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Gender-Specific Effects of Prenatal Famine Exposure on Educational Attainment: Accounting for Selective Mortality

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  • Hiroyuki Kasahara
  • Weina Zhou

Abstract

Selective mortality and fertility issues are persistent challenges in estimating the fetal origin effect, with attempts to address these issues being notably scarce. Evidence further suggests that selective mortality is more pronounced in males than in females. This study investigates the causal effects of prenatal exposure to the Great Chinese Famine on educational attainment by addressing gender-specific selection bias. We compare exposed individuals with their unexposed, same-gender siblings, using a famine intensity measure based on county-year level excess death rates. Our findings reveal remarkably similar consequences for both genders: on average, famine exposure increased illiteracy rates by 4 percentage points and decreased years of schooling by 0.3 years for both males and females. These results contribute to our understanding of the long-term impacts of prenatal malnutrition, while accounting for gender-specific selection biases.

Suggested Citation

  • Hiroyuki Kasahara & Weina Zhou, 2026. "Gender-Specific Effects of Prenatal Famine Exposure on Educational Attainment: Accounting for Selective Mortality," Papers 2603.01496, arXiv.org.
  • Handle: RePEc:arx:papers:2603.01496
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    1. Gørgens, Tue & Meng, Xin & Vaithianathan, Rhema, 2012. "Stunting and selection effects of famine: A case study of the Great Chinese Famine," Journal of Development Economics, Elsevier, vol. 97(1), pages 99-111.
    2. Yuyu Chen & Hongbin Li & Lingsheng Meng, 2013. "Prenatal Sex Selection and Missing Girls in China: Evidence from the Diffusion of Diagnostic Ultrasound," Journal of Human Resources, University of Wisconsin Press, vol. 48(1), pages 36-70.
    3. Jessica Leight & Elaine M. Liu, 2020. "Maternal Education, Parental Investment, and Noncognitive Characteristics in Rural China," Economic Development and Cultural Change, University of Chicago Press, vol. 69(1), pages 213-251.
    4. Dagnelie, Olivier & Luca, Giacomo Davide De & Maystadt, Jean-François, 2018. "Violence, selection and infant mortality in Congo," Journal of Health Economics, Elsevier, vol. 59(C), pages 153-177.
    5. 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.
    6. J. Peter Nilsson, 2017. "Alcohol Availability, Prenatal Conditions, and Long-Term Economic Outcomes," Journal of Political Economy, University of Chicago Press, vol. 125(4), pages 1149-1207.
    7. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    8. 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.
    9. Zhou, Weina, 2014. "Brothers, household financial markets and savings rate in China," Journal of Development Economics, Elsevier, vol. 111(C), pages 34-47.
    10. SHI, Xinzheng, 2011. "Famine, fertility, and fortune in china," China Economic Review, Elsevier, vol. 22(2), pages 244-259, June.
    11. Wei Li & Dennis Tao Yang, 2005. "The Great Leap Forward: Anatomy of a Central Planning Disaster," Journal of Political Economy, University of Chicago Press, vol. 113(4), pages 840-877, August.
    12. Akbulut-Yuksel, Mevlude, 2017. "War during childhood: The long run effects of warfare on health," Journal of Health Economics, Elsevier, vol. 53(C), pages 117-130.
    13. Amy Hsin, 2012. "Is Biology Destiny? Birth Weight and Differential Parental Treatment," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1385-1405, November.
    14. Song, Shige, 2010. "Mortality consequences of the 1959-1961 Great Leap Forward famine in China: Debilitation, selection, and mortality crossovers," Social Science & Medicine, Elsevier, vol. 71(3), pages 551-558, August.
    15. Jessica Leight, 2017. "Sibling Rivalry: Endowment and Intrahousehold Allocation in Gansu Province, China," Economic Development and Cultural Change, University of Chicago Press, vol. 65(3), pages 457-493.
    16. Janet Currie & Tom Vogl, 2013. "Early-Life Health and Adult Circumstance in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 5(1), pages 1-36, May.
    17. Junjian Yi & James J. Heckman & Junsen Zhang & Gabriella Conti, 2015. "Early Health Shocks, Intra†household Resource Allocation and Child Outcomes," Economic Journal, Royal Economic Society, vol. 125(588), pages 347-371, November.
    18. Valente, Christine, 2015. "Civil conflict, gender-specific fetal loss, and selection: A new test of the Trivers–Willard hypothesis," Journal of Health Economics, Elsevier, vol. 39(C), pages 31-50.
    19. Lin, Justin Yifu & Yang, Dennis Tao, 2000. "Food Availability, Entitlements and the Chinese Famine of 1959-61," Economic Journal, Royal Economic Society, vol. 110(460), pages 136-158, January.
    20. 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.
    21. 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.
    22. Douglas Almond & Lena Edlund & Hongbin Li & Junsen Zhang, 2010. "Long-Term Effects of Early-Life Development: Evidence from the 1959 to 1961 China Famine," NBER Chapters, in: The Economic Consequences of Demographic Change in East Asia, pages 321-345, National Bureau of Economic Research, Inc.
    23. 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).
    24. Maria Rosales-Rueda & Margaret Triyana, 2019. "The Persistent Effects of Early-Life Exposure to Air Pollution: Evidence from the Indonesian Forest Fires," Journal of Human Resources, University of Wisconsin Press, vol. 54(4), pages 1037-1080.
    25. Wang, Shun & Zhou, Weina, 2017. "The Unintended Long-Term Consequences of Mao’s Mass Send-Down Movement: Marriage, Social Network, and Happiness," World Development, Elsevier, vol. 90(C), pages 344-359.
    26. Singhal, Saurabh, 2019. "Early life shocks and mental health: The long-term effect of war in Vietnam," Journal of Development Economics, Elsevier, vol. 141(C).
    27. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    28. Huang, Cheng & Phillips, Michael R. & Zhang, Yali & Zhang, Jingxuan & Shi, Qichang & Song, Zhiqiang & Ding, Zhijie & Pang, Shutao & Martorell, Reynaldo, 2013. "Malnutrition in early life and adult mental health: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 97(C), pages 259-266.
    29. Chen, Xi, 2022. "Early Life Circumstances and the Health of Older Adults: A Research Note," IZA Discussion Papers 15511, IZA Network @ LISER.
    30. James Heckman, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    31. Chen, Yuyu & Zhou, Li-An, 2007. "The long-term health and economic consequences of the 1959-1961 famine in China," Journal of Health Economics, Elsevier, vol. 26(4), pages 659-681, July.
    32. Xin Meng & Nancy Qian & Pierre Yared, 2015. "The Institutional Causes of China's Great Famine, 1959–1961," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 82(4), pages 1568-1611.
    33. Venkataramani, Atheendar S., 2012. "Early life exposure to malaria and cognition in adulthood: Evidence from Mexico," Journal of Health Economics, Elsevier, vol. 31(5), pages 767-780.
    34. Maria Rosales-Rueda & Margaret Triyana, 2019. "The Persistent Effects of Early-Life Exposure to Air Pollution: Evidence from the Indonesian Forest Fires," Working Papers Rutgers University, Newark 2019-002, Department of Economics, Rutgers University, Newark.
    35. Armijos Bravo, Grace & Vall Castelló, Judit, 2021. "Terrorist attacks, Islamophobia and newborns’ health," Journal of Health Economics, Elsevier, vol. 79(C).
    36. Xin Meng & Nancy Qian, 2009. "The Long Term Consequences of Famine on Survivors: Evidence from a Unique Natural Experiment using China's Great Famine," NBER Working Papers 14917, National Bureau of Economic Research, Inc.
    37. van Ewijk, Reyn & Lindeboom, Maarten, 2022. "Selective mortality and fertility and long run health effects of prenatal wartime exposure," Economics & Human Biology, Elsevier, vol. 47(C).
    38. Angrist, Joshua D., 1997. "Conditional independence in sample selection models," Economics Letters, Elsevier, vol. 54(2), pages 103-112, February.
    39. N. Meltem Daysal & Marianne Simonsen & Mircea Trandafir & Sanni Breining, 2022. "Spillover Effects of Early-Life Medical Interventions," The Review of Economics and Statistics, MIT Press, vol. 104(1), pages 1-16, March.
    40. Sharon Maccini & Dean Yang, 2009. "Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall," American Economic Review, American Economic Association, vol. 99(3), pages 1006-1026, June.
    41. Douglas Almond & Bhashkar Mazumder, 2011. "Health Capital and the Prenatal Environment: The Effect of Ramadan Observance during Pregnancy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(4), pages 56-85, October.
    42. Mu, Ren & Zhang, Xiaobo, 2011. "Why does the Great Chinese Famine affect the male and female survivors differently? Mortality selection versus son preference," Economics & Human Biology, Elsevier, vol. 9(1), pages 92-105, January.
    43. Janet Currie & Reed Walker, 2011. "Traffic Congestion and Infant Health: Evidence from E-ZPass," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 65-90, January.
    44. Shang-Jin Wei & Xiaobo Zhang, 2011. "The Competitive Saving Motive: Evidence from Rising Sex Ratios and Savings Rates in China," Journal of Political Economy, University of Chicago Press, vol. 119(3), pages 511-564.
    45. Sanders, Nicholas J. & Stoecker, Charles, 2015. "Where have all the young men gone? Using sex ratios to measure fetal death rates," Journal of Health Economics, Elsevier, vol. 41(C), pages 30-45.
    46. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    47. Greve, Jane & Schultz-Nielsen, Marie Louise & Tekin, Erdal, 2017. "Fetal malnutrition and academic success: Evidence from Muslim immigrants in Denmark," Economics of Education Review, Elsevier, vol. 60(C), pages 20-35.
    48. Eyal G. Frank & Qinyun Wang & Shaoda Wang & Xuebin Wang & Yang You, 2025. "Campaigning for Extinction: Eradication of Sparrows and the Great Famine in China," NBER Working Papers 34087, National Bureau of Economic Research, Inc.
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    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C10 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - General
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education

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