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Language training, refugees' healthcare integration, and the next generation's health

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  • Dang, Thang

Abstract

Exploiting a policy reform mandating participation in a 300-h language training course in Norway, I investigate the multigenerational health effects of a comprehensive language training program. I document the significant positive impacts of the program, not only on the long-term integration of refugees into the healthcare system but also on the health of the next generation. The program improves the cumulative use of primary care services for 12 years after arrival by 44%. This increase is proposed to partially work through refugees’ increased labor market attachment and economic success. The program also results in spillover benefits for the health at birth of the children of refugees with 21–49% decreases in premature birth, low birth weight, and short birth length. These intergenerational effects probably operate via significant improvements in the home environment and maternal care during pregnancy.

Suggested Citation

  • Dang, Thang, 2025. "Language training, refugees' healthcare integration, and the next generation's health," Journal of Development Economics, Elsevier, vol. 174(C).
    • Handle: RePEc:eee:deveco:v:174:y:2025:i:c:s0304387825000215
    DOI: 10.1016/j.jdeveco.2025.103470
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    1. Rajeev Dehejia & Adriana Lleras-Muney, 2004. "Booms, Busts, and Babies' Health," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(3), pages 1091-1130.
    2. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    3. Kalt, A. & Hossain, M. & Kiss, L. & Zimmerman, C., 2013. "Asylum seekers, violence and health: A systematic review of research in high-income host countries," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 30-42.
    4. Julia Lang, 2022. "Employment effects of language training for unemployed immigrants," Journal of Population Economics, Springer;European Society for Population Economics, vol. 35(2), pages 719-754, April.
    5. Zhuan Pei & David S. Lee & David Card & Andrea Weber, 2022. "Local Polynomial Order in Regression Discontinuity Designs," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 40(3), pages 1259-1267, June.
    6. George J. Borjas, 2021. "The Economic Benefits from Immigration," World Scientific Book Chapters, in: Foundational Essays in Immigration Economics, chapter 13, pages 411-430, World Scientific Publishing Co. Pte. Ltd..
    7. Aline Bütikofer & Rita Ginja & Katrine V Løken & Fanny Landaud, 2023. "Higher-Achievement Schools, Peers and Mental Health," The Economic Journal, Royal Economic Society, vol. 133(655), pages 2580-2613.
    8. Anne Britt Djuve & Hanne Cecilie Kavli, 2019. "Refugee integration policy the Norwegian way – why good ideas fail and bad ideas prevail," Transfer: European Review of Labour and Research, , vol. 25(1), pages 25-42, February.
    9. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    10. Devictor, Xavier & Do, Quy-Toan & Levchenko, Andrei A., 2021. "The globalization of refugee flows," Journal of Development Economics, Elsevier, vol. 150(C).
    11. repec:pri:cheawb:adriana_booms.pdf is not listed on IDEAS
    12. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    13. Chiswick, Barry R & Miller, Paul W, 1995. "The Endogeneity between Language and Earnings: International Analyses," Journal of Labor Economics, University of Chicago Press, vol. 13(2), pages 246-288, April.
    14. Francesco Fasani & Tommaso Frattini & Luigi Minale, 2022. "(The Struggle for) Refugee integration into the labour market: evidence from Europe [Cashier or consultant? Entry labor market conditions, field of study, and career success]," Journal of Economic Geography, Oxford University Press, vol. 22(2), pages 351-393.
    15. Foged, Mette & Hasager, Linea & Peri, Giovanni & Arendt, Jacob Nielsen & Bolvig, Iben, 2023. "Intergenerational spillover effects of language training for refugees," Journal of Public Economics, Elsevier, vol. 220(C).
    16. Black, Nicole & Kunz, Johannes S., 2024. "The intergenerational effects of language proficiency on child health outcomes: Evidence from survey- and Census-matched health care records," Journal of Economic Behavior & Organization, Elsevier, vol. 225(C), pages 136-152.
    17. Pruckner, Gerald J. & Schneeweis, Nicole & Schober, Thomas & Zweimüller, Martina, 2021. "Birth order, parental health investment, and health in childhood," Journal of Health Economics, Elsevier, vol. 76(C).
    18. Hızıroğlu Aygün, Aysun & Kırdar, Murat Güray & Koyuncu, Murat & Stoeffler, Quentin, 2024. "Keeping refugee children in school and out of work: Evidence from the world's largest humanitarian cash transfer program," Journal of Development Economics, Elsevier, vol. 168(C).
    19. Lochmann, Alexia & Rapoport, Hillel & Speciale, Biagio, 2019. "The effect of language training on immigrants’ economic integration: Empirical evidence from France," European Economic Review, Elsevier, vol. 113(C), pages 265-296.
    20. Courtney Brell & Christian Dustmann & Ian Preston, 2020. "The Labor Market Integration of Refugee Migrants in High-Income Countries," Journal of Economic Perspectives, American Economic Association, vol. 34(1), pages 94-121, Winter.
    21. van den Berg, Gerard J. & Paul, Alexander & Reinhold, Steffen, 2020. "Economic conditions and the health of newborns: Evidence from comprehensive register data," Labour Economics, Elsevier, vol. 63(C).
    22. Sebastian Calonico & Matias D. Cattaneo & Max H. Farrell & Rocío Titiunik, 2019. "Regression Discontinuity Designs Using Covariates," The Review of Economics and Statistics, MIT Press, vol. 101(3), pages 442-451, July.
    23. William N. Evans & Daniel Fitzgerald, 2017. "The Economic and Social Outcomes of Refugees in the United States: Evidence from the ACS," NBER Working Papers 23498, National Bureau of Economic Research, Inc.
    24. Christian Dustmann & Francesco Fasani & Tommaso Frattini & Luigi Minale & Uta Schönberg, 2017. "On the economics and politics of refugee migration," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 32(91), pages 497-550.
    25. George J. Borjas, 1994. "The Economics of Immigration," Journal of Economic Literature, American Economic Association, vol. 32(4), pages 1667-1717, December.
    26. Timothy J. Hatton, 2017. "Refugees and asylum seekers, the crisis in Europe and the future of policy," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 32(91), pages 447-496.
    27. Andrew Gelman & Guido Imbens, 2019. "Why High-Order Polynomials Should Not Be Used in Regression Discontinuity Designs," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(3), pages 447-456, July.
    28. Satinsky, Emily & Fuhr, Daniela C. & Woodward, Aniek & Sondorp, Egbert & Roberts, Bayard, 2019. "Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review," Health Policy, Elsevier, vol. 123(9), pages 851-863.
    29. repec:pri:cheawb:adriana_booms is not listed on IDEAS
    30. Isabel Ruiz & Carlos Vargas-Silva, 2018. "Differences in labour market outcomes between natives, refugees and other migrants in the UK," Journal of Economic Geography, Oxford University Press, vol. 18(4), pages 855-885.
    31. 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.
    32. Foged, Mette & van der Werf, Cynthia, 2023. "Access to language training and the local integration of refugees," Labour Economics, Elsevier, vol. 84(C).
    33. 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.
    34. Lindo, Jason M., 2011. "Parental job loss and infant health," Journal of Health Economics, Elsevier, vol. 30(5), pages 869-879.
    35. Diane Coffey & Dean Spears, 2021. "Neonatal Death in India: Birth Order in a Context of Maternal Undernutrition," The Economic Journal, Royal Economic Society, vol. 131(638), pages 2478-2507.
    36. Pont-Grau, Alex & Lei, Yu-Hsiang & Lim, Joel Z.E. & Xia, Xing, 2023. "The effect of language training on immigrants’ integration: Does the duration of training matter?," Journal of Economic Behavior & Organization, Elsevier, vol. 212(C), pages 160-198.
    37. Hardoy, Inés & Zhang, Tao, 2019. "The long and winding road - Labour market integration of refugees in Norway," Memorandum 8/2019, Oslo University, Department of Economics.
    38. Evans, William N. & Lien, Diana S., 2005. "The benefits of prenatal care: evidence from the PAT bus strike," Journal of Econometrics, Elsevier, vol. 125(1-2), pages 207-239.
    39. Buckles, Kasey & Kolka, Shawna, 2014. "Prenatal investments, breastfeeding, and birth order," Social Science & Medicine, Elsevier, vol. 118(C), pages 66-70.
    40. Douglas Almond & Bhashkar Mazumder, 2011. "Health Capital and the Prenatal Environment: The Effect of Ramadan Observance during Pregnancy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(4), pages 56-85, October.
    41. Matti Sarvimäki & Kari Hämäläinen, 2016. "Integrating Immigrants: The Impact of Restructuring Active Labor Market Programs," Journal of Labor Economics, University of Chicago Press, vol. 34(2), pages 479-508.
    42. Marbach, Moritz & Hainmueller, Jens & Hangartner, Dominik, 2017. "The Long-Term Impact of Employment Bans on the Economic Integration of Refugees," Research Papers repec:ecl:stabus:3618, Stanford University, Graduate School of Business.
    43. Salti, Nisreen & Chaaban, Jad & Moussa, Wael & Irani, Alexandra & Al Mokdad, Rima & Jamaluddine, Zeina & Ghattas, Hala, 2022. "The impact of cash transfers on Syrian refugees in Lebanon: Evidence from a multidimensional regression discontinuity design," Journal of Development Economics, Elsevier, vol. 155(C).
    44. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    45. Hilary Hoynes & Doug Miller & David Simon, 2015. "Income, the Earned Income Tax Credit, and Infant Health," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 172-211, February.
    46. Baez, Javier E., 2011. "Civil wars beyond their borders: The human capital and health consequences of hosting refugees," Journal of Development Economics, Elsevier, vol. 96(2), pages 391-408, November.
    47. Lukas Schmid, 2023. "The Impact of Host Language Proficiency on Migrants' Employment Outcomes," American Economic Review: Insights, American Economic Association, vol. 5(4), pages 477-493, December.
    48. Kasey Buckles & Joseph Price, 2013. "Selection and the Marriage Premium for Infant Health," Demography, Springer;Population Association of America (PAA), vol. 50(4), pages 1315-1339, August.
    49. Ibáñez, Ana María & Rozo, Sandra V. & Urbina, María J., 2021. "Forced Migration and the Spread of Infectious Diseases," Journal of Health Economics, Elsevier, vol. 79(C).
    50. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    51. Clausen, Jens & Heinesen, Eskil & Hummelgaard, Hans & Husted, Leif & Rosholm, Michael, 2009. "The effect of integration policies on the time until regular employment of newly arrived immigrants: Evidence from Denmark," Labour Economics, Elsevier, vol. 16(4), pages 409-417, August.
    52. von Hinke, Stephanie & Rice, Nigel & Tominey, Emma, 2022. "Mental health around pregnancy and child development from early childhood to adolescence," Labour Economics, Elsevier, vol. 78(C).
    53. Lee, David S., 2008. "Randomized experiments from non-random selection in U.S. House elections," Journal of Econometrics, Elsevier, vol. 142(2), pages 675-697, February.
    54. Lindert, Jutta & Ehrenstein, Ondine S. von & Priebe, Stefan & Mielck, Andreas & Brähler, Elmar, 2009. "Depression and anxiety in labor migrants and refugees - A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 69(2), pages 246-257, July.
    55. McCrary, Justin, 2008. "Manipulation of the running variable in the regression discontinuity design: A density test," Journal of Econometrics, Elsevier, vol. 142(2), pages 698-714, February.
    56. Blake H. Heller & Kirsten Slungaard Mumma, 2023. "Immigrant Integration in the United States: The Role of Adult English Language Training," American Economic Journal: Economic Policy, American Economic Association, vol. 15(3), pages 407-437, August.
    57. Jee-Yeon K. Lehmann & Ana Nuevo-Chiquero & Marian Vidal-Fernandez, 2018. "The Early Origins of Birth Order Differences in Children’s Outcomes and Parental Behavior," Journal of Human Resources, University of Wisconsin Press, vol. 53(1), pages 123-156.
    58. Fletcher, Jason M. & Green, Jeremy C. & Neidell, Matthew J., 2010. "Long term effects of childhood asthma on adult health," Journal of Health Economics, Elsevier, vol. 29(3), pages 377-387, May.
    59. Ilyana Kuziemko, 2014. "Human Capital Spillovers in Families: Do Parents Learn from or Lean on Their Children?," Journal of Labor Economics, University of Chicago Press, vol. 32(4), pages 755-786.
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    More about this item

    Keywords

    Refugee; Language training; Healthcare integration; Intergenerational spillovers; Health at birth; Norway;
    All these keywords.

    JEL classification:

    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J30 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - General
    • J60 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - General
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers
    • J70 - Labor and Demographic Economics - - Labor Discrimination - - - General
    • E64 - Macroeconomics and Monetary Economics - - Macroeconomic Policy, Macroeconomic Aspects of Public Finance, and General Outlook - - - Incomes Policy; Price Policy
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • I30 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General

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