Spectator effects represent a central concept in (behavioral) sports economics. A thorough understanding of the phenomenon promises to further our understanding as to the nature of performance production under pressure. In traditional home advantage studies, it is difficult to isolate the net crowd effect upon relative team performance. In a typical sports setting, multiple factors change at once for a visiting team. Experimental evidence suggests that supportive crowds may hinder task performance. In that it serves as home stadium to two National Basketball Association teams, the Staples Center in Los Angeles offers a rare natural experiment through which to isolate the crowd effect upon competitive output. Each team possesses equivalent familiarity with built environment, and teams face similarly sparse travel demands prior to games between one another. However, the team designated as “home team” in a contest enjoys a largely sympathetic crowd due primarily to season ticket sales. Moreover, crowd effects are sizable in motivating a home team win, raising the likelihood of such an event by between an estimated 21 and 22.8 percentage points. The point estimate implies that essentially the entire home advantage between the two teams is attributable to the crowd effect.
Background
Soil transmitted helminths (STH) are a common infection among pregnant women in areas with poor access to sanitation. Deworming medications are cheap and safe; however, the health benefit of deworming during pregnancy is not clear.
Methods / Principal findings
We created a retrospective cohort of more than 800,000 births from 95 Demographic and Health Survey datasets to estimate the impact of deworming medicine during routine antenatal care (ANC) on neonatal mortality and low birthweight. We first matched births on the probability of receiving deworming during ANC. We then modeled the birth outcomes with the matched group as a random intercept to estimate the effect of deworming during antenatal care after accounting for various risk factors. We also tested for effect modification of soil transmitted helminth prevalence on the impact of deworming during ANC. Receipt of deworming medication during ANC was associated with a 14% reduction in the risk of neonatal mortality (95% confidence interval = 10–17%, n = 797,772 births), with no difference between high and low transmission countries. In low transmission countries, we found an 11% reduction in the odds of low birth weight (95% confidence interval = 8–13%) for women receiving deworming medicine, and in high transmission countries, we found a 2% reduction in the odds of low birthweight (95% confidence interval = 0–5%).
Conclusions / Significance
These results suggest a substantial health benefit for deworming during ANC that may be even greater in countries with low STH transmission.
IMPORTANCE Long-term adverse health outcomes, particularly those associated with repetitive head impacts, are of growing concern among US-style football players in the US and Canada. OBJECTIVE To assess whether exposure to repetitive head impacts during a professional football career is associated with an increase in the risk of all-cause mortality.
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