Selection and the effect of prenatal smoking
利用三个英国队列,比较母亲对产前吸烟危害认知不同的时期,发现吸烟对低出生体重的影响在2000年比1958年大两倍多,说明选择效应可解释当前吸烟与出生结果关联的50%。
There is a debate about the extent to which the effect of prenatal smoking on infant health outcomes is causal. Poor outcomes could be attributable to mother characteristics, which are correlated with smoking. I examine the importance of selection on the effect of prenatal smoking by using three British cohorts where the mothers' knowledge about the harms of prenatal smoking varied substantially. I find that the effect of smoking on the probability of a low birth weight birth conditional on gestation is slightly more than twice as large in 2000 compared with 1958, implying that selection could explain as much as 50% of the current association between smoking and birth outcomes.