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Early Life Adversity and Multi-Dimensional Health Consequences in India: Quasi-Causal Evidence from the Longitudinal Ageing Study in India

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Listed:
  • Tripathi, Pragya
  • Goli, Srinivas

Abstract

This paper investigates whether early-life adversity (ELA) affects later-life health in India using nationally representative LASI data and quasi-experimental variation from cohort differences and the Bengal Famine. We estimate probit models, KHB mediation, and GSEM across seven outcomes: underweight, food insufficiency, poor self-rated health, low cognition, depression, ADL, and IADL. ELA shows a monotonic dose-response relationship with all seven outcomes. Education mediates most of the ELA effect on cognition and IADL, while life satisfaction dominates for depression. Direct effects persist, indicating biological scarring. The Bengal Famine produced lasting health deficits, except for IADL where mortality selection dominates. Heterogeneity reveals larger cognitive penalties for women, stronger physical/functional penalties in Central/Eastern India, and wealth buffers underweight but not depression or self-rated health. These findings survive extensive robustness checks (IV-PSM, inverse probability weighting, alternative ELA measures, birth cohort analysis, and machine learning). Results imply that early-life interventions, especially universal education, can substantially reduce later-life health inequalities in India.

Suggested Citation

  • Tripathi, Pragya & Goli, Srinivas, 2026. "Early Life Adversity and Multi-Dimensional Health Consequences in India: Quasi-Causal Evidence from the Longitudinal Ageing Study in India," EconStor Preprints 341148, ZBW - Leibniz Information Centre for Economics.
    • Handle: RePEc:zbw:esprep:341148
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    References listed on IDEAS

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    1. 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.
    2. Blackwell, Debra L. & Hayward, Mark D. & Crimmins, Eileen M., 2001. "Does childhood health affect chronic morbidity in later life?," Social Science & Medicine, Elsevier, vol. 52(8), pages 1269-1284, April.
    3. Enkelejda Havari & Fabrizio Mazzonna, 2015. "Can We Trust Older People’s Statements on Their Childhood Circumstances? Evidence from SHARELIFE," European Journal of Population, Springer;European Association for Population Studies, vol. 31(3), pages 233-257, August.
    4. James H. Stock & Motohiro Yogo, 2002. "Testing for Weak Instruments in Linear IV Regression," NBER Technical Working Papers 0284, National Bureau of Economic Research, Inc.
    5. Bhat, Bilal Ahmad & Chatterjee, Esha & Thakur, Sounak, 2025. "Fertility outcomes and parental well-being in later life: Evidence from India," Journal of Development Economics, Elsevier, vol. 177(C).
    6. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    7. 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.
    8. Bruno Arpino & Jordi Gumà & Albert Julià, 2018. "Early-life conditions and health at older ages: The mediating role of educational attainment, family and employment trajectories," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-17, April.
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    Keywords

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C26 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Instrumental Variables (IV) Estimation

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