IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v376y2025ics0277953625003053.html
   My bibliography  Save this article

Equal before luck? Well-being consequences of personal deprivation and transition

Author

Listed:
  • Costa-Font, Joan
  • Nicińska, Anna
  • Rossello Roig, Melcior

Abstract

Past trauma resulting from personal life shocks, especially during periods of particular volatility such as regime transition (or regime change), can give rise to significant long-lasting effects on people’s health and well-being. We study this question by drawing on longitudinal and retrospective data to examine the effect of past exposure to major individual-level shocks (specifically hunger, persecution, dispossession, and exceptional stress) on current measures of an individual’s health and mental well-being. We examine the effect of the timing of the personal shocks, alongside the additional effect of ‘institutional uncertainty’ resulting from regime change in post-communist European countries. Our findings are as follows. First, we document evidence of the detrimental effects of shocks on a series of relevant health and well-being outcomes. Second, we show evidence of more pronounced detrimental consequences of such personal shocks experienced by individuals living in formerly communist countries (which accrue to about 8% and 10% in the case of persecution and hunger, respectively) than in non-communist countries. The effects are robust and take place in addition to the direct effects of regime change and exposure to personal shocks.

Suggested Citation

  • Costa-Font, Joan & Nicińska, Anna & Rossello Roig, Melcior, 2025. "Equal before luck? Well-being consequences of personal deprivation and transition," Social Science & Medicine, Elsevier, vol. 376(C).
  • Handle: RePEc:eee:socmed:v:376:y:2025:i:c:s0277953625003053
    DOI: 10.1016/j.socscimed.2025.117975
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953625003053
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2025.117975?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 look for a different version below or

    for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    1. Gerard J. van den Berg & Pia R. Pinger & Johannes Schoch, 2016. "Instrumental Variable Estimation of the Causal Effect of Hunger Early in Life on Health Later in Life," Economic Journal, Royal Economic Society, vol. 126(591), pages 465-506, March.
    2. Nikolova, Milena & Popova, Olga, 2024. "Echoes of the past: The enduring impact of communism on contemporary freedom of speech values," Journal of Economic Behavior & Organization, Elsevier, vol. 227(C).
    3. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    4. Sergei Guriev & Ekaterina Zhuravskaya, 2009. "(Un)happiness in Transition," Journal of Economic Perspectives, American Economic Association, vol. 23(2), pages 143-168, Spring.
    5. Xuechao Qian, 2024. "Revolutionized life: long-term effects of childhood exposure to persecution on human capital and marital sorting," Journal of Population Economics, Springer;European Society for Population Economics, vol. 37(1), pages 1-46, March.
    6. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    7. Joan Costa‐Font & Anna Nicińska, 2023. "Comrades in the family? Soviet communism and demand for family insurance," Kyklos, Wiley Blackwell, vol. 76(4), pages 526-612, November.
    8. David M. Cutler & Adriana Lleras-Muney, 2006. "Education and Health: Evaluating Theories and Evidence," NBER Working Papers 12352, National Bureau of Economic Research, Inc.
    9. Taryn Dinkelman, 2017. "Long‐run Health Repercussions of Drought Shocks: Evidence from South African Homelands," Economic Journal, Royal Economic Society, vol. 127(604), pages 1906-1939, September.
    10. repec:aph:ajpbhl:10.2105/ajph.2017.107111736_1 is not listed on IDEAS
    11. Ensor, Tim, 2004. "Informal payments for health care in transition economies," Social Science & Medicine, Elsevier, vol. 58(2), pages 237-246, January.
    12. Iris Kesternich & James P. Smith & Joachim K. Winter & Maximiliane Hörl, 2020. "Early‐Life Circumstances Predict Measures of Trust among Adults: Evidence from Hunger Episodes in Post‐War Germany," Scandinavian Journal of Economics, Wiley Blackwell, vol. 122(1), pages 280-305, January.
    13. Steven Haas, 2007. "The long-term effects of poor childhood health: An assessment and application of retrospective reports," Demography, Springer;Population Association of America (PAA), vol. 44(1), pages 113-135, February.
    14. Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The relationship between physical and mental health: A mediation analysis," Social Science & Medicine, Elsevier, vol. 195(C), pages 42-49.
    15. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2019. "Early Life Circumstance and Adult Mental Health," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1516-1549.
    16. Taryn Dinkelman, 2017. "Long‐Run Health Repercussions of Drought Shocks: Evidence from South African Homelands," Economic Journal, Royal Economic Society, vol. 127(604), pages 1906-1939.
    17. Iris Kesternich & Bettina Siflinger & James P. Smith & Joachim K. Winter, 2014. "The Effects of World War II on Economic and Health Outcomes across Europe," The Review of Economics and Statistics, MIT Press, vol. 96(1), pages 103-118, March.
    18. Megan Beckett & Julie Da Vanzo & Narayan Sastry & Constantijn Panis & Christine Peterson, 2001. "The Quality of Retrospective Data: An Examination of Long-Term Recall in a Developing Country," Journal of Human Resources, University of Wisconsin Press, vol. 36(3), pages 593-625.
    19. repec:hal:spmain:info:hdl:2441/7fst0pcf5j8cr99e1nuobt97rn is not listed on IDEAS
    20. Joan Costa-Font & Anna Nicińska, 2023. "Soviet communism and later-life health and health care," Chapters, in: Joan Costa-Font & Alberto Batinti & Gilberto Turati (ed.), Handbook on the Political Economy of Health Systems, chapter 4, pages 42-56, Edward Elgar Publishing.
    21. Zichen Deng & Maarten Lindeboom, 2022. "Early‐life famine exposure, hunger recall, and later‐life health," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 37(4), pages 771-787, June.
    22. repec:spo:wpmain:info:hdl:2441/7fst0pcf5j8cr99e1nuobt97rn is not listed on IDEAS
    23. Jay Bhattacharya & Christina Gathmann & Grant Miller, 2013. "The Gorbachev Anti-alcohol Campaign and Russia's Mortality Crisis," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 232-260, April.
    24. Bobak, Martin & Pikhart, Hynek & Rose, Richard & Hertzman, Clyde & Marmot, Michael, 2000. "Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries," Social Science & Medicine, Elsevier, vol. 51(9), pages 1343-1350, November.
    25. Cui, Hanxiao & Smith, James P. & Zhao, Yaohui, 2020. "Early-life deprivation and health outcomes in adulthood: Evidence from childhood hunger episodes of middle-aged and elderly Chinese," Journal of Development Economics, Elsevier, vol. 143(C).
    26. Sigerist, H.E., 2017. "The essence of the Soviet health system," American Journal of Public Health, American Public Health Association, vol. 107(11), pages 1736-1738.
    27. Gabriella Conti & James Heckman & Sergio Urzua, 2010. "The Education-Health Gradient," American Economic Review, American Economic Association, vol. 100(2), pages 234-238, May.
    28. 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.
    29. Sachs, J.D. & Woo, W.T., 1994. "Structural Factors in the Economic Reforms of China, Eastern Europe and the Former Soviet Union," Papers 94-01, California Davis - Institute of Governmental Affairs.
    30. Bertoni, Marco, 2015. "Hungry today, unhappy tomorrow? Childhood hunger and subjective wellbeing later in life," Journal of Health Economics, Elsevier, vol. 40(C), pages 40-53.
    31. Lipowicz, Anna & Szklarska, Alicja & Mitas, Andrzej W., 2016. "Biological costs of economic transition: Stress levels during the transition from communism to capitalism in Poland," Economics & Human Biology, Elsevier, vol. 21(C), pages 90-99.
    32. Mauricio Drelichman & Jordi Vidal-Robert & Hans-Joachim Voth, 2021. "The long-run effects of religious persecution: Evidence from the Spanish Inquisition," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(33), pages 2022881118-, August.
    33. Liliya Leopold, 2018. "Education and Physical Health Trajectories in Later Life: A Comparative Study," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 901-927, June.
    34. Costa-Font, Joan & Nicińska, Anna, 2023. "Comrades in the family? Soviet communism and demand for family insurance," LSE Research Online Documents on Economics 118472, London School of Economics and Political Science, LSE Library.
    35. Cockerham, William C. & Hinote, Brian P. & Abbott, Pamela, 2006. "Psychological distress, gender, and health lifestyles in Belarus, Kazakhstan, Russia, and Ukraine," Social Science & Medicine, Elsevier, vol. 63(9), pages 2381-2394, November.
    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. Li, Yanan & Sunder, Naveen, 2021. "What doesn’t kill her, will make her depressed," Economics & Human Biology, Elsevier, vol. 43(C).
    2. 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.
    3. Strulik, Holger, 2018. "The return to education in terms of wealth and health," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 1-14.
    4. Ji, Sisi & Zhu, Zheyi, 2022. "Does higher education matter for health?," Cardiff Economics Working Papers E2022/4, Cardiff University, Cardiff Business School, Economics Section.
    5. Eskander, Shaikh M.S.U. & Barbier, Edward B., 2022. "Long-term impacts of the 1970 cyclone in Bangladesh," World Development, Elsevier, vol. 152(C).
    6. Viinikainen, Jutta & Bryson, Alex & Böckerman, Petri & Kari, Jaana T. & Lehtimäki, Terho & Raitakari, Olli & Viikari, Jorma & Pehkonen, Jaakko, 2022. "Does better education mitigate risky health behavior? A mendelian randomization study," Economics & Human Biology, Elsevier, vol. 46(C).
    7. Deng, Zichen & Lindeboom, Maarten, 2022. "A bit of salt, a trace of life: Gender norms and the impact of a salt iodization program on human capital formation of school aged children," Journal of Health Economics, Elsevier, vol. 83(C).
    8. Mokhtari, MohammadAli, 2023. "Opioids ease my pain: Early-life malnutrition and elderly outcomes," Social Science & Medicine, Elsevier, vol. 327(C).
    9. Fjolla Kondirolli & Naveen Sunder, 2022. "Mental health effects of education," Health Economics, John Wiley & Sons, Ltd., vol. 31(S2), pages 22-39, October.
    10. Strulik, Holger, 2011. "Health and Education: Understanding the Gradient," Hannover Economic Papers (HEP) dp-487, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    11. Ahsan, Md Nazmul & Maharaj, Riddhi, 2018. "Parental human capital and child health at birth in India," Economics & Human Biology, Elsevier, vol. 30(C), pages 130-149.
    12. Lee, Wang-Sheng & Li, Ben G., 2021. "Extreme weather and mortality: Evidence from two millennia of Chinese elites," Journal of Health Economics, Elsevier, vol. 76(C).
    13. Yao, Yuxin & Zhang, Yi, 2023. "The long-term and intergenerational effects of early-life hunger experience on human capital and labor market outcomes," China Economic Review, Elsevier, vol. 77(C).
    14. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Hungry children age faster," Economics & Human Biology, Elsevier, vol. 29(C), pages 211-220.
    15. Mark E McGovern, 2012. "Don't Stress: Early Life Conditions, Hypertension, and Selection into Associated Risk Factors," Working Papers 201227, School of Economics, University College Dublin.
    16. Tansel, Aysit & Keskin, Halil Ibrahim, 2017. "Education Effects on Days Hospitalized and Days out of Work by Gender: Evidence from Turkey," IZA Discussion Papers 11210, Institute of Labor Economics (IZA).
    17. Adamopoulou, Effrosyni & Olivieri, Elisabetta & Triviza, Eleftheria, 2024. "Eating habits, food consumption, and health: The role of early life experiences," European Economic Review, Elsevier, vol. 166(C).
    18. Clémentine Garrouste & Mathilde Godard, 2016. "The lasting health impact of leaving school in a bad economy : Britons in the 1970s recession," Post-Print hal-01408637, HAL.
    19. Christian Posso & Jorge Tamayo & Arlen Guarin & Estefania Saravia, 2024. "Luck of the Draw: The Causal Effect of Physicians on Birth Outcomes," Borradores de Economia 1269, Banco de la Republica de Colombia.
    20. Shoji, Masahiro, 2020. "Early-Life Circumstances and Adult Locus of Control: Evidence from 46 Developing Countries," MPRA Paper 99987, University Library of Munich, Germany.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H79 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Other

    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:socmed:v:376:y:2025:i:c:s0277953625003053. 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/wps/find/journaldescription.cws_home/315/description#description .

    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.