IDEAS home Printed from https://ideas.repec.org/a/eee/jhecon/v98y2024ics0167629624000821.html
   My bibliography  Save this article

Universal free school meals and children’s bodyweight. Impacts by age and duration of exposure

Author

Listed:
  • Holford, Angus
  • Rabe, Birgitta

Abstract

We study the impact on children’s bodyweight of switching from means-tested to universal provision of nutritious free school meals in England. We exploit the roll-out of universal provision across Local Authorities to estimate effects at different ages and durations of exposure, based on nurse-collected, population-wide health data for state school children. Exposure to universal free lunches reduces obesity prevalence and BMI among children aged 4–5 and 10–11, but older children’s bodyweights are less responsive than younger children’s. We find tentative evidence that effects may be cumulative, as impacts are largest for those exposed to universal free school meals throughout primary school.

Suggested Citation

  • Holford, Angus & Rabe, Birgitta, 2024. "Universal free school meals and children’s bodyweight. Impacts by age and duration of exposure," Journal of Health Economics, Elsevier, vol. 98(C).
  • Handle: RePEc:eee:jhecon:v:98:y:2024:i:c:s0167629624000821
    DOI: 10.1016/j.jhealeco.2024.102937
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167629624000821
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.jhealeco.2024.102937?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 search for a different version of it.

    References listed on IDEAS

    as
    1. Anderson, Patricia M. & Butcher, Kristin F. & Cascio, Elizabeth U. & Schanzenbach, Diane Whitmore, 2011. "Is being in school better? The impact of school on children's BMI when starting age is endogenous," Journal of Health Economics, Elsevier, vol. 30(5), pages 977-986.
    2. Michah W. Rothbart & Amy Ellen Schwartz & Emily Gutierrez, 2023. "Paying for Free Lunch: The Impact of CEP Universal Free Meals on Revenues, Spending, and Student Health," Education Finance and Policy, MIT Press, vol. 18(4), pages 708-737, Fall.
    3. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    4. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    5. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    6. 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.
    7. C de Chaisemartin & X D’HaultfŒuille, 2018. "Fuzzy Differences-in-Differences," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 85(2), pages 999-1028.
    8. Kirill Borusyak & Xavier Jaravel & Jann Spiess, 2024. "Revisiting Event-Study Designs: Robust and Efficient Estimation," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 91(6), pages 3253-3285.
    9. Heckman, James J., 2007. "The Economics, Technology and Neuroscience of Human Capability Formation," IZA Discussion Papers 2875, Institute of Labor Economics (IZA).
    10. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    11. Petter Lundborg & Dan-Olof Rooth & Jesper Alex-Petersen, 2022. "Long-Term Effects of Childhood Nutrition: Evidence from a School Lunch Reform," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(2), pages 876-908.
    12. 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.
    13. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    14. Amy Ellen Schwartz & Michah W. Rothbart, 2020. "Let Them Eat Lunch: The Impact of Universal Free Meals on Student Performance," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(2), pages 376-410, March.
    15. Leos-Urbel, Jacob & Schwartz, Amy Ellen & Weinstein, Meryle & Corcoran, Sean, 2013. "Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomes," Economics of Education Review, Elsevier, vol. 36(C), pages 88-107.
    16. Jonathan Roth, 2022. "Pretest with Caution: Event-Study Estimates after Testing for Parallel Trends," American Economic Review: Insights, American Economic Association, vol. 4(3), pages 305-322, September.
    17. Andrew Goodman-Bacon, 2021. "The Long-Run Effects of Childhood Insurance Coverage: Medicaid Implementation, Adult Health, and Labor Market Outcomes," American Economic Review, American Economic Association, vol. 111(8), pages 2550-2593, August.
    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. Arne Henningsen & Guy Low & David Wuepper & Tobias Dalhaus & Hugo Storm & Dagim Belay & Stefan Hirsch, 2024. "Estimating Causal Effects with Observational Data: Guidelines for Agricultural and Applied Economists," IFRO Working Paper 2024/03, University of Copenhagen, Department of Food and Resource Economics.
    2. Cl'ement de Chaisemartin & Xavier D'Haultf{oe}uille, 2021. "Two-Way Fixed Effects and Differences-in-Differences with Heterogeneous Treatment Effects: A Survey," Papers 2112.04565, arXiv.org, revised Jun 2022.
    3. Davis, Will & Kreisman, Daniel & Musaddiq, Tareena, 2023. "The Effect of Universal Free School Meals on Child BMI," IZA Discussion Papers 16387, Institute of Labor Economics (IZA).
    4. Roth, Jonathan & Sant’Anna, Pedro H.C. & Bilinski, Alyssa & Poe, John, 2023. "What’s trending in difference-in-differences? A synthesis of the recent econometrics literature," Journal of Econometrics, Elsevier, vol. 235(2), pages 2218-2244.
    5. Brewer, Mike & Dang, Thang & Tominey, Emma, 2024. "Universal Credit: Welfare reform and mental health," Journal of Health Economics, Elsevier, vol. 98(C).
    6. Gregory Faletto, 2023. "Fused Extended Two-Way Fixed Effects for Difference-in-Differences With Staggered Adoptions," Papers 2312.05985, arXiv.org, revised Apr 2025.
    7. Kihwan Bae & Edward Timmons, 2023. "Now You Can Take It with You: Effects of Occupational Credential Recognition on Labor Market Outcomes," Working Papers 23-03, Department of Economics, West Virginia University.
    8. Clément de Chaisemartin & Xavier D’Haultfœuille, 2023. "Two-way fixed effects and differences-in-differences with heterogeneous treatment effects: a survey," The Econometrics Journal, Royal Economic Society, vol. 26(3), pages 1-30.
    9. Sarah Gust, 2024. "(Not) Going to School in Times of Climate Change: Natural Disasters and Student Achievement," ifo Working Paper Series 413, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    10. Albert Chiu & Xingchen Lan & Ziyi Liu & Yiqing Xu, 2023. "Causal Panel Analysis under Parallel Trends: Lessons from a Large Reanalysis Study," Papers 2309.15983, arXiv.org, revised Jun 2025.
    11. Kotyrlo, Elena, 2024. "Simple and complex difference-in-differences approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 73, pages 119-142.
    12. Bradford, Ashley C. & Fu, Wei & You, Shijun, 2024. "The devastating dance between opioid and housing crises: Evidence from OxyContin reformulation," Journal of Health Economics, Elsevier, vol. 98(C).
    13. Aggarwal, Khushboo & Barua, Rashmi & Vidal-Fernandez, Marian, 2024. "Still Waters Run Deep: Groundwater Contamination and Education Outcomes in India," Economics of Education Review, Elsevier, vol. 100(C).
    14. Cannon Cloud & Simon He{ss} & Johannes Kasinger, 2022. "Do shared e-scooter services cause traffic accidents? Evidence from six European countries," Papers 2209.06870, arXiv.org, revised Sep 2022.
    15. Coraggio, Luca & Pagano, Marco & Scognamiglio, Annalisa & Tåg, Joacim, 2025. "JAQ of all trades: Job mismatch, firm productivity and managerial quality," Journal of Financial Economics, Elsevier, vol. 164(C).
    16. Mark Kattenberg & Bas Scheer & Jurre Thiel, 2023. "Causal forests with fixed effects for treatment effect heterogeneity in difference-in-differences," CPB Discussion Paper 452, CPB Netherlands Bureau for Economic Policy Analysis.
    17. repec:osf:socarx:v75aw_v1 is not listed on IDEAS
    18. Paul Bingley & Lorenzo Cappellari & Marco Ovidi, 2023. "When it hurts the most: timing of parental job loss and a child’s education," LISER Working Paper Series 2023-12, Luxembourg Institute of Socio-Economic Research (LISER).
    19. Simon Freyaldenhoven & Christian B. Hansen & Jorge Pérez Pérez & Jesse M. Shapiro & Constantino Carreto, 2024. "Policy Effect Estimation and Visualization in Linear Panel Event-Study Designs: Introducing the xtevent Package," Working Papers 2024-09, Banco de México.
    20. Ciani, Andrea & Stiebale, Joel, 2024. "Export Performance Under Domestic Anti-Dumping Protection," World Development, Elsevier, vol. 183(C).
    21. Acosta, Miguel & Mueller, Andreas I. & Nakamura, Emi & Steinsson, Jon, 2023. "Macroeconomic Effects of UI Extensions at Short and Long Durations," CEPR Discussion Papers 18534, C.E.P.R. Discussion Papers.

    More about this item

    Keywords

    School meals; Free lunch; Childhood obesity; Universalism; Difference-in-difference;
    All these keywords.

    JEL classification:

    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    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:jhecon:v:98:y:2024:i:c:s0167629624000821. 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 (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/505560 .

    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.