IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v86y2022ics0167629622001084.html
   My bibliography  Save this article

Comparing long-term educational effects of two early childhood health interventions

Author

Listed:
  • Cortés, Darwin
  • Maldonado, Darío
  • Gallego, Juan
  • Charpak, Nathalie
  • Tessier, Rejean
  • Ruiz, Juan Gabriel
  • Hernandez, José Tiberio
  • Uriza, Felipe
  • Pico, Julieth

Abstract

We compare the educational effects of two medical protocols that mitigate long-term consequences of prematurity or low birth weight. The two protocols are Traditional Care (TC), which uses incubators, and Kangaroo Mother Care (KMC) which replaces incubators for 24-hour skin-to-skin contact between newborns and caregivers. We concentrate on educational outcomes addressing contradictory results in previous contributions. We use a randomized controlled trial implemented in 1993 that randomly assigned children to either TC or KMC. OLS results suggest that KMC children spent more time in preschool, had fewer temporary school absences, and showed lower math test scores. Both groups observed similar effects on high-school graduation and language test scores. We correct for attrition, small sample, and multiple outcomes. Effects on preschool attendance and school absenteeism are robust, particularly for more vulnerable infants (birth weight ≤ 1,800 g). The other effects lose statistical significance due to multiple outcome testing or attrition corrections.

Suggested Citation

  • Cortés, Darwin & Maldonado, Darío & Gallego, Juan & Charpak, Nathalie & Tessier, Rejean & Ruiz, Juan Gabriel & Hernandez, José Tiberio & Uriza, Felipe & Pico, Julieth, 2022. "Comparing long-term educational effects of two early childhood health interventions," Journal of Health Economics, Elsevier, vol. 86(C).
    • Handle: RePEc:eee:jhecon:v:86:y:2022:i:c:s0167629622001084
    DOI: 10.1016/j.jhealeco.2022.102693
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167629622001084
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.jhealeco.2022.102693?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Heather Royer, 2009. "Separated at Girth: US Twin Estimates of the Effects of Birth Weight," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 49-85, January.
    2. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    3. Matias Busso & John DiNardo & Justin McCrary, 2014. "New Evidence on the Finite Sample Properties of Propensity Score Reweighting and Matching Estimators," The Review of Economics and Statistics, MIT Press, vol. 96(5), pages 885-897, December.
    4. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 409-439.
    5. Doyle, O. & Harmon, C. & Heckman, J.J. & Logue, C,; & Moon, S.H., 2013. "Measuring Investment in Human Capital Formation: An Experimental Analysis of Early Life Outcomes," Health, Econometrics and Data Group (HEDG) Working Papers 13/18, HEDG, c/o Department of Economics, University of York.
    6. David S. Lee, 2009. "Training, Wages, and Sample Selection: Estimating Sharp Bounds on Treatment Effects," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 76(3), pages 1071-1102.
    7. James Heckman & Seong Hyeok Moon & Rodrigo Pinto & Peter Savelyev & Adam Yavitz, 2010. "Analyzing social experiments as implemented: A reexamination of the evidence from the HighScope Perry Preschool Program," Quantitative Economics, Econometric Society, vol. 1(1), pages 1-46, July.
    8. Douglas Almond & Kenneth Y. Chay & David S. Lee, 2005. "The Costs of Low Birth Weight," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1031-1083.
    9. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    10. Jere R. Behrman & Mark R. Rosenzweig, 2004. "Returns to Birthweight," The Review of Economics and Statistics, MIT Press, vol. 86(2), pages 586-601, May.
    11. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    12. Prashant Bharadwaj & Petter Lundborg & Dan-Olof Rooth, 2018. "Birth Weight in the Long Run," Journal of Human Resources, University of Wisconsin Press, vol. 53(1), pages 189-231.
    13. James Heckman & Seong Hyeok Moon & Rodrigo Pinto & Peter Savelyev & Adam Yavitz, 2010. "Analyzing social experiments as implemented: evidence from the HighScope Perry Preschool Program," CeMMAP working papers CWP22/10, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
    14. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    15. Joseph P. Romano & Azeem M. Shaikh & Michael Wolf, 2010. "Hypothesis Testing in Econometrics," Annual Review of Economics, Annual Reviews, vol. 2(1), pages 75-104, September.
    16. Prashant Bharadwaj & Katrine Vellesen L?ken & Christopher Neilson, 2013. "Early Life Health Interventions and Academic Achievement," American Economic Review, American Economic Association, vol. 103(5), pages 1862-1891, August.
    17. repec:ucn:wpaper:10197/317 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mark E. McGovern, 2019. "How much does birth weight matter for child health in developing countries? Estimates from siblings and twins," Health Economics, John Wiley & Sons, Ltd., vol. 28(1), pages 3-22, January.
    2. Lin, Ming-Jen & Liu, Elaine M., 2014. "Does in utero exposure to Illness matter? The 1918 influenza epidemic in Taiwan as a natural experiment," Journal of Health Economics, Elsevier, vol. 37(C), pages 152-163.
    3. Maruyama, Shiko & Heinesen, Eskil, 2020. "Another look at returns to birthweight," Journal of Health Economics, Elsevier, vol. 70(C).
    4. Mark E. Mcgovern, 2013. "Still Unequal at Birth: Birth Weight,Socio-economic Status and Outcomes at Age 9," The Economic and Social Review, Economic and Social Studies, vol. 44(1), pages 53-84.
    5. Gabriella Conti & Mark Hanson & Hazel Inskip & Sarah Crozier & Cyrus Cooper & Keith Godfrey, 2018. "Beyond Birth Weight: The Origins of Human Capital," Working Papers 2018-089, Human Capital and Economic Opportunity Working Group.
    6. Kreiner, Claus Thustrup & Sievertsen, Hans Henrik, 2020. "Neonatal health of parents and cognitive development of children," Journal of Health Economics, Elsevier, vol. 69(C).
    7. Settele, Sonja & Ewijk, Reyn van, 2018. "Can cigarette taxes during pregnancy mitigate the intergenerational transmission of socioeconomic status?," Labour Economics, Elsevier, vol. 55(C), pages 130-148.
    8. Amin, Vikesh & Lundborg, Petter & Rooth, Dan-Olof, 2015. "The intergenerational transmission of schooling: Are mothers really less important than fathers?," Economics of Education Review, Elsevier, vol. 47(C), pages 100-117.
    9. Osea Giuntella & Giulia La Mattina & Climent Quintana-Domeque, 2019. "Intergenerational Transmission of Health at Birth from Mothers and Fathers," Working Papers 2019-010, Human Capital and Economic Opportunity Working Group.
    10. Chyn, Eric & Gold, Samantha & Hastings, Justine, 2021. "The returns to early-life interventions for very low birth weight children," Journal of Health Economics, Elsevier, vol. 75(C).
    11. Joshua Graff Zivin & Matthew Neidell, 2013. "Environment, Health, and Human Capital," Journal of Economic Literature, American Economic Association, vol. 51(3), pages 689-730, September.
    12. Yuda, Michio, 2020. "Childhood health and future outcomes: Evidence from panel surveys for the Japanese population," Japan and the World Economy, Elsevier, vol. 54(C).
    13. Emilia Del Bono & John Ermisch & Marco Francesconi, 2012. "Intrafamily Resource Allocations: A Dynamic Structural Model of Birth Weight," Journal of Labor Economics, University of Chicago Press, vol. 30(3), pages 657-706.
    14. Gabriella Conti, 2013. "The Developmental Origins of Health Inequality," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 285-309, Emerald Group Publishing Limited.
    15. Monica Harber Carney, 2021. "The impact of mental health parity laws on birth outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 30(4), pages 748-765, April.
    16. Damian Clarke & Sonia Oreffice & Climent Quintana‐Domeque, 2021. "On the Value of Birth Weight," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 83(5), pages 1130-1159, October.
    17. Michael Hummer & Thomas Lehner & Gerald Pruckner, 2014. "Low birth weight and health expenditures from birth to late adolescence," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(3), pages 229-242, April.
    18. Zong‐Xian Xie & Shin‐Yi Chou & Jin‐Tan Liu, 2017. "The Short‐Run and Long‐Run Effects of Birth Weight: Evidence from Large Samples of Siblings and Twins in Taiwan," Health Economics, John Wiley & Sons, Ltd., vol. 26(7), pages 910-921, July.
    19. Lina Cardona-Sosa & Carlos Medina, 2016. "The Effects of In utero Programs on Birth Outcomes: The Case of “Buen Comienzo” *** El Efecto de Programas dirigidos a Madres Gestantes en Indicadores al Nacer: El caso de “Buen Comienzo”," Borradores de Economia 955, Banco de la Republica de Colombia.
    20. Møllegaard, Stine, 2020. "The effect of birth weight on behavioral problems in early adolescence: New evidence from monozygotic twins," Economics & Human Biology, Elsevier, vol. 36(C).

    More about this item

    Keywords

    Premature children; Kangaroo program; Education; Long-run effects;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jhecon:v:86:y:2022:i:c:s0167629622001084. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.