IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v33y2024i5p971-991.html
   My bibliography  Save this article

The effects of social pensions on nutrition‐related health outcomes of the poor: Quasi‐experimental evidence from Peru

Author

Listed:
  • Noelia Bernal
  • Javier Olivera
  • Marc Suhrcke

Abstract

This paper exploits the discontinuity around a welfare index of eligibility to assess the impact of Peru's social pension program Pension 65 on nutrition‐related health outcomes among elderly poor individuals. Overall, we find evidence of how a relatively inexpensive program can produce improvements in anemia and nutrition‐related mortality risk markers. The effects appear to be driven by plausible underlying mechanisms, including via improved nutritional quality as well as greater food expenditures and healthcare utilization. These positive effects are only modestly countered by tentative signs of an increased obesity risk among women in the short term (

Suggested Citation

  • Noelia Bernal & Javier Olivera & Marc Suhrcke, 2024. "The effects of social pensions on nutrition‐related health outcomes of the poor: Quasi‐experimental evidence from Peru," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 971-991, May.
  • Handle: RePEc:wly:hlthec:v:33:y:2024:i:5:p:971-991
    DOI: 10.1002/hec.4806
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4806
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4806?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
    ---><---

    References listed on IDEAS

    as
    1. 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," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt15n8j26f, Department of Agricultural & Resource Economics, UC Berkeley.
    2. Davezies, Laurent & Le Barbanchon, Thomas, 2017. "Regression discontinuity design with continuous measurement error in the running variable," Journal of Econometrics, Elsevier, vol. 200(2), pages 260-281.
    3. Bernal, Noelia & Carpio, Miguel A. & Klein, Tobias J., 2017. "The effects of access to health insurance: Evidence from a regression discontinuity design in Peru," Journal of Public Economics, Elsevier, vol. 154(C), pages 122-136.
    4. Bugni, Federico A. & Canay, Ivan A., 2021. "Testing continuity of a density via g-order statistics in the regression discontinuity design," Journal of Econometrics, Elsevier, vol. 221(1), pages 138-159.
    5. Sebastian Calonico & Matias D. Cattaneo & Rocio Titiunik, 2014. "Robust Nonparametric Confidence Intervals for Regression‐Discontinuity Designs," Econometrica, Econometric Society, vol. 82, pages 2295-2326, November.
    6. Barrientos, Armando, 2012. "Social Transfers and Growth: What Do We Know? What Do We Need to Find Out?," World Development, Elsevier, vol. 40(1), pages 11-20.
    7. Yingying Dong & Arthur Lewbel, 2015. "Identifying the Effect of Changing the Policy Threshold in Regression Discontinuity Models," The Review of Economics and Statistics, MIT Press, vol. 97(5), pages 1081-1092, December.
    8. 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.
    9. Variyam, Jayachandran, 2003. "Factors Affecting the Macronutrient Intake of U.S. Adults," Technical Bulletins 184322, United States Department of Agriculture, Economic Research Service.
    10. Wei Huang & Chuanchuan Zhang, 2021. "The Power of Social Pensions: Evidence from China's New Rural Pension Scheme," American Economic Journal: Applied Economics, American Economic Association, vol. 13(2), pages 179-205, April.
    11. Matias D. Cattaneo & Michael Jansson & Xinwei Ma, 2018. "Manipulation testing based on density discontinuity," Stata Journal, StataCorp LP, vol. 18(1), pages 234-261, March.
    12. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    13. Alberto Abadie & Susan Athey & Guido W. Imbens & Jeffrey M. Wooldridge, 2020. "Sampling‐Based versus Design‐Based Uncertainty in Regression Analysis," Econometrica, Econometric Society, vol. 88(1), pages 265-296, January.
    14. Variyam, Jayachandran N., 2003. "Factors Affecting the Macronutrient Intake of U.S. Adults," Technical Bulletins 33572, United States Department of Agriculture, Economic Research Service.
    15. Martínez, Rodrigo & Palma, Amalia, 2014. "Seguridad alimentaria y nutricional en cuatro países andinos: una propuesta de seguimiento y análisis," Políticas Sociales 36773, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    16. Wei Huang & Xiaoyan Lei & Geert Ridder & John Strauss & Yaohui Zhao, 2013. "Health, Height, Height Shrinkage, and SES at Older Ages: Evidence from China," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 86-121, April.
    17. Enrico Miglino & Nicolás Navarrete H. & Gonzalo Navarrete H. & Pablo Navarrete H., 2023. "Health Effects of Increasing Income for the Elderly: Evidence from a Chilean Pension Program," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 370-393, February.
    18. Peter Lloyd-Sherlock & Sutapa Agrawal, 2014. "Pensions and the Health of Older People in South Africa: Is there an Effect?," Journal of Development Studies, Taylor & Francis Journals, vol. 50(11), pages 1570-1586, November.
    19. Jensen, Robert T. & Richter, Kaspar, 2004. "The health implications of social security failure: evidence from the Russian pension crisis," Journal of Public Economics, Elsevier, vol. 88(1-2), pages 209-236, January.
    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. Bernal, Noelia & Costa-Font, Joan & Ritter, Patricia, 2022. "The Effect of Health Insurance on Child Nutritional Outcomes. Evidence from a Regression Discontinuity Design in Peru," IZA Discussion Papers 15490, Institute of Labor Economics (IZA).
    2. Jose A. Valderrama & Javier Olivera, 2023. "The effects of social pensions on mortality among the extreme poor elderly," Documentos de Trabajo / Working Papers 2023-525, Departamento de Economía - Pontificia Universidad Católica del Perú.
    3. Hsu, Yu-Chin & Shen, Shu, 2019. "Testing treatment effect heterogeneity in regression discontinuity designs," Journal of Econometrics, Elsevier, vol. 208(2), pages 468-486.
    4. Mauricio Villamizar‐Villegas & Freddy A. Pinzon‐Puerto & Maria Alejandra Ruiz‐Sanchez, 2022. "A comprehensive history of regression discontinuity designs: An empirical survey of the last 60 years," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 1130-1178, September.
    5. Di Giacomo, Marina & Piacenza, Massimiliano & Siciliani, Luigi & Turati, Gilberto, 2022. "The effect of co-payments on the take-up of prenatal tests," Journal of Health Economics, Elsevier, vol. 81(C).
    6. Blaise Melly & Rafael Lalive, 2020. "Estimation, Inference, and Interpretation in the Regression Discontinuity Design," Diskussionsschriften dp2016, Universitaet Bern, Departement Volkswirtschaft.
    7. Cantoni, Enrico & Gazzè, Ludovica & Schafer, Jerome, 2021. "Turnout in concurrent elections: Evidence from two quasi-experiments in Italy," European Journal of Political Economy, Elsevier, vol. 70(C).
    8. Özler, Berk & Çelik, Çiğdem & Cunningham, Scott & Cuevas, P. Facundo & Parisotto, Luca, 2021. "Children on the move: Progressive redistribution of humanitarian cash transfers among refugees," Journal of Development Economics, Elsevier, vol. 153(C).
    9. Depew, Briggs & Eren, Ozkan, 2016. "Born on the wrong day? School entry age and juvenile crime," Journal of Urban Economics, Elsevier, vol. 96(C), pages 73-90.
    10. Utteeyo Dasgupta & Subha Mani & Smriti Sharma & Saurabh Singhal, 2022. "Effects of Peers and Rank on Cognition, Preferences, and Personality," The Review of Economics and Statistics, MIT Press, vol. 104(3), pages 587-601, May.
    11. Siu, Jade & Sterck, Olivier & Rodgers, Cory, 2023. "The freedom to choose: Theory and quasi-experimental evidence on cash transfer restrictions," Journal of Development Economics, Elsevier, vol. 161(C).
    12. Fort, Margherita & Ichino, Andrea & Zanella, Giulio, 2016. "Cognitive and Non-Cognitive Costs of Daycare 0–2 for Girls," IZA Discussion Papers 9756, Institute of Labor Economics (IZA).
    13. Noelia Bernal & Javier Olivera & Marc Suhrcke, 2022. "Assessing heterogeneity in the health effects of social pensions among the poor elderly: evidence from Peru," LISER Working Paper Series 2022-01, Luxembourg Institute of Socio-Economic Research (LISER).
    14. Matias D. Cattaneo & Rocío Titiunik, 2022. "Regression Discontinuity Designs," Annual Review of Economics, Annual Reviews, vol. 14(1), pages 821-851, August.
    15. Zhuang Hao & Huihui Cheng & Till Bärnighausen & Simiao Chen, 2024. "The effects of parental retirement on adult children's health: Evidence from China," Health Economics, John Wiley & Sons, Ltd., vol. 33(1), pages 12-20, January.
    16. Chakravarty, Shubha & Lundberg, Mattias & Nikolov, Plamen & Zenker, Juliane, 2019. "Vocational training programs and youth labor market outcomes: Evidence from Nepal," Journal of Development Economics, Elsevier, vol. 136(C), pages 71-110.
    17. Mohamed Abouaziza, 2022. "Farmer constraints and relational contracts: evidence from agricultural value chains in East Africa," Economics PhD Theses 0122, Department of Economics, University of Sussex Business School.
    18. Mellace, Giovanni & Ventura, Marco, 2019. "Intended and unintended effects of public incentives for innovation. Quasi-experimental evidence from Italy," Discussion Papers on Economics 9/2019, University of Southern Denmark, Department of Economics.
    19. Vanessa Cirulli & Giuliano Resce & Marco Ventura, 2021. "Co-payment exemption and healthcare consumption. Quasi-experimental evidence from Italy," Working Papers in Public Economics 203, University of Rome La Sapienza, Department of Economics and Law.
    20. Yoichi Arai & Yu‐Chin Hsu & Toru Kitagawa & Ismael Mourifié & Yuanyuan Wan, 2022. "Testing identifying assumptions in fuzzy regression discontinuity designs," Quantitative Economics, Econometric Society, vol. 13(1), pages 1-28, January.

    More about this item

    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:wly:hlthec:v:33:y:2024:i:5:p:971-991. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.