University of Illinois, Department of Agricultural and Consumer Economics, Urbana, IL 61801, USA.
J Health Econ. 2009 Sep;28(5):971-83. doi: 10.1016/j.jhealeco.2009.06.012. Epub 2009 Jun 30.
Previous research has estimated that food insecure children are more likely to suffer from a wide array of negative health outcomes than food secure children, leading many to claim that alleviating food insecurity would lead to better health outcomes. Identifying the causal impacts is problematic, however, given endogenous selection into food security status and potential mismeasurement of true food security status. Using recently developed nonparametric bounding methods and data from the 2001-2006 National Health and Nutritional Examination Survey (NHANES), we assess what can be identified about the effects of food insecurity on child health outcomes in the presence of nonrandom selection and nonclassical measurement error. Under relatively weak monotonicity assumptions, we can identify that food security has a statistically significant positive impact on favorable general health and being a healthy weight. Our work suggests that previous research has more likely underestimated than overestimated the causal impacts of food insecurity on health.
先前的研究估计,与食品安全的儿童相比,食品不安全的儿童更有可能遭受一系列负面健康后果,这使得许多人认为缓解食品不安全状况将导致更好的健康结果。然而,由于食品安全状况的内生选择和真实食品安全状况的潜在测量误差,确定因果影响存在问题。利用最近开发的非参数边界方法和 2001-2006 年全国健康和营养检查调查(NHANES)的数据,我们评估了在非随机选择和非经典测量误差存在的情况下,食品安全状况对儿童健康结果的影响可以确定哪些内容。在相对较弱的单调性假设下,我们可以确定食品安全对良好的总体健康状况和健康体重具有统计学上显著的积极影响。我们的工作表明,先前的研究更有可能低估了食品不安全对健康的因果影响,而不是高估了。