早年剥夺与成年期健康结局：来自中国中老年人群童年饥饿经历的证据
Early-life Deprivation and Health Outcomes in Adulthood: Evidence from Childhood Hunger Episodes of Middle-aged and Elderly Chinese.
作者信息
Cui Hanxiao, Smith James P, Zhao Yaohui
机构信息
Department of Economics, Yale University, 28 Hillhouse Avenue, New Haven, CT 06511.
RAND Corporation, 1776 Main Street, Santa Monica, CA 90401.
出版信息
J Dev Econ. 2020 Mar;143. doi: 10.1016/j.jdeveco.2019.102417. Epub 2019 Nov 16.
Abstract
This paper examines long-term health consequences of early-life food deprivation across late-life health indicators. Our analysis relies on retrospective data of hunger drawn from CHARLS - a nationally representative survey of residents ages 45 and over in Continental China. The survey accurately measured hunger episodes in childhood. Exposure to hunger early in life is found to increase the probability of being overweight, having difficulty with ADLs/IADLs and depression in old age. The adverse cognitive impacts of hunger are confined to women due to gender disparity in nutrition and educational opportunities. We find gender-specific interaction effect between hunger episodes and sibling sex composition.
摘要
本文通过老年健康指标考察了早年食物匮乏对长期健康的影响。我们的分析依赖于中国健康与养老追踪调查（CHARLS）中有关饥饿的回顾性数据，该调查是对中国大陆45岁及以上居民的全国代表性调查。该调查准确测量了童年时期的饥饿经历。研究发现，早年经历饥饿会增加老年时超重、日常生活活动/工具性日常生活活动出现困难以及患抑郁症的概率。由于营养和教育机会方面的性别差异，饥饿对认知的不利影响仅限于女性。我们发现饥饿经历与兄弟姐妹性别构成之间存在特定性别的交互作用。
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本文引用的文献
1
Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall.
Am Econ Rev. 2009 Jun;99(3):1006-26. doi: 10.1257/aer.99.3.1006.
2
The Long-term Health Effects of Fetal Malnutrition: Evidence from the 1959-1961 China Great Leap Forward Famine.
Health Econ. 2017 Oct;26(10):1264-1277. doi: 10.1002/hec.3397. Epub 2016 Aug 19.
3
Hungry today, unhappy tomorrow? Childhood hunger and subjective wellbeing later in life.
J Health Econ. 2015 Mar;40:40-53. doi: 10.1016/j.jhealeco.2014.12.006. Epub 2014 Dec 29.
4
Depressive symptoms and SES among the mid-aged and elderly in China: evidence from the China Health and Retirement Longitudinal Study national baseline.
Soc Sci Med. 2014 Nov;120:224-32. doi: 10.1016/j.socscimed.2014.09.028. Epub 2014 Sep 18.
5
Killing Me Softly: The Fetal Origins Hypothesis.
J Econ Perspect. 2011 Summer;25(3):153-172. doi: 10.1257/jep.25.3.153.
6
The Effects of World War II on Economic and Health Outcomes across Europe.
Rev Econ Stat. 2014 Mar 1;96(1):103-118. doi: 10.1162/REST_a_00353.
7
Gender Differences in Cognition among Older Adults in China.
J Hum Resour. 2012 Fall;47(4):951-971. doi: 10.3368/jhr.47.4.951.
8
Effects of education on cognition at older ages: evidence from China's Great Famine.
Soc Sci Med. 2013 Dec;98:54-62. doi: 10.1016/j.socscimed.2013.08.021. Epub 2013 Sep 7.
9
Prenatal famine and adult health.
Annu Rev Public Health. 2011;32:237-62. doi: 10.1146/annurev-publhealth-031210-101230.
10
Why does the Great Chinese Famine affect the male and female survivors differently? Mortality selection versus son preference.
Econ Hum Biol. 2011 Jan;9(1):92-105. doi: 10.1016/j.ehb.2010.07.003. Epub 2010 Aug 3.
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