Center for Health and Wellbeing, Princeton University, 367 Wallace Hall, Princeton, NJ 08544, USA.
Demography. 2010;47 Suppl(Suppl 1):S65-85. doi: 10.1353/dem.2010.0007.
We examine the consequences of child health for economic and health outcomes in adulthood, using height as a marker of childhood health. After reviewing previous evidence, we present a conceptual framework that highlights data limitations and methodological problems that complicate the study of this topic. We then present estimates of the associations between height and a range of outcomes--including schooling, employment, earnings, health, and cognitive ability--measured in five data sets from early to late adulthood. These results indicate that, on average, taller individuals attain higher levels of education. Height is also positively associated with better economic, health, and cognitive outcomes. These associations are only partially explained by the higher average educational attainment of taller individuals. We then use data from the National Longitudinal Survey of Youth 1979 Children and Young Adults survey to document the associations between health, cognitive development, and growth in childhood. Even among children with the same mother, taller siblings score better on cognitive tests and progress through school more quickly. Part of the differences found between siblings arises from differences in their birth weights and lengths attributable to mother's behaviors while pregnant. Taken together, these results support the hypothesis that childhood health influences health and economic status throughout adulthood.
我们利用身高作为儿童健康的指标,研究儿童健康对成年后经济和健康结果的影响。在回顾了以往的证据之后,我们提出了一个概念框架,强调了数据限制和方法问题,这些问题使该主题的研究变得复杂。然后,我们根据五项数据集中的个人在成年早期到晚期的身高以及一系列结果(包括教育程度、就业、收入、健康和认知能力)进行了相关性估计。这些结果表明,平均而言,身高较高的人受教育程度更高。身高与更好的经济、健康和认知结果呈正相关。这些相关性仅部分由较高的平均受教育程度来解释。然后,我们使用来自 1979 年青年纵向调查的青年和年轻人调查的儿童数据,记录了健康、认知发展和儿童期生长之间的关联。即使是在具有相同母亲的儿童中,身高较高的兄弟姐妹在认知测试中得分更高,并且在学校中进步更快。在兄弟姐妹之间发现的部分差异是由于母亲在怀孕期间的行为导致的他们出生体重和长度的差异。总的来说,这些结果支持了这样一种假设,即儿童健康会影响成年期的健康和经济状况。