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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w16306 |
来源ID | Working Paper 16306 |
An Economic Model of Amniocentesis Choice | |
Eduardo Fajnzylber; V. Joseph Hotz; Seth G. Sanders | |
发表日期 | 2010-08-27 |
出版年 | 2010 |
语种 | 英语 |
摘要 | Medical practitioners typically utilize the following protocol when advising pregnant women about testing for the possibility of genetic disorders: Pregnant women over the age of 35 should be tested for Down syndrome and other genetic disorders; for younger women, such tests are discouraged since they can cause a miscarriage. The logic appears compelling. The rate at which amniocentesis causes a miscarriage is constant while genetic disorders rise over a woman's reproductive years. Hence the potential benefit from testing - being able to terminate a fetus with a genetic disorder - rises with maternal age. We argue that this logic is incomplete. While the benefits to testing rise with age, so do the costs. While undergoing an amniocentesis always entails the risk of miscarriage of a healthy fetus, these costs are lower at early ages, because there is a higher probability of being able to replace a miscarried fetus with a healthy birth at a later age. We develop and calibrate a dynamic model of amniocentesis choice to explore this tradeoff. For parameters that characterize realistic age patterns of chromosomal abnormalities, fertility rates and miscarriages following amniocentesis, our model implies a falling, rather than rising, rate of amniocentesis as women approach menopause. |
主题 | Labor Economics ; Demography and Aging |
URL | https://www.nber.org/papers/w16306 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/573980 |
推荐引用方式 GB/T 7714 | Eduardo Fajnzylber,V. Joseph Hotz,Seth G. Sanders. An Economic Model of Amniocentesis Choice. 2010. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w16306.pdf(195KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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