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C-Sections, Obesity, and Health-Care Specialization: Evidence from Mexico

Author

Listed:
  • Herrera-Almanza, Catalina

    (University of Illinois at Urbana-Champaign)

  • Marquez-Padilla, Fernanda

    (El Colegio de México)

  • Prina, Silvia

    (Northeastern University)

Abstract

This study explores whether hospitals with higher increases in obesity levels have higher CS rates and the consequential effects on maternal and newborn health in Mexico for 2008-2015. It models how changes in the obesity level of hospitals' patient pools may affect the quantity and quality of care by focusing on the use of CS and the potential returns to specialization. And it creates a measure of hospital-level obesity, based on the fraction of obesity-related discharges for women of childbearing age. Exploiting temporal and hospital variation of this measure, results show that higher hospital-level obesity increases a woman's probability of having a CS. Also, delivery-related birth outcomes improve: maternal mortality, birth injuries, and birth trauma decrease. The evidence is consistent with hospital-level specialization in CS leading to better birth outcomes.

Suggested Citation

  • Herrera-Almanza, Catalina & Marquez-Padilla, Fernanda & Prina, Silvia, 2023. "C-Sections, Obesity, and Health-Care Specialization: Evidence from Mexico," IZA Discussion Papers 16302, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp16302
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    References listed on IDEAS

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    1. Badi Baltagi & Qi Li, 2001. "Estimation Of Econometric Models With Nonparametrically Specified Risk Terms," Econometric Reviews, Taylor & Francis Journals, vol. 20(4), pages 445-460.
    2. de Elejalde, Ramiro & Giolito, Eugenio, 2021. "A demand-smoothing incentive for cesarean deliveries," Journal of Health Economics, Elsevier, vol. 75(C).
    3. Halla, Martin & Mayr, Harald & Pruckner, Gerald J. & García-Gómez, Pilar, 2020. "Cutting fertility? Effects of cesarean deliveries on subsequent fertility and maternal labor supply," Journal of Health Economics, Elsevier, vol. 72(C).
    4. Román Rodríguez-Aguilar, 2018. "Maternal mortality in Mexico, beyond millennial development objectives: An age-period-cohort model," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-17, March.
    5. Jensen, Vibeke Myrup & Wüst, Miriam, 2015. "Can Caesarean section improve child and maternal health? The case of breech babies," Journal of Health Economics, Elsevier, vol. 39(C), pages 289-302.
    6. Janet Currie & W. Bentley MacLeod, 2017. "Diagnosing Expertise: Human Capital, Decision Making, and Performance among Physicians," Journal of Labor Economics, University of Chicago Press, vol. 35(1), pages 1-43.
    7. Greene, W., 2001. "Estimating Econometric Models with Fixed Effects," New York University, Leonard N. Stern School Finance Department Working Paper Seires 01-10, New York University, Leonard N. Stern School of Business-.
    8. Amitabh Chandra & Douglas O. Staiger, 2007. "Productivity Spillovers in Health Care: Evidence from the Treatment of Heart Attacks," Journal of Political Economy, University of Chicago Press, vol. 115(1), pages 103-140.
    9. Lagarde, Mylène & Blaauw, Duane, 2022. "Overtreatment and benevolent provider moral hazard: Evidence from South African doctors," Journal of Development Economics, Elsevier, vol. 158(C).
    10. de Elejalde, Ramiro & Giolito, Eugenio, 2019. "More Hospital Choices, More C-Sections: Evidence from Chile," IZA Discussion Papers 12297, Institute of Labor Economics (IZA).
    11. Lagarde, Mylène & Blaauw, Duane, 2022. "Overtreatment and benevolent provider moral hazard: evidence from South African doctors," LSE Research Online Documents on Economics 115383, London School of Economics and Political Science, LSE Library.
    12. Janet Currie & W. Bentley MacLeod, 2008. "First Do No Harm? Tort Reform and Birth Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(2), pages 795-830.
    13. Victor Hugo de Oliveira & Ines Lee & Climent Quintana‐Domeque, 2022. "The effect of increasing Women's autonomy on primary and repeated caesarean sections in Brazil," Health Economics, John Wiley & Sons, Ltd., vol. 31(8), pages 1800-1804, August.
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    More about this item

    Keywords

    healthcare specialization; c-sections; obesity; maternal mortality; newborn health;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • D22 - Microeconomics - - Production and Organizations - - - Firm Behavior: Empirical Analysis

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