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The Long Shadow of the Past: Early-Life Disease Environment and Later-Life Mortality

Author

Listed:
  • Noghanibehambari, Hamid

    (University of Texas at Austin)

  • Fletcher, Jason M.

    (University of Wisconsin-Madison)

Abstract

A recently growing literature evaluates the influence of early-life conditions on life-cycle health and mortality. This paper extends this literature by estimating the associations between birth-state infant mortality rates experienced during early-life (as a proxy for general disease environment, health-care access, and nutrition) and life-cycle mortality rates. Using the universe of death records in the US over the years 1979-2020 and implementing two-way fixed effect models, we find that a 10 percent rise in birth-state infant mortality rate is associated with about 0.23 percent higher age-specific mortality rate. These correlations are more concentrated in ages past 50, suggesting delayed effects of early-life exposures. Moreover, we find substantially larger correlations among nonwhites, suggesting that the observed racial disparities in mortality can partly be explained by disparities in early-life conditions. Further, we provide empirical evidence to argue that reductions in education, income, and socioeconomic scores are likely mechanism channels.

Suggested Citation

  • Noghanibehambari, Hamid & Fletcher, Jason M., 2023. "The Long Shadow of the Past: Early-Life Disease Environment and Later-Life Mortality," IZA Discussion Papers 16503, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp16503
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    File URL: https://docs.iza.org/dp16503.pdf
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    References listed on IDEAS

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    5. Noghanibehambari, Hamid & Engelman, Michal, 2022. "Social insurance programs and later-life mortality: Evidence from new deal relief spending," Journal of Health Economics, Elsevier, vol. 86(C).
    6. Gerard J. van den Berg & Maarten Lindeboom & France Portrait, 2006. "Economic Conditions Early in Life and Individual Mortality," American Economic Review, American Economic Association, vol. 96(1), pages 290-302, March.
    7. Fletcher, Jason M., 2018. "New Evidence on the Impacts of Early Exposure to the 1918 Influenza Pandemic on Old-Age Mortality: A Research Note," IZA Discussion Papers 11715, Institute of Labor Economics (IZA).
    8. Almond, Douglas & Currie, Janet & Herrmann, Mariesa, 2012. "From infant to mother: Early disease environment and future maternal health," Labour Economics, Elsevier, vol. 19(4), pages 475-483.
    9. Anna Aizer & Shari Eli & Joseph Ferrie & Adriana Lleras-Muney, 2016. "The Long-Run Impact of Cash Transfers to Poor Families," American Economic Review, American Economic Association, vol. 106(4), pages 935-971, April.
    10. Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
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    Cited by:

    1. Hamid Noghanibehambari & Jason Fletcher, 2024. "Unhooking the Past: Early-life Exposure to Hookworm Eradication and Later-life Longevity," NBER Working Papers 33249, National Bureau of Economic Research, Inc.

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    More about this item

    Keywords

    mortality; infant mortality; early-life exposures;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • N31 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: Pre-1913
    • N32 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - U.S.; Canada: 1913-

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