IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp9086.html
   My bibliography  Save this paper

Spillover Effects of Early-Life Medical Interventions

Author

Listed:
  • Breining, Sanni

    (Aarhus University)

  • Daysal, N. Meltem

    (University of Copenhagen)

  • Simonsen, Marianne

    (Aarhus University)

  • Trandafir, Mircea

    (Rockwool Foundation Research Unit)

Abstract

We investigate the spillover effects of early-life medical treatments on the siblings of treated children. We use a regression discontinuity design that exploits changes in medical treatments across the very low birth weight (VLBW) cutoff. Using administrative data from Denmark, we first confirm the findings in the previous literature that children who are slightly below the VLBW cutoff have better short- and long-term health, and higher math test scores in 9th grade. We next investigate spillover effects on siblings and find no evidence of an impact on their health outcomes. However, we find substantial positive spillovers on all our measures of academic achievement. Our estimates suggest that siblings of focal children who were slightly below the VLBW cutoff have higher 9th grade language and math test scores, as well as higher probability of enrolling in a high school by age 19. Our results suggest that improved interactions within the family may be an important pathway behind the observed spillover effects.

Suggested Citation

  • Breining, Sanni & Daysal, N. Meltem & Simonsen, Marianne & Trandafir, Mircea, 2015. "Spillover Effects of Early-Life Medical Interventions," IZA Discussion Papers 9086, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp9086
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp9086.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Douglas Almond & Joseph J. Doyle & Amanda E. Kowalski & Heidi Williams, 2010. "Estimating Marginal Returns to Medical Care: Evidence from At-risk Newborns," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(2), pages 591-634.
    2. Gordon B. Dahl & Katrine V. L?ken & Magne Mogstad, 2014. "Peer Effects in Program Participation," American Economic Review, American Economic Association, vol. 104(7), pages 2049-2074, July.
    3. Gordon B. Dahl & Lance Lochner, 2012. "The Impact of Family Income on Child Achievement: Evidence from the Earned Income Tax Credit," American Economic Review, American Economic Association, vol. 102(5), pages 1927-1956, August.
    4. Joseph G. Altonji & Sarah Cattan & Iain Ware, 2017. "Identifying Sibling Influence on Teenage Substance Use," Journal of Human Resources, University of Wisconsin Press, vol. 52(1), pages 1-47.
    5. Hope Corman & Robert Kaestner, 1992. "The effects of child health on marital status and family structure," Demography, Springer;Population Association of America (PAA), vol. 29(3), pages 389-408, August.
    6. Erica Field & Omar Robles & Maximo Torero, 2009. "Iodine Deficiency and Schooling Attainment in Tanzania," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 140-169, October.
    7. N. Meltem Daysal & Mircea Trandafir & Reyn van Ewijk, 2015. "Saving Lives at Birth: The Impact of Home Births on Infant Outcomes," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 28-50, July.
    8. Gerald S. Oettinger, 2000. "Sibling Similarity in High School Graduation Outcomes: Causal Interdependency or Unobserved Heterogeneity?," Southern Economic Journal, John Wiley & Sons, vol. 66(3), pages 631-648, January.
    9. John Parman, 2013. "Childhood Health and Sibling Outcomes: The Shared Burden and Benefit of the 1918 Influenza Pandemic," NBER Working Papers 19505, National Bureau of Economic Research, Inc.
    10. Lee, David S. & Card, David, 2008. "Regression discontinuity inference with specification error," Journal of Econometrics, Elsevier, vol. 142(2), pages 655-674, February.
    11. Scott E. Carrell & Mark L. Hoekstra, 2010. "Externalities in the Classroom: How Children Exposed to Domestic Violence Affect Everyone's Kids," American Economic Journal: Applied Economics, American Economic Association, vol. 2(1), pages 211-228, January.
    12. Behrman, Jere R & Rosenzweig, Mark R & Taubman, Paul, 1994. "Endowments and the Allocation of Schooling in the Family and in the Marriage Market: The Twins Experiment," Journal of Political Economy, University of Chicago Press, vol. 102(6), pages 1131-1174, December.
    13. Shigeoka, Hitoshi & Fushimi, Kiyohide, 2014. "Supplier-induced demand for newborn treatment: Evidence from Japan," Journal of Health Economics, Elsevier, vol. 35(C), pages 162-178.
    14. Kenneth Y. Chay & Jonathan Guryan & Bhashkar Mazumder, 2009. "Birth Cohort and the Black-White Achievement Gap: The Roles of Access and Health Soon After Birth," NBER Working Papers 15078, National Bureau of Economic Research, Inc.
    15. Donna Ginther & Robert Pollak, 2004. "Family structure and children’s educational outcomes: Blended families, stylized facts, and descriptive regressions," Demography, Springer;Population Association of America (PAA), vol. 41(4), pages 671-696, November.
    16. Robert Haveman & Barbara Wolfe, 1995. "The Determinants of Children's Attainments: A Review of Methods and Findings," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1829-1878, December.
    17. Fletcher, Jason & Wolfe, Barbara, 2008. "Child mental health and human capital accumulation: The case of ADHD revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 794-800, May.
    18. Breining, Sanni Nørgaard, 2014. "The presence of ADHD: Spillovers between siblings," Economics Letters, Elsevier, vol. 124(3), pages 469-473.
    19. McCrary, Justin, 2008. "Manipulation of the running variable in the regression discontinuity design: A density test," Journal of Econometrics, Elsevier, vol. 142(2), pages 698-714, February.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. John Cawley & Euna Han & Jiyoon Kim & Edward C. Norton, 2019. "Testing for family influences on obesity: The role of genetic nurture," Health Economics, John Wiley & Sons, Ltd., vol. 28(7), pages 937-952, July.
    2. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," IZA Discussion Papers 14020, Institute of Labor Economics (IZA).
    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. Reif, Simon & Wichert, Sebastian & Wuppermann, Amelie, 2018. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems," Journal of Health Economics, Elsevier, vol. 59(C), pages 1-25.
    5. Cheti Nicoletti & Birgitta Rabe, 2019. "Sibling spillover effects in school achievement," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 34(4), pages 482-501, June.
    6. Sandra E Black & Sanni Breining & David N Figlio & Jonathan Guryan & Krzysztof Karbownik & Helena Skyt Nielsen & Jeffrey Roth & Marianne Simonsen, 2021. "Sibling Spillovers [Endowments at birth and parents’ investment in children]," The Economic Journal, Royal Economic Society, vol. 131(633), pages 101-128.
      • Sandra E. Black & Sanni Breining & David N. Figlio & Jonathan Guryan & Krzysztof Karbownik & Helena Skyt Nielsen & Jeffrey Roth & Marianne Simonsen & Helena Skyt Nielsen, 2017. "Sibling Spillovers," CESifo Working Paper Series 6348, CESifo.
      • Sandra E. Black & Sanni Breining & David N. Figlio & Jonathan Guryan & Krzysztof Karbownik & Helena Skyt Nielsen & Jeffrey Roth & Marianne Simonsen, 2017. "Sibling Spillovers," NBER Working Papers 23062, National Bureau of Economic Research, Inc.
    7. Joensen, Juanna Schrøter & Nielsen, Helena Skyt, 2018. "Spillovers in education choice," Journal of Public Economics, Elsevier, vol. 157(C), pages 158-183.
    8. Lovén, Ida, 2017. "Labor market consequences of growing up with a sibling with type 1-diabetes," Social Science & Medicine, Elsevier, vol. 178(C), pages 1-10.
    9. Krzysztof Karbownik & Umut Özek, 2019. "Setting a good example? Examining sibling spillovers in education achievement using a regression discontinuity design," CESifo Working Paper Series 7531, CESifo.
    10. Gordon B. Dahl & Dan-Olof Rooth & Anders Stenberg, 2020. "Intergenerational and Sibling Spillovers in High School Majors," NBER Working Papers 27618, National Bureau of Economic Research, Inc.
    11. Brilli, Ylenia & Restrepo, Brandon J., 2020. "Birth weight, neonatal care, and infant mortality: Evidence from macrosomic babies," Economics & Human Biology, Elsevier, vol. 37(C).
    12. N. Meltem Daysal & Jonas Cuzulan Hirani, 2021. "Early-life medical care and human capital accumulation," IZA World of Labor, Institute of Labor Economics (IZA), pages 217-217, September.
    13. Sievertsen, Hans Henrik & Wüst, Miriam, 2017. "Discharge on the day of birth, parental response and health and schooling outcomes," Journal of Health Economics, Elsevier, vol. 55(C), pages 121-138.
    14. Daysal, N. Meltem & Trandafir, Mircea & van Ewijk, Reyn, 2016. "Heterogeneous Effects of Medical Interventions on the Health of Low-Risk Newborns," IZA Discussion Papers 9810, Institute of Labor Economics (IZA).
    15. Cabrera-Hernandez, Francisco & Orraca-Romano, Pedro, 2021. "Inequality in the household: neonatal health effects on education outcomes and parents’ compensations among siblings," MPRA Paper 111076, University Library of Munich, Germany.
    16. Berthelon, Matias & Kruger, Diana & Sanchez, Rafael, 2021. "Maternal stress during pregnancy and early childhood development," Economics & Human Biology, Elsevier, vol. 43(C).
    17. Schnepel, Kevin T. & Schurer, Stefanie, 2017. "Early Life Health Interventions and Childhood Development: Evidence from Special Care Nursery Assignment in Australia’s Northern Territory," VfS Annual Conference 2017 (Vienna): Alternative Structures for Money and Banking 168240, Verein für Socialpolitik / German Economic Association.
    18. Nadine Geiger & Sebastian Wichert, 2019. "Birth in times of war - An investigation of health, mortality and social class using historical clinical records," CESifo Working Paper Series 7593, CESifo.
    19. Daysal, N. Meltem & Trandafir, Mircea & van Ewijk, Reyn, 2019. "Low-risk isn’t no-risk: Perinatal treatments and the health of low-income newborns," Journal of Health Economics, Elsevier, vol. 64(C), pages 55-67.
    20. David B. Audretsch, 2015. "Knowledge spillovers and future jobs," IZA World of Labor, Institute of Labor Economics (IZA), pages 218-218, December.

    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. Lee, Ajin, 2020. "How do hospitals respond to managed care? Evidence from at-risk newborns," Journal of Public Economics, Elsevier, vol. 184(C).
    2. Daysal, N. Meltem & Trandafir, Mircea & van Ewijk, Reyn, 2016. "Heterogeneous Effects of Medical Interventions on the Health of Low-Risk Newborns," IZA Discussion Papers 9810, Institute of Labor Economics (IZA).
    3. 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.
    4. 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.
    5. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," IZA Discussion Papers 14020, Institute of Labor Economics (IZA).
    6. Peter, Noemi & Lundborg, Petter & Webbink, Dinand, 2015. "The Effect of a Sibling's Gender on Earnings, Education and Family Formation," IZA Discussion Papers 9128, Institute of Labor Economics (IZA).
    7. Xu, Ke-Li, 2017. "Regression discontinuity with categorical outcomes," Journal of Econometrics, Elsevier, vol. 201(1), pages 1-18.
    8. Marco Francesconi & Stephen Jenkins & Thomas Siedler, 2010. "Childhood family structure and schooling outcomes: evidence for Germany," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(3), pages 1073-1103, June.
    9. Kelly Bedard & Allison Witman, 2020. "Family structure and the gender gap in ADHD," Review of Economics of the Household, Springer, vol. 18(4), pages 1101-1129, December.
    10. Feng, Andy & Graetz, Georg, 2017. "A question of degree: The effects of degree class on labor market outcomes," Economics of Education Review, Elsevier, vol. 61(C), pages 140-161.
    11. Reif, Simon & Wichert, Sebastian & Wuppermann, Amelie, 2018. "Is it good to be too light? Birth weight thresholds in hospital reimbursement systems," Journal of Health Economics, Elsevier, vol. 59(C), pages 1-25.
    12. Chyn, Eric & Gold, Samantha & Hastings, Justine, 2021. "The returns to early-life interventions for very low birth weight children," Journal of Health Economics, Elsevier, vol. 75(C).
    13. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," CEPR Discussion Papers 15660, C.E.P.R. Discussion Papers.
    14. Peter, Noemi & Lundborg, Petter & Mikkelsen, Sara & Webbink, Dinand, 2018. "The effect of a sibling’s gender on earnings and family formation," Labour Economics, Elsevier, vol. 54(C), pages 61-78.
    15. Cheti Nicoletti & Birgitta Rabe, 2019. "Sibling spillover effects in school achievement," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 34(4), pages 482-501, June.
    16. 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.
    17. Jin-young Choi & Myoung-jae Lee, 2017. "Regression discontinuity: review with extensions," Statistical Papers, Springer, vol. 58(4), pages 1217-1246, December.
    18. Daysal, N. Meltem & Trandafir, Mircea & van Ewijk, Reyn, 2013. "Returns to Childbirth Technologies: Evidence from Preterm Births," IZA Discussion Papers 7834, Institute of Labor Economics (IZA).
    19. Petter Lundborg & Dan-Olof Rooth & Jesper Alex-Petersen, 2022. "Long-Term Effects of Childhood Nutrition: Evidence from a School Lunch Reform [The Long-run Impact of Cash Transfers to Poor Families]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(2), pages 876-908.
    20. Walter Beckert & Daniel Kaliski, 2019. "Honest inference for discrete outcomes," CeMMAP working papers CWP67/19, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.

    More about this item

    Keywords

    spillovers; schooling; medical care; birth; children;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:iza:izadps:dp9086. 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: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    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.