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Evaluating the Effects of a Targeted Home Visiting Program on Maternal and Child Health Outcomes

Author

Listed:
  • Malte Sandner

    () (University College London)

  • Thomas Cornelissen

    () (University of York)

  • Tanja Jungmann

    () (Universität Rostock)

  • Peggy Herrmann

    () (Hannover Medical School)

Abstract

We evaluate the effects of home visiting targeted towards disadvantaged first-time mothers on maternal and child health outcomes. Our analysis exploits a randomized controlled trial and combines rich longitudinal survey data with unique administrative health data. In a context in which the target group has comprehensive health care access, we find that home visiting has no effects on most types of health utilization, health behaviors, and physical health measures. However, the intervention has a remarkably robust and sizable positive effect on maternal mental health, reducing depressions reported in the survey data and prescriptions of psycholeptics recorded in the administrative data.

Suggested Citation

  • Malte Sandner & Thomas Cornelissen & Tanja Jungmann & Peggy Herrmann, 2017. "Evaluating the Effects of a Targeted Home Visiting Program on Maternal and Child Health Outcomes," Working Papers 2017-031, Human Capital and Economic Opportunity Working Group.
    • Handle: RePEc:hka:wpaper:2017-031
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    as
    1. John A. List & Azeem M. Shaikh & Yang Xu, 2019. "Multiple hypothesis testing in experimental economics," Experimental Economics, Springer;Economic Science Association, vol. 22(4), pages 773-793, December.
    2. Joseph P. Romano & Michael Wolf, 2005. "Stepwise Multiple Testing as Formalized Data Snooping," Econometrica, Econometric Society, vol. 73(4), pages 1237-1282, July.
    3. James J. Heckman & Margaret L. Holland & Kevin K. Makino & Rodrigo Pinto & Maria Rosales-Rueda, 2017. "An Analysis of the Memphis Nurse-Family Partnership Program," NBER Working Papers 23610, National Bureau of Economic Research, Inc.
    4. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income‐related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628, July.
    5. Apouey, Bénédicte & Geoffard, Pierre-Yves, 2013. "Family income and child health in the UK," Journal of Health Economics, Elsevier, vol. 32(4), pages 715-727.
    6. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    7. Hilary Hoynes & Doug Miller & David Simon, 2015. "Income, the Earned Income Tax Credit, and Infant Health," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 172-211, February.
    8. Jens Ludwig & Greg J. Duncan & Lisa A. Gennetian & Lawrence F. Katz & Ronald C. Kessler & Jeffrey R. Kling & Lisa Sanbonmatsu, 2013. "Long-Term Neighborhood Effects on Low-Income Families: Evidence from Moving to Opportunity," American Economic Review, American Economic Association, vol. 103(3), pages 226-231, May.
    9. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
    10. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    11. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, Oxford University Press, vol. 127(3), pages 1057-1106.
    12. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    13. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    14. 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.
    15. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    16. David Figlio & Jonathan Guryan & Krzysztof Karbownik & Jeffrey Roth, 2014. "The Effects of Poor Neonatal Health on Children's Cognitive Development," American Economic Review, American Economic Association, vol. 104(12), pages 3921-3955, December.
    17. 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.
    18. James Heckman & Seong Hyeok Moon & Rodrigo Pinto & Peter Savelyev & Adam Yavitz, 2010. "Analyzing social experiments as implemented: A reexamination of the evidence from the HighScope Perry Preschool Program," Quantitative Economics, Econometric Society, vol. 1(1), pages 1-46, July.
    19. Simon Condliffe & Charles R. Link, 2008. "The Relationship between Economic Status and Child Health: Evidence from the United States," American Economic Review, American Economic Association, vol. 98(4), pages 1605-1618, September.
    20. Carlson, Kyle, 2015. "Fear itself: The effects of distressing economic news on birth outcomes," Journal of Health Economics, Elsevier, vol. 41(C), pages 117-132.
    21. Kevin Milligan & Mark Stabile, 2011. "Do Child Tax Benefits Affect the Well-Being of Children? Evidence from Canadian Child Benefit Expansions," American Economic Journal: Economic Policy, American Economic Association, vol. 3(3), pages 175-205, August.
    22. Doyle, Orla & Fitzpatrick, Nick & Lovett, Judy & Rawdon, Caroline, 2015. "Early intervention and child physical health: Evidence from a Dublin-based randomized controlled trial," Economics & Human Biology, Elsevier, vol. 19(C), pages 224-245.
    23. Janet Currie & Mark Stabile & Phongsack Manivong & Leslie L. Roos, 2010. "Child Health and Young Adult Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    24. 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.
    25. Romano, Joseph P. & Wolf, Michael, 2016. "Efficient computation of adjusted p-values for resampling-based stepdown multiple testing," Statistics & Probability Letters, Elsevier, vol. 113(C), pages 38-40.
    26. Sandner, Malte & Jungmann, Tanja, 2017. "Gender-specific effects of early childhood intervention: Evidence from a randomized controlled trial," Labour Economics, Elsevier, vol. 45(C), pages 59-78.
    27. Currie, Janet, 2000. "Child health in developed countries," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.),Handbook of Health Economics, edition 1, volume 1, chapter 19, pages 1053-1090, Elsevier.
    28. Wildman, John, 2003. "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time," Journal of Health Economics, Elsevier, vol. 22(2), pages 295-312, March.
    29. Kuehnle, Daniel, 2014. "The causal effect of family income on child health in the UK," Journal of Health Economics, Elsevier, vol. 36(C), pages 137-150.
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    Citations

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    Cited by:

    1. Deirdre Coy & Orla Doyle, 2020. "Should Early Health Investments Work? Evidence from an RCT of a Home Visiting Programme," Working Papers 202006, Geary Institute, University College Dublin.
    2. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," CEBI working paper series 20-09, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    3. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wüst & Johannes Wohlfart, 2020. "Missing a Nurse Visit," Discussion Papers 20-09, University of Copenhagen. Department of Economics.
    4. Sandner, Malte & Thomsen, Stephan L., 2018. "The Effects of Universal Public Childcare Provision on Cases of Child Neglect and Abuse," IZA Discussion Papers 11687, Institute of Labor Economics (IZA).
    5. Malte Sandner & Stephan L. Thomsen & Libertad González Luna, 2020. "Preventing child maltreatment: Beneficial side effects of public childcare provision," Economics Working Papers 1744, Department of Economics and Business, Universitat Pompeu Fabra.
    6. Mitchell, Mark, 2020. "The Development of Health and Human Capital Accumulation," MPRA Paper 103711, University Library of Munich, Germany.
    7. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    8. Jonas Lau-Jensen Hirani & Hans Henrik Sievertsen & Miriam Wust, 2020. "The Timing of Early Interventions and Child and Maternal Health," Bristol Economics Discussion Papers 20/720, School of Economics, University of Bristol, UK.

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    More about this item

    Keywords

    child health; disadvantaged families; mental health; early childhood intervention;

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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