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Still Unequal at Birth: Birth Weight, Socioeconomic Status and Outcomes at Age 9

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  • McGovern, Mark E.

Abstract

The prevalence of low birth weight is an important aspect of public health which has been linked to increased risk of infant death, increased cost of care, and a range of later life outcomes. Using data from a new Irish cohort study, I document the relationship between birth weight and socioeconomic status. The association of maternal education with birth weight does not appear to be due to the timing of birth or complications during pregnancy, even controlling for a wide range of background characteristics. However, results do suggest intergenerational persistence in the transmission of poor early life conditions. Birth weight predicts a number of outcomes at age 9, including test scores, hospital stays and health. An advantage of the data is that I am able to control for a number of typically unmeasured variables. I determine whether parental investments (as measured by the quality of interaction with the child, parenting style, or school quality) mediate the association between birth weight and later indicators. For test scores, there is evidence of non-linearity, and boys are more adversely affected than girls. I also consider whether there are heterogeneous effects by ability using quantile regression. These results are consistent with a literature which finds that there is a causal relationship between early life conditions and later outcomes.

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  • McGovern, Mark E., 2013. "Still Unequal at Birth: Birth Weight, Socioeconomic Status and Outcomes at Age 9," Working Paper 143356, Harvard University OpenScholar.
  • Handle: RePEc:qsh:wpaper:143356
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    File URL: http://scholar.harvard.edu/mcgovern/node/143356
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    1. Heather Royer, 2009. "Separated at Girth: US Twin Estimates of the Effects of Birth Weight," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 49-85, January.
    2. Douglas Almond & Kenneth Y. Chay & David S. Lee, 2005. "The Costs of Low Birth Weight," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1031-1083.
    3. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 409-439.
    4. Nancy E. Reichman & Hope Corman & Kelly Noonan & Dhaval Dave, 2009. "Infant health production functions: what a difference the data make," Health Economics, John Wiley & Sons, Ltd., vol. 18(7), pages 761-782, July.
    5. Delaney, Liam & McGovern, Mark & Smith, James P., 2011. "From Angela's ashes to the Celtic tiger: Early life conditions and adult health in Ireland," Journal of Health Economics, Elsevier, vol. 30(1), pages 1-10, January.
    6. 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.
    7. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    8. Janet Currie, 2011. "Inequality at Birth: Some Causes and Consequences," American Economic Review, American Economic Association, vol. 101(3), pages 1-22, May.
    9. Rossin, Maya, 2011. "The effects of maternity leave on children's birth and infant health outcomes in the United States," Journal of Health Economics, Elsevier, vol. 30(2), pages 221-239, March.
    10. 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.
    11. Patricio Solís & Starling G. Pullum & W. Frisbie, 2000. "Demographic models of birth outcomes and infant mortality: An alternative measurement approach," Demography, Springer;Population Association of America (PAA), vol. 37(4), pages 489-498, November.
    12. 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.
    13. Jason Boardman & Daniel Powers & Yolanda Padilla & Robert Hummer, 2002. "Low birth weight, social factors, and developmental outcomes among children in the United States," Demography, Springer;Population Association of America (PAA), vol. 39(2), pages 353-368, May.
    14. Janet Currie & Enrico Moretti, 2003. "Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1495-1532.
    15. repec:cdl:ucsdec:1562347 is not listed on IDEAS
    16. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    17. Janet Currie & Enrico Moretti, 2007. "Biology as Destiny? Short- and Long-Run Determinants of Intergenerational Transmission of Birth Weight," Journal of Labor Economics, University of Chicago Press, vol. 25(2), pages 231-264.
    18. Arnaud Chevalier & Vincent O'Sullivan, 2007. "Mother's education and birth weight," Working Papers 200725, Geary Institute, University College Dublin.
    19. 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.
    20. Jere R. Behrman & Mark R. Rosenzweig, 2004. "Returns to Birthweight," The Review of Economics and Statistics, MIT Press, vol. 86(2), pages 586-601, May.
    21. Douglas Almond, 2006. "Is the 1918 Influenza Pandemic Over? Long-Term Effects of In Utero Influenza Exposure in the Post-1940 U.S. Population," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 672-712, August.
    22. repec:ucn:wpaper:10197/317 is not listed on IDEAS
    23. Patrick Royston, 2009. "Multiple imputation of missing values: Further update of ice, with an emphasis on categorical variables," Stata Journal, StataCorp LP, vol. 9(3), pages 466-477, September.
    24. Costa, Dora L., 1998. "Unequal at Birth: A Long-Term Comparison of Income and Birth Weight," The Journal of Economic History, Cambridge University Press, vol. 58(4), pages 987-1009, December.
    25. Grossman, Michael & Joyce, Theodore J, 1990. "Unobservables, Pregnancy Resolutions, and Birth Weight Production Functions in New York City," Journal of Political Economy, University of Chicago Press, vol. 98(5), pages 983-1007, October.
    26. 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.
    27. Ashlesha Datar & M. Kilburn & David Loughran, 2010. "Endowments and parental investments in infancy and early childhood," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 145-162, February.
    28. Lorraine Dearden & Luke Sibieta & Kathy Sylva, 2011. "The socio-economic gradient in early child outcomes: evidence from the Millennium Cohort Study," IFS Working Papers W11/03, Institute for Fiscal Studies.
    29. Lin, Ming-Jen & Liu, Jin-Tan, 2009. "Do lower birth weight babies have lower grades? Twin fixed effect and instrumental variable method evidence from Taiwan," Social Science & Medicine, Elsevier, vol. 68(10), pages 1780-1787, May.
    30. Rosenzweig, Mark R. & Wolpin, Kenneth I., 1991. "Inequality at birth : The scope for policy intervention," Journal of Econometrics, Elsevier, vol. 50(1-2), pages 205-228, October.
    31. Sakiko Tanaka, 2005. "Parental leave and child health across OECD countries," Economic Journal, Royal Economic Society, vol. 115(501), pages 7-28, February.
    32. Bharadwaj, Prashant & Eberhard, Juan & Neilson, Christopher, 2010. "Do Initial Endowments Matter Only Initially? The Persistent Effect of Birth Weight on School Achievement," University of California at San Diego, Economics Working Paper Series qt4536p0hd, Department of Economics, UC San Diego.
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    1. Childhood's legacy
      by chris dillow in Stumbling and Mumbling on 2012-11-06 20:01:55

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    Cited by:

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    3. Mark E. McGovern & Slawa Rokicki, 2023. "The Great Recession, Household Income, and Children's Test Scores," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 69(3), pages 555-580, September.
    4. Mark E. McGovern, 2012. "Don't stress: early life conditions, hypertension and selection into associated risk factors," Working Papers 201223, Geary Institute, University College Dublin.
    5. Mark E. McGovern, 2019. "How much does birth weight matter for child health in developing countries? Estimates from siblings and twins," Health Economics, John Wiley & Sons, Ltd., vol. 28(1), pages 3-22, January.
    6. Nadja Klein & Thomas Kneib & Giampiero Marra & Rosalba Radice & Slawa Rokicki & Mark E. McGovern, 2018. "Mixed Binary-Continuous Copula Regression Models with Application to Adverse Birth Outcomes," CHaRMS Working Papers 18-06, Centre for HeAlth Research at the Management School (CHaRMS).
    7. Slawa Rokicki & Mark E. McGovern, 2020. "Heterogeneity in Early Life Investments: A Longitudinal Analysis of Children's Time Use," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 66(3), pages 647-676, September.
    8. Anne Nolan & Richard Layte, 2014. "Socio-economic Inequalities in Child Health in Ireland," The Economic and Social Review, Economic and Social Studies, vol. 45(1), pages 25-64.
    9. Doris, Aedín & O’Neill, Donal & Sweetman, Olive, 2013. "Gender, single-sex schooling and maths achievement," Economics of Education Review, Elsevier, vol. 35(C), pages 104-119.
    10. Mark E. McGovern, 2016. "Progress and the Lack of Progress in Addressing Infant Health and Infant Health Inequalities in Ireland during the 20th Century," Economics Working Papers 16-05, Queen's Management School, Queen's University Belfast.
    11. Sarah Gibney & Mark E. McGovern & Erika Sabbath, 2013. "Social Relationships in Later Life: The Role of Childhood Circumstances," Working Papers 201319, Geary Institute, University College Dublin.
    12. Clark, Andrew E. & D’Ambrosio, Conchita & Rohde, Nicholas, 2021. "Prenatal economic shocks and birth outcomes in UK cohort data," Economics & Human Biology, Elsevier, vol. 41(C).

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    More about this item

    JEL classification:

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

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