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Causal effect of children's secondary education on parental health outcomes: findings from a natural experiment in Botswana

Ludwig, Jan Ole; Davies, Neil M; Bor, Jacob; De Neve, Jan-Walter; (2021) Causal effect of children's secondary education on parental health outcomes: findings from a natural experiment in Botswana. BMJ Open , 11 (1) , Article e043247. 10.1136/bmjopen-2020-043247. Green open access

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Abstract

Objectives A growing literature highlights the intergenerational transmission of human capital from parents to children. However, far less is known about ' upward transmission' from children to parents. In this study, we use a 1996 Botswana education policy reform as a natural experiment to identify the causal effect of children's secondary schooling on their parents' health. Setting Botswana's decennial census (2001 and 2011). Data were obtained through the Integrated Public Use Microdata Series and are 10% random samples of the complete population in each of these census years. Participants Survey respondents who were citizens born in Botswana, at least 18 years old at the time of the census and born in or after 1975 (n=89 721). Primary and secondary outcome measures Parental survival and disability at the time of the census, separately for mothers and fathers. Results The 1996 reform caused a large increase in grade 10 enrolment, inducing an additional 0.4 years of schooling for the first cohorts affected (95% CI 0.3 to 0.5, p<0.001). The reform, however, had no effect on parental survival and disability by the time exposed child cohorts reach age 30. Results were robust to a wide array of sensitivity analyses. Conclusions This study found little evidence that parents' survival and disability were affected by their offspring's educational attainment in Botswana. Parents' health may not be necessarily affected by increasing their offspring's educational attainment.

Type: Article
Title: Causal effect of children's secondary education on parental health outcomes: findings from a natural experiment in Botswana
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2020-043247
Publisher version: http://dx.doi.org/10.1136/bmjopen-2020-043247
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, epidemiology, health economics, public health, INTERGENERATIONAL TRANSFERS, SPILLOVERS, INFERENCE, SURVIVAL, FAMILIES, BIAS
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Epidemiology and Applied Clinical Research
URI: https://discovery.ucl.ac.uk/id/eprint/10188881
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