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The Long Reach of Childhood Health and Circumstance: Evidence from the Whitehall II Study

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  • Anne Case
  • Christina Paxson

Abstract

We use data from the Whitehall II study to examine the potential role played by early-life health and circumstances in determining health and employment status in middle and older ages. The population from which the Whitehall II cohort was drawn consisted almost exclusively of white collar civil servants. We demonstrate that estimates of the impact of early-life conditions based on the Whitehall II cohort provide a lower bound on the effect of early-life circumstances on adult health and economic status for the population as a whole. That said, using the Whitehall II cohort data, we find early life circumstances are all predictive of entry grade and promotion to higher grade in Whitehall. Even with controls for entry grade or current grade, we find that childhood circumstances predict cohort members' current health status. Using fixed effect and first-difference models of self-assessed health status and civil service employment grade, we find no evidence of civil service grade affecting future self-assessed health. However, we find self-assessed health has a significant effect on future civil service grade.

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Bibliographic Info

Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 15640.

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Date of creation: Jan 2010
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Publication status: published as Anne Case & Christina Paxson, 2011. "The Long Reach of Childhood Health and Circumstance: Evidence from the Whitehall II Study," Economic Journal, Royal Economic Society, vol. 121(554), pages F183-F204, 08.
Handle: RePEc:nbr:nberwo:15640

Note: AG CH HC POL
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  1. Anne Case & Christina Paxson & Mahnaz Islam, 2008. "Making Sense Of The Labor Market Height Premium: Evidence From The British Household Panel Survey," Working Papers 1072, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
  2. Anne Case & Christina Paxson, 2010. "Causes and Consequences of Early Life Health," NBER Working Papers 15637, National Bureau of Economic Research, Inc.
  3. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2006. "From the cradle to the labor market? The effect of birth weight on adult outcomes," LSE Research Online Documents on Economics 19425, London School of Economics and Political Science, LSE Library.
  4. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
  5. Case, Anne & Paxson, Christina, 2001. "Mothers and others: who invests in children's health?," Journal of Health Economics, Elsevier, vol. 20(3), pages 301-328, May.
  6. Deaton, Angus & Arora, Raksha, 2009. "Life at the top: The benefits of height," Economics & Human Biology, Elsevier, vol. 7(2), pages 133-136, July.
  7. Chandola, Tarani & Bartley, Mel & Sacker, Amanda & Jenkinson, Crispin & Marmot, Michael, 2003. "Health selection in the Whitehall II study, UK," Social Science & Medicine, Elsevier, vol. 56(10), pages 2059-2072, May.
  8. In Utero, 2006. "Is the 1918 Influenza Pandemic Over? Long-Term Effects of In Utero Influenza Exposure in the Post-1940 U.S. Population," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 672-712, August.
  9. James P. Smith, 2007. "The Impact of Socioeconomic Status on Health over the Life-Course," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
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