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1.
Demography ; 57(1): 61-98, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31942707

RESUMO

As many developed countries enact policies that allow children to begin universal childcare earlier, understanding how starting universal childcare earlier affects children's cognitive and noncognitive skills is an important policy question. We provide comprehensive evidence on the multidimensional short- and longer-run effects of starting universal childcare earlier using a fuzzy discontinuity in the age at starting childcare in Germany. Combining rich survey and administrative data, we follow one cohort from age 6 to 15 and examine standardized cognitive test scores, noncognitive skill measures, and school track choice in a unified framework. Children who start universal childcare four months earlier around age 3 do not perform differently in terms of standardized cognitive test scores, measures of noncognitive skills, school track choice, or school entrance examinations. We also find no evidence of skill improvements for children with low socioeconomic status, although we provide suggestive evidence that they may benefit from high-quality care. Our estimates refer to children who start childcare before they become legally entitled, for whom the literature would predict low gains to starting childcare earlier. We provide further evidence on this relationship between parental resistance to and children's potential gains from childcare. Simply allowing children to start universal childcare earlier is hence not sufficient to improve children's skill development, particularly for children with low socioeconomic status.


Assuntos
Cuidado da Criança/estatística & dados numéricos , Desenvolvimento Infantil , Cognição , Sucesso Acadêmico , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Alemanha , Humanos , Masculino , Estações do Ano , Fatores Sexuais , Fatores Socioeconômicos
2.
J Health Econ ; 67: 102215, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31319336

RESUMO

Studies examining the introduction of pictorial warnings on cigarette packages provide inconclusive evidence due to small samples and methodological issues. We use individual-level panel data from Australia to examine the association between pictorial warnings and smoking behaviour - prevalence, quitting, initiating and relapsing. The pictorial warnings were accompanied by a reference to a smoking cessation helpline and supportive television commercials. Applying an event study framework, we show that the reform reduced smoking rates by around 4% within the first year of the policy. The effect decreases with age, is similar for men and women, and is slightly larger for low-educated compared to high-educated individuals. The reform permanently lowered smoking rates primarily due to increased quitting in the year of the reform. Thus, pictorial warnings combined with a reference to a smoking cessation helpline and supportive media campaigns are an important tobacco control measure to reduce the social costs of smoking.


Assuntos
Rotulagem de Produtos , Prevenção do Hábito de Fumar/métodos , Fumar/epidemiologia , Adolescente , Adulto , Fatores Etários , Austrália/epidemiologia , Escolaridade , Feminino , Promoção da Saúde/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Abandono do Hábito de Fumar/métodos , Abandono do Hábito de Fumar/estatística & dados numéricos , Adulto Jovem
3.
Health Econ ; 27(2): e101-e119, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28980358

RESUMO

Little is known about the response of physicians to changes in compensation: Do increases in compensation increase or decrease labour supply? In this paper, we estimate wage elasticities for physicians. We apply both a structural discrete choice approach and a reduced-form approach to examine how these different approaches affect wage elasticities at the intensive margin. Using uniquely rich data collected from a large sample of general practitioners (GPs) and specialists in Australia, we estimate 3 alternative utility specifications (quadratic, translog, and box-cox utility functions) in the structural approach, as well as a reduced-form specification, separately for men and women. Australian data is particularly suited for this analysis due to a lack of regulation of physicians' fees leading to variation in earnings. All models predict small negative wage elasticities for male and female GPs and specialists passing several sensitivity checks. For this high-income and long-working-hours population, the translog and box-cox utility functions outperform the quadratic utility function. Simulating the effects of 5% and 10% wage increases at the intensive margin slightly reduces the full-time equivalent supply of male GPs, and to a lesser extent of male specialists and female GPs.


Assuntos
Comportamento de Escolha , Clínicos Gerais , Renda/estatística & dados numéricos , Motivação , Especialização , Austrália , Feminino , Clínicos Gerais/economia , Clínicos Gerais/provisão & distribuição , Humanos , Masculino , Modelos Econômicos , Fatores Sexuais , Especialização/economia , Especialização/estatística & dados numéricos , Inquéritos e Questionários
4.
Health Econ ; 26(12): 1844-1861, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28497638

RESUMO

An important, yet unsettled, question in public health policy is the extent to which unemployment causally impacts mental health. The recent literature yields varying findings, which are likely due to differences in data, methods, samples, and institutional settings. Taking a more general approach, we provide comparable evidence for four countries with different institutional settings-Australia, Germany, the UK, and the United States-using a nonparametric bounds analysis. Relying on fairly weak and partially testable assumptions, our paper shows that unemployment has a significant negative effect on mental health in all countries. Our results rule out effects larger than a quarter of a standard deviation for Germany and half a standard deviation for the Anglo-Saxon countries. The effect is significant for both men and women and materialises already for short periods of unemployment. Public policy should hence focus on early prevention of mental health problems among the unemployed.


Assuntos
Nível de Saúde , Saúde Mental , Política Pública , Desemprego/psicologia , Adulto , Algoritmos , Austrália , Pesquisa Empírica , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Econométricos , Reino Unido , Estados Unidos
5.
Health Econ ; 26(3): 321-337, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-26749275

RESUMO

We examine the effects of smoking bans on self-assessed health in Germany taking into account heterogeneities by smoking status, gender and age. We exploit regional variation in the dates of enactment and dates of enforcement across German federal states. Using data from the German Socio-Economic Panel, our difference-in-differences estimates show that non-smokers' health improves, whereas smokers report no or even adverse health effects in response to bans. We find statistically significant health improvements especially for non-smokers living in households with at least one smoker. Non smokers' health improvements materialise largely with the enactment of smoking bans. Copyright © 2016 John Wiley & Sons, Ltd.


Assuntos
Autoavaliação Diagnóstica , Política Antifumo/legislação & jurisprudência , Fumar/epidemiologia , Poluição por Fumaça de Tabaco/legislação & jurisprudência , Características da Família , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Fumar/legislação & jurisprudência , Fatores Socioeconômicos , Poluição por Fumaça de Tabaco/prevenção & controle
6.
J Health Econ ; 36: 137-50, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24794502

RESUMO

Recent studies examining the effect of family income on child health have been unable to account for the endogeneity of income. Using data from a British cohort study, we address this gap by exploiting exogenous variation in local labour market characteristics to instrument for family income. We estimate the causal effect of family income on different measures of child health and explore the role of potential transmission mechanisms. We find that income has a very small but significant causal effect on subjective child health and no significant effect on chronic health conditions, apart from respiratory illnesses. Using the panel structure, we show that the timing of income does not matter for young children. Moreover, our results provide further evidence that parental health does not drive a spurious relationship between family income and child health. Our study implies that financial transfers are unlikely to deliver substantial improvements in child health.


Assuntos
Proteção da Criança/economia , Saúde da Família/economia , Renda/estatística & dados numéricos , Pais , Causalidade , Criança , Pré-Escolar , Estudos de Coortes , Saúde da Família/estatística & dados numéricos , Nível de Saúde , Humanos , Reino Unido/epidemiologia
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