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Income shocks and mortality of low-wage workers: Evidence from wage allowances in Brazil

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  • Castro, Caio Pedro
  • Corbi, Raphael

Abstract

We examine the short-term impact of income shocks on mortality in Brazil using administrative data and the quasi-random timing of disbursements from a federal wage allowance program for low-income workers. Exploiting variation in payment timing by birth month and a sharp eligibility cutoff, we find that mortality increases by 9.5% during the week of payment, particularly for deaths related to economic activity such as cardiovascular conditions and external causes. Effects are strongest in areas with low financial development and poor healthcare access, suggesting that limited consumption smoothing and delayed medical care amplify mortality risks. Our findings highlight how institutional constraints in developing countries shape the health consequences of predictable income transfers, with implications for the design and timing of social protection programs.

Suggested Citation

  • Castro, Caio Pedro & Corbi, Raphael, 2026. "Income shocks and mortality of low-wage workers: Evidence from wage allowances in Brazil," Journal of Development Economics, Elsevier, vol. 179(C).
  • Handle: RePEc:eee:deveco:v:179:y:2026:i:c:s030438782500207x
    DOI: 10.1016/j.jdeveco.2025.103656
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    1. Brune, Lasse & Kerwin, Jason T., 2019. "Income timing and liquidity constraints: Evidence from a randomized field experiment," Journal of Development Economics, Elsevier, vol. 138(C), pages 294-308.
    2. Alan I. Barreca & Melanie Guldi & Jason M. Lindo & Glen R. Waddell, 2011. "Saving Babies? Revisiting the effect of very low birth weight classification," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 126(4), pages 2117-2123.
    3. Evans, William N. & Moore, Timothy J., 2011. "The short-term mortality consequences of income receipt," Journal of Public Economics, Elsevier, vol. 95(11), pages 1410-1424.
    4. Jillian B. Carr & Analisa Packham, 2021. "SNAP Schedules and Domestic Violence," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(2), pages 412-452, March.
    5. Christine R. Harris & Michael Jenkins & Dale Glaser, 2006. "Gender differences in risk assessment: Why do women take fewer risks than men?," Judgment and Decision Making, Society for Judgment and Decision Making, vol. 1, pages 48-63, July.
    6. 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.
    7. 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.
    8. Kline Patrick & Santos Andres, 2012. "A Score Based Approach to Wild Bootstrap Inference," Journal of Econometric Methods, De Gruyter, vol. 1(1), pages 23-41, August.
    9. Jillian B. Carr & Analisa Packham, 2019. "SNAP Benefits and Crime: Evidence from Changing Disbursement Schedules," The Review of Economics and Statistics, MIT Press, vol. 101(2), pages 310-325, May.
    10. Andersson, Elvira & Lundborg, Petter & Vikström, Johan, 2015. "Income receipt and mortality — Evidence from Swedish public sector employees," Journal of Public Economics, Elsevier, vol. 131(C), pages 21-32.
    11. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    12. François Gerard & Joana Naritomi, 2021. "Job Displacement Insurance and (the Lack of) Consumption-Smoothing," American Economic Review, American Economic Association, vol. 111(3), pages 899-942, March.
    13. Athey, Susan & Imbens, Guido W., 2022. "Design-based analysis in Difference-In-Differences settings with staggered adoption," Journal of Econometrics, Elsevier, vol. 226(1), pages 62-79.
    14. Charness, Gary & Gneezy, Uri, 2012. "Strong Evidence for Gender Differences in Risk Taking," Journal of Economic Behavior & Organization, Elsevier, vol. 83(1), pages 50-58.
    15. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    16. Harris, Christine R. & Jenkins, Michael, 2006. "Gender Differences in Risk Assessment: Why do Women Take Fewer Risks than Men?," Judgment and Decision Making, Cambridge University Press, vol. 1(1), pages 48-63, July.
    17. Stephen E. Snyder & William N. Evans, 2006. "The Effect of Income on Mortality: Evidence from the Social Security Notch," The Review of Economics and Statistics, MIT Press, vol. 88(3), pages 482-495, August.
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    Keywords

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    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H30 - Public Economics - - Fiscal Policies and Behavior of Economic Agents - - - General

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