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A time-series analysis of unemployment and health : The case of birth outcomes in New York city

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  • Joyce, Theodore

Abstract

Lifetime income is less variable than annual household income, since the latter reflects transitory shocks to wages, family status, and employment. The paper presents an aggregate time-series analysis of unemployment and infant health that improves on previous work in several ways. First, the data is monthly as opposed to annual and pertains to New York City from January, 1970 to December, 1986. Second, a structural production function is estimated in which the race-specific percentage of low-birthweight births is the health outcome. Because we are able to control for the race-specific percentage of women who begin care in the first trimester as well as the percentage of births to unmarried mothers, the unemployment rate as a proxy for maternal stress enters the production function as one among a set of well-defined health Inputs. Third, because a pregnancy is limited to at most ten months, we can specify a lag length with confidence. Fourth. the data is tested for stationarity and the production function is estimated in levels as well as in deviations from trend. We find no cyclical variation in the percentage of low-birthweight births. The results are insensitive to changes in lag length. the omission of relevant inputs, and the functional form of the coefficients on the distributed lag.
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  • Joyce, Theodore, 1990. "A time-series analysis of unemployment and health : The case of birth outcomes in New York city," Journal of Health Economics, Elsevier, vol. 8(4), pages 419-436, February.
    • Handle: RePEc:eee:jhecon:v:8:y:1990:i:4:p:419-436
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    1. Reichman, Nancy E. & Florio, Maryanne J., 1996. "The effects of enriched prenatal care services on Medicaid birth outcomes in New Jersey," Journal of Health Economics, Elsevier, vol. 15(4), pages 455-476, August.
    2. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    3. Theodore Joyce & Naci Mocan, 1993. "Unemployment and Infant Health: Time-Series Evidence from the State of Tennessee," Journal of Human Resources, University of Wisconsin Press, vol. 28(1), pages 185-203.
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    5. John Cawley & Kosali I. Simon, 2003. "The Impact of Macroeconomic Conditions on the Health Insurance Coverage of Americans," NBER Chapters, in: Frontiers in Health Policy Research, Volume 6, pages 87-114, National Bureau of Economic Research, Inc.
    6. Audrey Laporte, 2004. "Do economic cycles have a permanent effect on population health? Revisiting the Brenner hypothesis," Health Economics, John Wiley & Sons, Ltd., vol. 13(8), pages 767-779, August.
    7. Vanessa M Oddo & Jessica C Jones-Smith, 2020. "Unemployment during the Great Recession and Large-for-Gestational-Age births," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-12, May.
    8. Stewart, Jennifer M., 2001. "The impact of health status on the duration of unemployment spells and the implications for studies of the impact of unemployment on health status," Journal of Health Economics, Elsevier, vol. 20(5), pages 781-796, September.
    9. Védís Helga Eiríksdóttir & Tinna Laufey Ásgeirsdóttir & Ragnheiður Ingibjörg Bjarnadóttir & Robert Kaestner & Sven Cnattingius & Unnur Anna Valdimarsdóttir, 2013. "Low Birth Weight, Small for Gestational Age and Preterm Births before and after the Economic Collapse in Iceland: A Population Based Cohort Study," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-9, December.

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