IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v26y2017i10p1264-1277.html
   My bibliography  Save this article

The Long‐term Health Effects of Fetal Malnutrition: Evidence from the 1959–1961 China Great Leap Forward Famine

Author

Listed:
  • Seonghoon Kim
  • Belton Fleisher
  • Jessica Ya Sun

Abstract

We report evidence of long‐term adverse health impacts of fetal malnutrition exposure of middle‐aged survivors of the 1959–1961 China Famine using data from the China Health and Retirement Longitudinal Study. We find that fetal exposure to malnutrition has large and long‐lasting impacts on both physical health and cognitive abilities, including the risks of suffering a stroke, physical disabilities in speech, walking and vision, and measures of mental acuity even half a century after the tragic event. Our findings imply that policies and programs that improve the nutritional status of pregnant women yield benefits on the health of a fetus that extend through the life cycle in the form of reduced physical and mental impairment.

Suggested Citation

  • Seonghoon Kim & Belton Fleisher & Jessica Ya Sun, 2017. "The Long‐term Health Effects of Fetal Malnutrition: Evidence from the 1959–1961 China Great Leap Forward Famine," Health Economics, John Wiley & Sons, Ltd., vol. 26(10), pages 1264-1277, October.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:10:p:1264-1277
    DOI: 10.1002/hec.3397
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.3397
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.3397?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
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Kim, Seonghoon & Deng, Quheng & Fleisher, Belton M. & Li, Shi, 2014. "The Lasting Impact of Parental Early Life Malnutrition on Their Offspring: Evidence from the China Great Leap Forward Famine," World Development, Elsevier, vol. 54(C), pages 232-242.
    2. Gørgens, Tue & Meng, Xin & Vaithianathan, Rhema, 2012. "Stunting and selection effects of famine: A case study of the Great Chinese Famine," Journal of Development Economics, Elsevier, vol. 97(1), pages 99-111.
    3. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    4. Scholte, Robert S. & van den Berg, Gerard J. & Lindeboom, Maarten, 2015. "Long-run effects of gestation during the Dutch Hunger Winter famine on labor market and hospitalization outcomes," Journal of Health Economics, Elsevier, vol. 39(C), pages 17-30.
    5. Lin, Justin Yifu & Yang, Dennis Tao, 2000. "Food Availability, Entitlements and the Chinese Famine of 1959-61," Economic Journal, Royal Economic Society, vol. 110(460), pages 136-158, January.
    6. Tan, Chih Ming & Tan, Zhibo & Zhang, Xiaobo, 2014. "Sins of the fathers: The intergenerational legacy of the 1959-1961 Great Chinese Famine on children's cognitive development:," IFPRI discussion papers 1351, International Food Policy Research Institute (IFPRI).
    7. Wei Huang & Xiaoyan Lei & Geert Ridder & John Strauss & Yaohui Zhao, 2013. "Health, Height, Height Shrinkage, and SES at Older Ages: Evidence from China," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 86-121, April.
    8. Chih Ming Tan & Zhibo Tan & Xiaobo Zhang, 2014. "Sins of the Father: The Intergenerational Legacy of the 1959-61 Great Chinese Famine on Children's Cognitive Development," Working Paper series 08_14, Rimini Centre for Economic Analysis.
    9. Wei Li & Dennis Tao Yang, 2005. "The Great Leap Forward: Anatomy of a Central Planning Disaster," Journal of Political Economy, University of Chicago Press, vol. 113(4), pages 840-877, August.
    10. Unknown, 2005. "Forward," 2005 Conference: Slovenia in the EU - Challenges for Agriculture, Food Science and Rural Affairs, November 10-11, 2005, Moravske Toplice, Slovenia 183804, Slovenian Association of Agricultural Economists (DAES).
    11. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    12. SHI, Xinzheng, 2011. "Famine, fertility, and fortune in china," China Economic Review, Elsevier, vol. 22(2), pages 244-259, June.
    13. Chen, Yuyu & Zhou, Li-An, 2007. "The long-term health and economic consequences of the 1959-1961 famine in China," Journal of Health Economics, Elsevier, vol. 26(4), pages 659-681, July.
    14. Xin Meng & Nancy Qian, 2009. "The Long Term Consequences of Famine on Survivors: Evidence from a Unique Natural Experiment using China's Great Famine," NBER Working Papers 14917, National Bureau of Economic Research, Inc.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zichen Deng & Maarten Lindeboom, 2021. "Early-life Famine Exposure, Hunger Recall and Later-life Health," Tinbergen Institute Discussion Papers 21-054/V, Tinbergen Institute.
    2. Deng, Zichen & Lindeboom, Maarten, 2021. "Early-Life Famine Exposure, Hunger Recall and Later-Life Health," IZA Discussion Papers 14487, Institute of Labor Economics (IZA).
    3. Lay Margaret J. & Norling Johannes, 2020. "The Consequences of the 1959–1961 Chinese Famine for Educational Attainment," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 20(2), pages 1-23, April.
    4. Thompson, Kristina & Lindeboom, Maarten & Portrait, France, 2019. "Adult body height as a mediator between early-life conditions and socio-economic status: the case of the Dutch Potato Famine, 1846–1847," Economics & Human Biology, Elsevier, vol. 34(C), pages 103-114.
    5. Liang, Yu & Dong, Jing, 2022. "The impact of the send-down experience on the health of elderly Chinese women: Evidence from the China family panel studies," International Review of Economics & Finance, Elsevier, vol. 78(C), pages 377-389.
    6. Jiyuan Wang & Rob Alessie & Viola Angelini, 2023. "Exposure in utero to adverse events and health late‐in‐life: Evidence from China," Health Economics, John Wiley & Sons, Ltd., vol. 32(3), pages 541-557, March.
    7. Li, Yanan & Sunder, Naveen, 2021. "What doesn’t kill her, will make her depressed," Economics & Human Biology, Elsevier, vol. 43(C).
    8. Nourin Shabnam & Mehmet A. Ulubaşoğlu & Cahit Guven, 2022. "Food Affordability and Double Catastrophe in Early Life: Lessons from the 1974–75 Bangladesh Famine," The Economic Record, The Economic Society of Australia, vol. 98(S1), pages 24-51, September.
    9. Cheng, Zhiming & Guo, Wei & Hayward, Mathew & Smyth, Russell & Wang, Haining, 2021. "Childhood adversity and the propensity for entrepreneurship: A quasi-experimental study of the Great Chinese Famine," Journal of Business Venturing, Elsevier, vol. 36(1).
    10. Matsushima, Midori & Shimizutani, Satoshi & Yamada, Hiroyuki, 2018. "Life course consequences of low birth weight: Evidence from Japan," Journal of the Japanese and International Economies, Elsevier, vol. 50(C), pages 37-47.
    11. Raveh, Ohad & Zhang, Yan, 2022. "The Long-Term Health Effects of Oil Discoveries: Evidence from China," MPRA Paper 114059, University Library of Munich, Germany.
    12. Zichen Deng & Maarten Lindeboom, 2021. "Early-life Famine Exposure, Hunger Recall and Later-life Health," Papers 2021-04, Centre for Health Economics, Monash University.
    13. Li, Jinhu & Menon, Nidhiya, 2020. "Echo Effects of Early-Life Health Shocks: The Intergenerational Consequences of Prenatal Malnutrition during the Great Leap Forward Famine in China," IZA Discussion Papers 13171, Institute of Labor Economics (IZA).
    14. Yu, Yangyang & Sloan, Frank A., 2017. "Trends in elderly health by cohort: Evidence from China," China Economic Review, Elsevier, vol. 44(C), pages 282-295.
    15. Yiru Wang, 2023. "Famine and matching by socioeconomic status—evidence from the Great Chinese Famine," Review of Economics of the Household, Springer, vol. 21(3), pages 855-912, September.
    16. Yao, Yuxin & Zhang, Yi, 2023. "The long-term and intergenerational effects of early-life hunger experience on human capital and labor market outcomes," China Economic Review, Elsevier, vol. 77(C).
    17. Raveh, Ohad & Zhang, Yan, 2024. "Giant Oil Discoveries and Long-Term Health Effects: Evidence from China," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 0(Preprint), January.

    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. Yao, Yuxin & Zhang, Yi, 2023. "The long-term and intergenerational effects of early-life hunger experience on human capital and labor market outcomes," China Economic Review, Elsevier, vol. 77(C).
    2. Li, Qiang & An, Lian, 2015. "Intergenerational health consequences of the 1959–1961 Great Famine on children in rural China," Economics & Human Biology, Elsevier, vol. 18(C), pages 27-40.
    3. Xu, Hongwei & Li, Lydia & Zhang, Zhenmei & Liu, Jinyu, 2016. "Is natural experiment a cure? Re-examining the long-term health effects of China's 1959–1961 famine," Social Science & Medicine, Elsevier, vol. 148(C), pages 110-122.
    4. Chae, Minhee & Hatton, Timothy J. & Meng, Xin, 2023. "Explaining trends in adult height in China: 1950 to 1990," World Development, Elsevier, vol. 161(C).
    5. Xue Feng Hu & Gordon G. Liu & Maoyong Fan, 2017. "Long‐Term Effects of Famine on Chronic Diseases: Evidence from China's Great Leap Forward Famine," Health Economics, John Wiley & Sons, Ltd., vol. 26(7), pages 922-936, July.
    6. Tan, Chih Ming & Tan, Zhibo & Zhang, Xiaobo, 2014. "Sins of the fathers: The intergenerational legacy of the 1959-1961 Great Chinese Famine on children's cognitive development:," IFPRI discussion papers 1351, International Food Policy Research Institute (IFPRI).
    7. Kim, Seonghoon & Deng, Quheng & Fleisher, Belton M. & Li, Shi, 2014. "The Lasting Impact of Parental Early Life Malnutrition on Their Offspring: Evidence from the China Great Leap Forward Famine," World Development, Elsevier, vol. 54(C), pages 232-242.
    8. Wenli Cheng & Hui Shi, 2019. "Surviving the Famine Unscathed? An Analysis of the Long‐Term Health Effects of the Great Chinese Famine," Southern Economic Journal, John Wiley & Sons, vol. 86(2), pages 746-772, October.
    9. Seonghoon Kim & Quheng Deng & Belton M. Fleisher & Shi Li, 2010. "The Lasting Impact of Mothers’ Fetal Malnutrition on Their Offspring: Evidence from the China Great Leap Forward Famine," Working Papers 10-01, Ohio State University, Department of Economics.
    10. Kim, Seonghoon & Deng, Quheng & Fleisher, Belton M. & Li, Shi, 2010. "The Lasting Impact of Mothers' Fetal Malnutrition on Their Offspring: Evidence from the China Great Leap Forward Famine," IZA Discussion Papers 5194, Institute of Labor Economics (IZA).
    11. Feng, Xunan & Johansson, Anders C., 2018. "Living through the Great Chinese Famine: Early-life experiences and managerial decisions," Journal of Corporate Finance, Elsevier, vol. 48(C), pages 638-657.
    12. Huang, Cheng & Phillips, Michael R. & Zhang, Yali & Zhang, Jingxuan & Shi, Qichang & Song, Zhiqiang & Ding, Zhijie & Pang, Shutao & Martorell, Reynaldo, 2013. "Malnutrition in early life and adult mental health: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 97(C), pages 259-266.
    13. Loren Brandt & Aloysius Siow & Carl Vogel, 2016. "Large Demographic Shocks And Small Changes In The Marriage Market," Journal of the European Economic Association, European Economic Association, vol. 14(6), pages 1437-1468, December.
    14. Shabnam, Nourin & Guven, Cahit & Ulubasoglu, Mehmet, 2021. "Lack of Food Access and Double Catastrophe in Early Life: Lessons from the 1974–1975 Bangladesh Famine," MPRA Paper 109653, University Library of Munich, Germany.
    15. Pramod Kumar Sur & Masaru Sasaki, 2021. "The Persistent Effect of Famine on Present-Day China: Evidence from the Billionaires," Papers 2104.00935, arXiv.org, revised Apr 2021.
    16. Loren Brandt & Aloysius Siow & Carl Vogel, 2008. "Large Shocks and Small Changes in the Marriage Market for Famine Born Cohorts in China," Working Papers tecipa-334, University of Toronto, Department of Economics.
    17. Douglas Almond & Lena Edlund & Hongbin Li & Junsen Zhang, 2010. "Long-Term Effects of Early-Life Development: Evidence from the 1959 to 1961 China Famine," NBER Chapters, in: The Economic Consequences of Demographic Change in East Asia, pages 321-345, National Bureau of Economic Research, Inc.
    18. Ziying Fan & Wei Xiong & Li-An Zhou, 2016. "Information Distortion in Hierarchical Organizations: A Study of China’s Great Famine," Working Papers 2016-8, Princeton University. Economics Department..
    19. Elizabeth Gooch, 2018. "Resistance is Futile? Institutional and Geographic Factors in China’s Great Leap Famine," HiCN Working Papers 266, Households in Conflict Network.
    20. Zhang, Zihan & Kim, Jun Hyung, 2023. "The Inheritance of Historical Trauma: Intergenerational Effects of Early-Life Exposure to Famine on Mental Health," IZA Discussion Papers 16385, Institute of Labor Economics (IZA).

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

    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:wly:hlthec:v:26:y:2017:i:10:p:1264-1277. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.