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战争对健康的长期影响:来自法国二战的证据。

The long-run effects of war on health: Evidence from World War II in France.

机构信息

Université Paris-Saclay, INRAE, UR ALISS, 65 Boulevard de Brandebourg, 94205, Ivry-sur-Seine, France.

Luxembourg Institute of Health,1 A-B Rue Thomas Edison, 1445, Strassen, Luxembourg.

出版信息

Soc Sci Med. 2021 May;276:113812. doi: 10.1016/j.socscimed.2021.113812. Epub 2021 Mar 9.

Abstract

We investigate the effects of early-life exposure to war on adult health outcomes including cancer, hypertension, angina, infarction, diabetes and obesity. We combine data from the French prospective cohort study E3N on women employed in the French National Education with historical data on World War II. To identify causal effects, we exploit exogenous spatial and temporal variation in war exposure related to the German invasion of France during the Battle of France. The number of French military casualties at the level of the postcode area serves as main measure of exposure. Our results suggest that exposure to the war during the first 5 years of life has significant adverse effects on health in adulthood. A 10 percent increase in the number of deaths per 100,000 inhabitants in the individual's postcode area of birth increases the probability of suffering from any of the health conditions considered in this study by 0.08 percentage points. This is relative to a mean of 49 percent for the sample as a whole.

摘要

我们研究了儿童早期经历战争对成年后健康结果的影响,包括癌症、高血压、心绞痛、梗死、糖尿病和肥胖。我们结合了法国 E3N 前瞻性队列研究中从事法国国家教育的女性的数据和第二次世界大战的历史数据。为了确定因果效应,我们利用了与法国在法国战役中被德国入侵相关的战争暴露的外生空间和时间变化。邮政编码区域的法国军事伤亡人数是主要的暴露衡量标准。我们的研究结果表明,儿童期前 5 年经历战争对成年后的健康有显著的不良影响。个体出生地邮政编码区域每 10 万人死亡人数增加 10%,会使研究中考虑的任何健康状况的患病概率增加 0.08 个百分点。这相对整个样本的平均值 49%。

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