IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v161y2025ics0168851025001459.html

The challenge of the first 1000 days. The dynamics of early-life health inequalities in a universal healthcare system: Evidence from Italy

Author

Listed:
  • Berta, Paolo
  • Turati, Gilberto

Abstract

(1) What is already known about the topic? Low birth weight (LBW) is a key marker of early-life health disadvantage, associated with increased mortality, delayed development, and long-term socioeconomic challenges. Health disparities related to LBW are predictive of future health outcomes and life trajectories. Although universal healthcare systems can mitigate such inequalities, their effectiveness varies across health domains and population subgroups.

Suggested Citation

  • Berta, Paolo & Turati, Gilberto, 2025. "The challenge of the first 1000 days. The dynamics of early-life health inequalities in a universal healthcare system: Evidence from Italy," Health Policy, Elsevier, vol. 161(C).
  • Handle: RePEc:eee:hepoli:v:161:y:2025:i:c:s0168851025001459
    DOI: 10.1016/j.healthpol.2025.105390
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851025001459
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2025.105390?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

    for a different version of it.

    References listed on IDEAS

    as
    1. Alina Peluso & Paolo Berta & Veronica Vinciotti, 2019. "Do pay-for-performance incentives lead to a better health outcome?," Empirical Economics, Springer, vol. 56(6), pages 2167-2184, June.
    2. repec:wly:hlthec:v:26:y:2017:i::p:23-37 is not listed on IDEAS
    3. Jason Boardman & Daniel Powers & Yolanda Padilla & Robert Hummer, 2002. "Low birth weight, social factors, and developmental outcomes among children in the United States," Demography, Springer;Population Association of America (PAA), vol. 39(2), pages 353-368, May.
    4. 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.
    5. Janet Currie & Enrico Moretti, 2007. "Biology as Destiny? Short- and Long-Run Determinants of Intergenerational Transmission of Birth Weight," Journal of Labor Economics, University of Chicago Press, vol. 25(2), pages 231-264.
    6. Giovanni Perucca & Massimiliano Piacenza & Gilberto Turati, 2019. "Spatial inequality in access to healthcare: evidence from an Italian Alpine region," Regional Studies, Taylor & Francis Journals, vol. 53(4), pages 478-489, April.
    7. N. Meltem Daysal & Marianne Simonsen & Mircea Trandafir & Sanni Breining, 2022. "Spillover Effects of Early-Life Medical Interventions," The Review of Economics and Statistics, MIT Press, vol. 104(1), pages 1-16, March.
    8. Paolo Berta & Gianmaria Martini & Massimiliano Piacenza & Gilberto Turati, 2020. "The strange case of less C‐sections: Hospital ownership, market concentration, and DRG‐tariff regulation," Health Economics, John Wiley & Sons, Ltd., vol. 29(S1), pages 30-46, October.
    9. Marina Di Giacomo & Massimiliano Piacenza & Luigi Siciliani & Gilberto Turati, 2017. "Do public hospitals respond to changes in DRG price regulation? The case of birth deliveries in the Italian NHS," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 23-37, September.
    10. James Heckman, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    11. Morrissey, Karyn & Kinderman, Peter & Pontin, Eleanor & Tai, Sara & Schwannauer, Mathias, 2016. "Web based health surveys: Using a Two Step Heckman model to examine their potential for population health analysis," Social Science & Medicine, Elsevier, vol. 163(C), pages 45-53.
    12. Gabriella Conti & Sweta Gupta, 2024. "Early childhood interventions to reduce intergenerational inequality," Chapters, in: Elina Kilpi-Jakonen & Jo Blanden & Jani Erola & Lindsey Macmillan (ed.), Research Handbook on Intergenerational Inequality, chapter 26, pages 342-356, Edward Elgar Publishing.
    13. Wolfgang Frimmel & Gerald J. Pruckner, 2014. "Birth Weight And Family Status Revisited: Evidence From Austrian Register Data," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 426-445, April.
    14. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    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. Maruyama, Shiko & Heinesen, Eskil, 2020. "Another look at returns to birthweight," Journal of Health Economics, Elsevier, vol. 70(C).
    2. Di Giacomo, Marina & Piacenza, Massimiliano & Salmasi, Luca & Turati, Gilberto, 2025. "Understanding labour productivity in maternity wards," Labour Economics, Elsevier, vol. 96(C).
    3. Fletcher, Jason & Noghanibehambari, Hamid, 2024. "The siren song of cicadas: Early-life pesticide exposure and later-life male mortality," Journal of Environmental Economics and Management, Elsevier, vol. 123(C).
    4. Barili, Emilia & Bertoli, Paola & Grembi, Veronica, 2021. "Fee equalization and appropriate health care," Economics & Human Biology, Elsevier, vol. 41(C).
    5. Cassandra Robertson & Rourke O’Brien, 2018. "Health Endowment at Birth and Variation in Intergenerational Economic Mobility: Evidence From U.S. County Birth Cohorts," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 249-269, February.
    6. Di Giacomo, Marina & Perucca, Giovanni & Piacenza, Massimiliano & Turati, Gilberto, 2024. "Immigrants' clusters and unequal access to healthcare treatments," Regional Science and Urban Economics, Elsevier, vol. 109(C).
    7. Mesnard, Alice & Vera-Hernández, Marcos & Fitzsimons, Emla & Malde, Bansi, 2012. "Household Responses to Information on Child Nutrition: Experimental Evidence from Malawi," CEPR Discussion Papers 8915, Centre for Economic Policy Research.
    8. Ana I. Balsa & Patricia Triunfo, 2012. "The Effectiveness of Prenatal Care in a Low Income Population: A Panel Data Approach," Documentos de Trabajo/Working Papers 1204, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    9. 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.
    10. Antonio Baselice & Mariarosaria Lombardi & Maurizio Prosperi & Antonio Stasi & Antonio Lopolito, 2021. "Key Drivers of the Engagement of Farmers in Social Innovation for Marginalised Rural Areas," Sustainability, MDPI, vol. 13(15), pages 1-18, July.
    11. Datta Gupta, Nabanita & Deding, Mette & Lausten, Mette, 2013. "The effect of low birth weight on height, weight and behavioral outcomes in the medium-run," Economics & Human Biology, Elsevier, vol. 11(1), pages 42-55.
    12. Reif, Simon & Wichert, Sebastian & Wuppermann, Amelie, 2018. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems," Journal of Health Economics, Elsevier, vol. 59(C), pages 1-25.
    13. Dimico, Arcangelo, 2014. "Poverty trap and educational shock: Evidence from missionary fields," QUCEH Working Paper Series 14-07, Queen's University Belfast, Queen's University Centre for Economic History.
    14. Jaehee Hwang, 2022. "Who Becomes a Fisherman? A Two-Stage Sample Selection Analysis on Small-Scale Fishery Choice and Income in Korea," Sustainability, MDPI, vol. 14(4), pages 1-21, February.
    15. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    16. Janet Currie, 2020. "Child health as human capital," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 452-463, April.
    17. Johnston, David W. & Schurer, Stefanie & Shields, Michael A., 2011. "Evidence on the Long Shadow of Poor Mental Health across Three Generations," IZA Discussion Papers 6014, IZA Network @ LISER.
    18. 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.
    19. Birgit Vanden Berghen & Iris Vanermen & Liesbet Vranken, 2024. "Citizen scientists: Unveiling motivations and characteristics influencing initial and sustained participation in an agricultural project," PLOS ONE, Public Library of Science, vol. 19(5), pages 1-25, May.
    20. Saman Nazir & Cynthia Cready, 2020. "The C-Section Epidemic in Pakistan," PIDE-Working Papers 2020:176, Pakistan Institute of Development Economics.

    More about this item

    Keywords

    ;
    ;
    ;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

    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:hepoli:v:161:y:2025:i:c:s0168851025001459. 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 or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    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.