Rutgers University, Department of Economics, 360 Martin Luther King Jr. Blvd Newark, NJ 07102, United States.
J Health Econ. 2018 Nov;62:13-44. doi: 10.1016/j.jhealeco.2018.07.003. Epub 2018 Aug 17.
This paper investigates the persistent effects of negative shocks in utero and in infancy on low-income children's health and cognitive outcomes and examines whether timing of exposure matters differentially by skill type. Specifically, I exploit the geographic intensity of extreme floods in Ecuador during the 1997-1998 El Niño phenomenon, which provides exogenous variation in exposure at different periods of early development. I show that children exposed to severe floods in utero, especially during the third trimester, are shorter in stature five and seven years later. Also, children affected by the floods in the first trimester of pregnancy score lower on cognitive tests. Additionally, I explore potential mechanisms by studying health at birth and family inputs (income, consumption, and breastfeeding). I find that children exposed to El Niño floods, especially during the third trimester in utero, were more likely to be born with low birth weight. Furthermore, households affected by El Niño suffered a decline in income, total consumption, and food consumption in the aftermath of the shock. Falsification exercises and robustness checks suggest that selection concerns such as selective fertility, mobility, and infant mortality do not drive these results.
本文研究了子宫内和婴儿期的负面冲击对低收入儿童健康和认知结果的持久影响,并考察了暴露的时间是否因技能类型而存在差异。具体而言,我利用了厄瓜多尔在 1997-1998 年厄尔尼诺现象期间极端洪水的地理强度,这为早期发育的不同时期提供了暴露的外生变化。我发现,子宫内暴露于严重洪水中的儿童,特别是在妊娠晚期,五年和七年后身高较低。此外,在妊娠早期受到洪水影响的儿童在认知测试中得分较低。此外,我通过研究出生时的健康状况和家庭投入(收入、消费和母乳喂养)来探索潜在的机制。我发现,暴露于厄尔尼诺洪水的儿童,特别是在子宫内妊娠晚期,出生体重较低的可能性更大。此外,受厄尔尼诺现象影响的家庭在冲击后收入、总消费和食物消费下降。验证性检验和稳健性检验表明,选择性生育、迁移和婴儿死亡率等选择问题不会导致这些结果。