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Impact of Famine Exposure in Utero on Labor Market Behavior and Health Later in Life

Bijward, G; Conti, G; Ekamper, P; Van Poppel, F; Lumey, LH; (2019) Impact of Famine Exposure in Utero on Labor Market Behavior and Health Later in Life. In: Proceedings of the Cohort Studies Meeting Spring 2019. National Bureau of Economic Research (NBER): Cambridge, MA, USA. Green open access

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Abstract

In this paper, we study the long-term causal effects of the Dutch Famine on labor market and health behavior later in life (55-70). To acknowledge the dynamic nature of labor market changes we focus on the impact of the famine on the timing of becoming disabled or retired. To acknowledge the dynamic nature of health behavior, medication use and health expenditures, we focus on the impact of the famine on the changes over time of medication use and health expenditures, both categorized. In all analyses we use a non-linear Difference-in-difference approach to identify the the causal impact of famine exposure in utero on later life outcomes. We account for selective fertility, by restricting our analysis to those conceived before the famine, and for selective survival using either an inverse propensity weighting method or a Copula approach. For the empirical analysis we used data of military recruits born around the Dutch famine (1944- 1947) linked to the Dutch mortality register (deaths trough 2014) and linked to individual administrative data on the monthly labor market status (1999-2013), on the annual income (2003-2013), on annual prescribed medications (2006-2013), and, on annual insured health costs (2009-2013). We find that famine exposure in the first trimester of gestation accelerates the timing of disability, decreases labor income and increases the expenditures for mental health. Exposure in the second trimester decreases expenditure for medications. Exposure in the third trimester increases medication use for mental diseases.

Type: Proceedings paper
Title: Impact of Famine Exposure in Utero on Labor Market Behavior and Health Later in Life
Event: NBER Cohort Studies Meeting Spring 2019
Location: Cambridge, MA, USA
Dates: 26 April 2019 - 27 April 2019
Open access status: An open access version is available from UCL Discovery
Publisher version: https://www.nber.org/conferences/cohort-studies-me...
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Economics
URI: https://discovery.ucl.ac.uk/id/eprint/10117410
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