Effects of Temperature Shocks on Maternal Morbidity in Colombia

Códigos JEL.: I10, I12, I18, Q50, Q54

Autores:
Pinilla Alarcón, Diana
Tipo de recurso:
Work document
Fecha de publicación:
2025
Institución:
Universidad de los Andes
Repositorio:
Séneca: repositorio Uniandes
Idioma:
eng
OAI Identifier:
oai:repositorio.uniandes.edu.co:1992/76160
Acceso en línea:
https://hdl.handle.net/1992/76160
Palabra clave:
Temperature
Climate change
Maternal health
Pregnancy
Economía
Rights
openAccess
License
https://repositorio.uniandes.edu.co/static/pdf/aceptacion_uso_es.pdf
id UNIANDES2_15adb76cc66cec7c8d4a2c2707f2d152
oai_identifier_str oai:repositorio.uniandes.edu.co:1992/76160
network_acronym_str UNIANDES2
network_name_str Séneca: repositorio Uniandes
repository_id_str
dc.title.none.fl_str_mv Effects of Temperature Shocks on Maternal Morbidity in Colombia
title Effects of Temperature Shocks on Maternal Morbidity in Colombia
spellingShingle Effects of Temperature Shocks on Maternal Morbidity in Colombia
Temperature
Climate change
Maternal health
Pregnancy
Economía
title_short Effects of Temperature Shocks on Maternal Morbidity in Colombia
title_full Effects of Temperature Shocks on Maternal Morbidity in Colombia
title_fullStr Effects of Temperature Shocks on Maternal Morbidity in Colombia
title_full_unstemmed Effects of Temperature Shocks on Maternal Morbidity in Colombia
title_sort Effects of Temperature Shocks on Maternal Morbidity in Colombia
dc.creator.fl_str_mv Pinilla Alarcón, Diana
dc.contributor.author.none.fl_str_mv Pinilla Alarcón, Diana
dc.subject.keyword.none.fl_str_mv Temperature
Climate change
Maternal health
Pregnancy
topic Temperature
Climate change
Maternal health
Pregnancy
Economía
dc.subject.themes.none.fl_str_mv Economía
description Códigos JEL.: I10, I12, I18, Q50, Q54
publishDate 2025
dc.date.accessioned.none.fl_str_mv 2025-05-02T16:06:55Z
dc.date.available.none.fl_str_mv 2025-05-02T16:06:55Z
dc.date.issued.none.fl_str_mv 2025-04
dc.type.spa.fl_str_mv Documento de trabajo
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/workingPaper
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_8042
dc.type.coarversion.none.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/WP
format http://purl.org/coar/resource_type/c_8042
status_str publishedVersion
dc.identifier.issn.none.fl_str_mv 1657-7191
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/1992/76160
identifier_str_mv 1657-7191
url https://hdl.handle.net/1992/76160
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.ispartofseries.none.fl_str_mv Documentos CEDE; 2025-13
dc.rights.uri.none.fl_str_mv https://repositorio.uniandes.edu.co/static/pdf/aceptacion_uso_es.pdf
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv https://repositorio.uniandes.edu.co/static/pdf/aceptacion_uso_es.pdf
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.none.fl_str_mv 72 páginas
dc.format.mimetype.none.fl_str_mv application/pdf
institution Universidad de los Andes
bitstream.url.fl_str_mv https://repositorio.uniandes.edu.co/bitstreams/3629f572-66be-4042-8ea9-f34d560fd456/download
https://repositorio.uniandes.edu.co/bitstreams/7fd4504b-31bf-465a-a338-6f99f26e5290/download
https://repositorio.uniandes.edu.co/bitstreams/02b26cd4-7d5f-43d3-879a-9b09cb42db7b/download
https://repositorio.uniandes.edu.co/bitstreams/e866ae13-0005-4ff7-8d22-2a027d8ab0c6/download
bitstream.checksum.fl_str_mv 453062178b60b1179b5a6127dbb2cd24
ae9e573a68e7f92501b6913cc846c39f
47d1ab06d3d2613390620c3fea04037c
ebea6b2ca9a14a8819de1d281e14f2d5
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio institucional Séneca
repository.mail.fl_str_mv adminrepositorio@uniandes.edu.co
_version_ 1831927673401638912
spelling Pinilla Alarcón, Diana2025-05-02T16:06:55Z2025-05-02T16:06:55Z2025-041657-7191https://hdl.handle.net/1992/76160Códigos JEL.: I10, I12, I18, Q50, Q54This paper analyzes the impact of narrow changes in temperature exposure during pregnancy on maternal morbidity in Colombia. Using administrative individual-level health service records and high-resolution daily weather data at the municipality level, I find that the rate of healthcare utilization during pregnancy and delivery increases monotonically with temperature. Services like hospitalizations increase by 1.69% with each additional day above 29◦C compared to the reference bin of [21, 23)◦C. In contrast, services requiring less time under direct observation or that are primarily outpatient (i.e., emergency room visits, consultations, and medical procedures) increase by 1%. In a two-month exposure window, each additional day in the highest temperature bin is associated with nearly a 2% increase in hospitalizations, which is double the impact observed for other health services. Women from low socioeconomic conditions and living in rural areas seem to be more affected by temperature shocks, especially in high-level morbidity outcomes, like hospitalizations.Este artículo estudia el impacto de la exposición a cambios de temperatura durante el embarazo sobre morbilidad materna en Colombia. Utilizando registros administrativos individuales de servicios de salud y datos meteorológicos diarios de alta resolución a nivel municipal, encuentro que la tasa de utilización de estos servicios durante el embarazo y el parto aumenta de manera monótona con la temperatura. Servicios como hospitalizaciones presentan un aumento de 1.69% con cada día adicional de temperatura promedio por encima de 290C comparado con el intervalo de referencia [21, 23)°C. Por el contrario, servicios que requieren menor tiempo bajo observación directa o principalmente ambulatorios (por ejemplo, urgencias, consultas y procedimientos médicos) aumentan cerca del 1%. En una ventana de exposición de dos meses, cada día adicional en el intervalo con la temperatura más alta se asocia con un aumento de casi el 2% para hospitalizaciones, que corresponde al doble del observado para otros servicios. Las mujeres en condiciones socioeconómicas vulnerables y que viven en zonas rurales se ven más afectadas por los choques de temperatura, especialmente en servicios asociados a condiciones de mayor gravedad, como hospitalizaciones.72 páginasapplication/pdfengDocumentos CEDE; 2025-13https://repositorio.uniandes.edu.co/static/pdf/aceptacion_uso_es.pdfinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Effects of Temperature Shocks on Maternal Morbidity in ColombiaDocumento de trabajoinfo:eu-repo/semantics/workingPaperinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_8042http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/WPTemperatureClimate changeMaternal healthPregnancyEconomíaPublicationORIGINALdcede2025-13.pdfdcede2025-13.pdfapplication/pdf15018557https://repositorio.uniandes.edu.co/bitstreams/3629f572-66be-4042-8ea9-f34d560fd456/download453062178b60b1179b5a6127dbb2cd24MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-82535https://repositorio.uniandes.edu.co/bitstreams/7fd4504b-31bf-465a-a338-6f99f26e5290/downloadae9e573a68e7f92501b6913cc846c39fMD52TEXTdcede2025-13.pdf.txtdcede2025-13.pdf.txtExtracted texttext/plain100518https://repositorio.uniandes.edu.co/bitstreams/02b26cd4-7d5f-43d3-879a-9b09cb42db7b/download47d1ab06d3d2613390620c3fea04037cMD53THUMBNAILdcede2025-13.pdf.jpgdcede2025-13.pdf.jpgGenerated Thumbnailimage/jpeg10530https://repositorio.uniandes.edu.co/bitstreams/e866ae13-0005-4ff7-8d22-2a027d8ab0c6/downloadebea6b2ca9a14a8819de1d281e14f2d5MD541992/76160oai:repositorio.uniandes.edu.co:1992/761602025-05-03 04:02:08.41https://repositorio.uniandes.edu.co/static/pdf/aceptacion_uso_es.pdfopen.accesshttps://repositorio.uniandes.edu.coRepositorio institucional Sénecaadminrepositorio@uniandes.edu.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