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Evaluating the effects of a targeted home visiting program on maternal and child health outcomes

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  • Sandner, Malte
  • Cornelissen, Thomas
  • Jungmann, Tanja
  • Herrmann, Peggy

Abstract

We evaluate the effects of home visiting targeted towards disadvantaged first-time mothers on maternal and child health outcomes. Our analysis exploits a randomized controlled trial and combines rich longitudinal survey data with unique administrative health data. In a context in which the target group has comprehensive health care access, we find no effects of home visiting on most types of health utilization, health behaviors, and physical health measures. However, the intervention has a positive effect on some maternal mental health outcomes, reducing depression reported in the survey data by eleven percentage points and prescription of psycholeptics recorded in the administrative data by seven percentage points.

Suggested Citation

  • Sandner, Malte & Cornelissen, Thomas & Jungmann, Tanja & Herrmann, Peggy, 2018. "Evaluating the effects of a targeted home visiting program on maternal and child health outcomes," Journal of Health Economics, Elsevier, vol. 58(C), pages 269-283.
  • Handle: RePEc:eee:jhecon:v:58:y:2018:i:c:p:269-283
    DOI: 10.1016/j.jhealeco.2018.02.008
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    1. James Heckman & Seong Hyeok Moon & Rodrigo Pinto & Peter Savelyev & Adam Yavitz, 2010. "Analyzing social experiments as implemented: A reexamination of the evidence from the HighScope Perry Preschool Program," Quantitative Economics, Econometric Society, vol. 1(1), pages 1-46, July.
    2. Doyle, Orla & Fitzpatrick, Nick & Lovett, Judy & Rawdon, Caroline, 2015. "Early intervention and child physical health: Evidence from a Dublin-based randomized controlled trial," Economics & Human Biology, Elsevier, vol. 19(C), pages 224-245.
    3. Anderson, ML, 2008. "Multiple inference and gender differences in the effects of early intervention: A reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt15n8j26f, Department of Agricultural & Resource Economics, UC Berkeley.
    4. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    5. Joseph P. Romano & Michael Wolf, 2005. "Stepwise Multiple Testing as Formalized Data Snooping," Econometrica, Econometric Society, vol. 73(4), pages 1237-1282, July.
    6. James Heckman & Seong Hyeok Moon & Rodrigo Pinto & Peter Savelyev & Adam Yavitz, 2010. "Analyzing social experiments as implemented: evidence from the HighScope Perry Preschool Program," CeMMAP working papers CWP22/10, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
    7. 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).
    8. James J. Heckman & Margaret L. Holland & Kevin K. Makino & Rodrigo Pinto & Maria Rosales-Rueda, 2017. "An Analysis of the Memphis Nurse-Family Partnership Program," NBER Working Papers 23610, National Bureau of Economic Research, Inc.
    9. Apouey, Bénédicte & Geoffard, Pierre-Yves, 2013. "Family income and child health in the UK," Journal of Health Economics, Elsevier, vol. 32(4), pages 715-727.
    10. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income‐related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628, July.
    11. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    12. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    13. 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.
    14. Jens Ludwig & Greg J. Duncan & Lisa A. Gennetian & Lawrence F. Katz & Ronald C. Kessler & Jeffrey R. Kling & Lisa Sanbonmatsu, 2013. "Long-Term Neighborhood Effects on Low-Income Families: Evidence from Moving to Opportunity," American Economic Review, American Economic Association, vol. 103(3), pages 226-231, May.
    15. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
    16. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    17. 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.
    18. Carlson, Kyle, 2015. "Fear itself: The effects of distressing economic news on birth outcomes," Journal of Health Economics, Elsevier, vol. 41(C), pages 117-132.
    19. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, Oxford University Press, vol. 127(3), pages 1057-1106.
    20. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    21. Romano, Joseph P. & Wolf, Michael, 2016. "Efficient computation of adjusted p-values for resampling-based stepdown multiple testing," Statistics & Probability Letters, Elsevier, vol. 113(C), pages 38-40.
    22. 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.
    23. Orla Doyle & Nick Fitzpatrick & Judy Lovett & Caroline Rawdon, 2015. "Early intervention and child health: Evidence from a Dublin-based randomized controlled trial," Working Papers 201511, School of Economics, University College Dublin.
    24. Trappmann, Mark & Beste, Jonas & Bethmann, Arne & Müller, Gerrit, 2013. "The PASS panel survey after six waves," Journal for Labour Market Research, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany], vol. 46(4), pages 275-281.
    25. David Figlio & Jonathan Guryan & Krzysztof Karbownik & Jeffrey Roth, 2014. "The Effects of Poor Neonatal Health on Children's Cognitive Development," American Economic Review, American Economic Association, vol. 104(12), pages 3921-3955, December.
    26. Anna Aizer & Laura Stroud & Stephen Buka, 2016. "Maternal Stress and Child Outcomes: Evidence from Siblings," Journal of Human Resources, University of Wisconsin Press, vol. 51(3), pages 523-555.
    27. Anna, Petrenko, 2016. "Мaркування готової продукції як складова частина інформаційного забезпечення маркетингової діяльності підприємств овочепродуктового підкомплексу," Agricultural and Resource Economics: International Scientific E-Journal, Agricultural and Resource Economics: International Scientific E-Journal, vol. 2(1), March.
    28. Sandner, Malte & Jungmann, Tanja, 2017. "Gender-specific effects of early childhood intervention: Evidence from a randomized controlled trial," Labour Economics, Elsevier, vol. 45(C), pages 59-78.
    29. Currie, Janet, 2000. "Child health in developed countries," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 19, pages 1053-1090, Elsevier.
    30. Kevin Milligan & Mark Stabile, 2011. "Do Child Tax Benefits Affect the Well-Being of Children? Evidence from Canadian Child Benefit Expansions," American Economic Journal: Economic Policy, American Economic Association, vol. 3(3), pages 175-205, August.
    31. Wildman, John, 2003. "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time," Journal of Health Economics, Elsevier, vol. 22(2), pages 295-312, March.
    32. Sarah A. Avellar & Lauren H. Supplee, 2013. "Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment," Mathematica Policy Research Reports 2d00cdb4b2eb4fee8087572fc, Mathematica Policy Research.
    33. Kuehnle, Daniel, 2014. "The causal effect of family income on child health in the UK," Journal of Health Economics, Elsevier, vol. 36(C), pages 137-150.
    34. Anderson, Michael L., 2008. "Multiple Inference and Gender Differences in the Effects of Early Intervention: A Reevaluation of the Abecedarian, Perry Preschool, and Early Training Projects," Journal of the American Statistical Association, American Statistical Association, vol. 103(484), pages 1481-1495.
    35. Simon Condliffe & Charles R. Link, 2008. "The Relationship between Economic Status and Child Health: Evidence from the United States," American Economic Review, American Economic Association, vol. 98(4), pages 1605-1618, September.
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    Cited by:

    1. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    2. Deirdre Coy & Orla Doyle, 2020. "Should Early Health Investments Work? Evidence from an RCT of a Home Visiting Programme," Working Papers 202006, Geary Institute, University College Dublin.
    3. Hirani, Jonas Lau-Jensen & Sievertsen, Hans Henrik & Wüst, Miriam, 2020. "Missing a Nurse Visit," IZA Discussion Papers 13485, Institute of Labor Economics (IZA).
      • Miriam Wüst & Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen, 2021. "Missing a Nurse Visit," CEBI working paper series 20-09, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    4. Hirani, Jonas Cuzulan & Wüst, Miriam, 2022. "Nurses and infant vaccination coverage," Journal of Economic Behavior & Organization, Elsevier, vol. 196(C), pages 402-428.
    5. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," Discussion Papers 20-09, University of Copenhagen. Department of Economics.
    6. Jeffrey Smith, 2022. "Treatment Effect Heterogeneity," Evaluation Review, , vol. 46(5), pages 652-677, October.
    7. Sandner, Malte & Thomsen, Stephan L., 2018. "The Effects of Universal Public Childcare Provision on Cases of Child Neglect and Abuse," IZA Discussion Papers 11687, Institute of Labor Economics (IZA).
    8. Malte Sandner & Stephan L. Thomsen & Libertad González Luna, 2020. "Preventing child maltreatment: Beneficial side effects of public childcare provision," Economics Working Papers 1744, Department of Economics and Business, Universitat Pompeu Fabra.
    9. Sandner, Malte, 2018. "Modellprojekt für benachteiligte Familien: Intensive Begleitung hilft Müttern und Kindern (Pilot project for disadvantaged families: Intensive home visiting helps mothers and children)," IAB-Kurzbericht 201806, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    10. Mitchell, Mark, 2020. "The Development of Health and Human Capital Accumulation," MPRA Paper 103711, University Library of Munich, Germany.
    11. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wust, 2020. "The Timing of Early Interventions and Child and Maternal Health," Bristol Economics Discussion Papers 20/720, School of Economics, University of Bristol, UK.

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    More about this item

    Keywords

    Child health; Health inequality; Mental health; Early childhood intervention;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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