not muchis known about inequalities in health capital accumulation in the womb in response to fetal health shocks, which isessential for finding the earliest sensitive periods for interventions to reduce inequalities. We identify inequalities in birthweight accumulation as a result of fetal health shocks from the occurrence of one of the most common birth defects, oral clefts,within the first 9 weeks of pregnancy, using quantile regression and two datasets from South America and the USA. Infants bornat lower birth weight quantiles are significantly more adversely affected by the health shock compared with those born at higherbirth weight quantiles, with overall comparable results between the South American and US samples. These results suggest thatfetal health shocks increase child health disparities by widening the spread of the birth weight distribution and that healthinequalities begin in the womb, requiring interventions before pregnancy.
Fil: Wehby, George L.. University of Iowa; Estados Unidos
Fil: Nyarko, Kwame A.. University of Iowa; Estados Unidos
Fil: Lopez Camelo, Jorge Santiago. Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno”; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
Child Health
Inequalities
Disparities
Quantile Regression
Health Production
Pregnancy
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/23912
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/23912
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Fetal health shocks and early inequalities in healthcapital accumulationWehby, George L.Nyarko, Kwame A.Lopez Camelo, Jorge SantiagoChild HealthInequalitiesDisparitiesQuantile RegressionHealth ProductionPregnancyhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Several stu dies report socioeconomic inequalities in c hild health and consequence s of ea rly disease. However, not muchis known about inequalities in health capital accumulation in the womb in response to fetal health shocks, which isessential for finding the earliest sensitive periods for interventions to reduce inequalities. We identify inequalities in birthweight accumulation as a result of fetal health shocks from the occurrence of one of the most common birth defects, oral clefts,within the first 9 weeks of pregnancy, using quantile regression and two datasets from South America and the USA. Infants bornat lower birth weight quantiles are significantly more adversely affected by the health shock compared with those born at higherbirth weight quantiles, with overall comparable results between the South American and US samples. These results suggest thatfetal health shocks increase child health disparities by widening the spread of the birth weight distribution and that healthinequalities begin in the womb, requiring interventions before pregnancy.Fil: Wehby, George L.. University of Iowa; Estados UnidosFil: Nyarko, Kwame A.. University of Iowa; Estados UnidosFil: Lopez Camelo, Jorge Santiago. Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno”; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaJohn Wiley & Sons Ltd2013-01info: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/11336/23912Wehby, George L.; Nyarko, Kwame A.; Lopez Camelo, Jorge Santiago; Fetal health shocks and early inequalities in healthcapital accumulation; John Wiley & Sons Ltd; Health Economics; 23; 1; 1-2013; 69-921057-9230CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1002/hec.2901info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/hec.2901/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 Técnicas2025-09-03T10:08:00Zoai:ri.conicet.gov.ar:11336/23912instacron: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:34982025-09-03 10:08:00.287CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Fetal health shocks and early inequalities in healthcapital accumulation
title Fetal health shocks and early inequalities in healthcapital accumulation
spellingShingle Fetal health shocks and early inequalities in healthcapital accumulation
Wehby, George L.
Child Health
Inequalities
Disparities
Quantile Regression
Health Production
Pregnancy
title_short Fetal health shocks and early inequalities in healthcapital accumulation
title_full Fetal health shocks and early inequalities in healthcapital accumulation
title_fullStr Fetal health shocks and early inequalities in healthcapital accumulation
title_full_unstemmed Fetal health shocks and early inequalities in healthcapital accumulation
title_sort Fetal health shocks and early inequalities in healthcapital accumulation
dc.creator.none.fl_str_mv Wehby, George L.
Nyarko, Kwame A.
Lopez Camelo, Jorge Santiago
author Wehby, George L.
author_facet Wehby, George L.
Nyarko, Kwame A.
Lopez Camelo, Jorge Santiago
author_role author
author2 Nyarko, Kwame A.
Lopez Camelo, Jorge Santiago
author2_role author
author
dc.subject.none.fl_str_mv Child Health
Inequalities
Disparities
Quantile Regression
Health Production
Pregnancy
topic Child Health
Inequalities
Disparities
Quantile Regression
Health Production
Pregnancy
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Several stu dies report socioeconomic inequalities in c hild health and consequence s of ea rly disease. However, not muchis known about inequalities in health capital accumulation in the womb in response to fetal health shocks, which isessential for finding the earliest sensitive periods for interventions to reduce inequalities. We identify inequalities in birthweight accumulation as a result of fetal health shocks from the occurrence of one of the most common birth defects, oral clefts,within the first 9 weeks of pregnancy, using quantile regression and two datasets from South America and the USA. Infants bornat lower birth weight quantiles are significantly more adversely affected by the health shock compared with those born at higherbirth weight quantiles, with overall comparable results between the South American and US samples. These results suggest thatfetal health shocks increase child health disparities by widening the spread of the birth weight distribution and that healthinequalities begin in the womb, requiring interventions before pregnancy.
Fil: Wehby, George L.. University of Iowa; Estados Unidos
Fil: Nyarko, Kwame A.. University of Iowa; Estados Unidos
Fil: Lopez Camelo, Jorge Santiago. Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno”; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Several stu dies report socioeconomic inequalities in c hild health and consequence s of ea rly disease. However, not muchis known about inequalities in health capital accumulation in the womb in response to fetal health shocks, which isessential for finding the earliest sensitive periods for interventions to reduce inequalities. We identify inequalities in birthweight accumulation as a result of fetal health shocks from the occurrence of one of the most common birth defects, oral clefts,within the first 9 weeks of pregnancy, using quantile regression and two datasets from South America and the USA. Infants bornat lower birth weight quantiles are significantly more adversely affected by the health shock compared with those born at higherbirth weight quantiles, with overall comparable results between the South American and US samples. These results suggest thatfetal health shocks increase child health disparities by widening the spread of the birth weight distribution and that healthinequalities begin in the womb, requiring interventions before pregnancy.
publishDate 2013
dc.date.none.fl_str_mv 2013-01
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/11336/23912
Wehby, George L.; Nyarko, Kwame A.; Lopez Camelo, Jorge Santiago; Fetal health shocks and early inequalities in healthcapital accumulation; John Wiley & Sons Ltd; Health Economics; 23; 1; 1-2013; 69-92
1057-9230
CONICET Digital
CONICET
url http://hdl.handle.net/11336/23912
identifier_str_mv Wehby, George L.; Nyarko, Kwame A.; Lopez Camelo, Jorge Santiago; Fetal health shocks and early inequalities in healthcapital accumulation; John Wiley & Sons Ltd; Health Economics; 23; 1; 1-2013; 69-92
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.2901
info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/hec.2901/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
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
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 13.13397

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