RESUMEN
We examine multi-generational impacts of positive in utero health interventions using a new research design that exploits sharp increases in prenatal Medicaid eligibility that occurred in some states. Our analyses are based on U.S. Vital Statistics Natality files, which enables linkages between individuals' early life Medicaid exposure and the next generation's health at birth. We find evidence that the health benefits associated with treated generations' early life program exposure extend to later offspring. Our results suggest that the returns on early life health investments may be substantively underestimated.
RESUMEN
World War II and its subsequent GI Bill have been widely credited with playing a transformative role in American society, but there have been few quantitative analyses of these historical events' broad social effects. We exploit between-cohort variation in the probability of military service to investigate how WWII and the GI Bill altered the structure of marriage, and find that it had important spillover effects beyond its direct effect on men's educational attainment. Our results suggest that the additional education received by returning veterans caused them to "sort" into wives with significantly higher levels of education. This suggests an important mechanism by which socioeconomic status may be passed on to the next generation.
Asunto(s)
Matrimonio/historia , Esposos/estadística & datos numéricos , Veteranos/historia , Veteranos/legislación & jurisprudencia , Segunda Guerra Mundial , Adolescente , Adulto , Escolaridad , Historia del Siglo XX , Humanos , Guerra de Corea , Masculino , Matrimonio/estadística & datos numéricos , Persona de Mediana Edad , Personal Militar/historia , Personal Militar/estadística & datos numéricos , Dinámica Poblacional , Factores Socioeconómicos , Veteranos/estadística & datos numéricos , Adulto JovenRESUMEN
It is well known that mortality rates are pro-cyclical. In this paper, we attempt to understand why. We find little evidence that cyclical changes in individuals' own employment-related behavior drives the relationship; own-group employment rates are not systematically related to own-group mortality. Further, most additional deaths that occur when the economy is strong are among the elderly, particularly elderly women and those residing in nursing homes. We also demonstrate that staffing in nursing homes moves counter-cyclically. These findings suggest that cyclical fluctuations in the quality of health care may be a critical contributor to cyclical movements in mortality.
RESUMEN
Minimum legal drinking age (MLDA) laws are known to reduce alcohol consumption among young adults. One additional benefit of higher MLDAs may be that they improve health outcomes among infants born to young mothers. We estimate the impact of MLDAs on infant health in the USA by comparing birth outcomes among 14-20 year old mothers who were exposed to different MLDAs because of when and where they gave birth. Infants born to mothers who were between the ages of 21 and 24 years are included as a control group. We find that low MLDAs are associated with very small birth weight reductions, but have a little relationship with other traditional measures of infant health. We find compelling evidence, however, that a low MLDA increases the probability of a female birth, which suggests that restricting alcohol access to young mothers may reduce fetal deaths.
Asunto(s)
Consumo de Bebidas Alcohólicas/legislación & jurisprudencia , Resultado del Embarazo , Adolescente , Factores de Edad , Peso al Nacer/efectos de los fármacos , Femenino , Muerte Fetal , Humanos , Salud del Lactante/estadística & datos numéricos , Recién Nacido de muy Bajo Peso , Embarazo , Resultado del Embarazo/epidemiología , Estados Unidos/epidemiología , Adulto JovenRESUMEN
Despite considerable improvements in frontal impact crashworthiness, frontal crashes still account for a major number of front seat occupant fatalities in Great Britain. This study attempted to determine the remaining potential for further fatality reduction with passive safety improvements in frontal crashes. No evidence was found to support an increase in crash test speeds. Instead, assessment of scope for survival showed that at least 27% of all fatal drivers and 39% of all fatal front seat passengers have survival potential given attention to older occupant's chest injury tolerance and passenger compartment intrusion under 60 km/h. Considering only fatal frontal crashes that might be assessed with a barrier test, showed an estimated survival potential of at least 49% of belted drivers and 60% of belted front seat passengers. The high proportion of unbelted fatalities suggested that targeting unbelted occupant protection could have additional benefit.
Asunto(s)
Accidentes de Tránsito , Automóviles , Heridas no Penetrantes/mortalidad , Aceleración , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Cinturones de Seguridad/estadística & datos numéricos , Reino Unido/epidemiología , Heridas no Penetrantes/etiología , Heridas no Penetrantes/fisiopatologíaRESUMEN
Road safety performance indicators (RSPI) are policy tools which describe the extent of insecure operational safety conditions within traffic systems. This study describes the production of an RSPI which represents the presence within a country's vehicle fleet, of vehicles that may not effectively protect an occupant in a collision. This work is highly original, as it uses the entire vehicle database of European Union Member States in order to estimate the average level of passive safety offered by the entire fleet in each country. The EuroNCAP safety ratings and vehicle age of each vehicle in each fleet have been obtained to calculate the RSPI. The methodology used could be adopted as an international standard.
Asunto(s)
Automóviles , Indicadores de Calidad de la Atención de Salud/normas , Seguridad/normas , Recolección de Datos , Bases de Datos como Asunto , Unión EuropeaRESUMEN
This article examines whether the economic consequences of growing up in a single-parent family differ for black children and white children. It is important to understand whether the costs differ across racial groups because although much of the rhetoric about poor single-parent families focuses on inner-city blacks, most children who live in such families are white. If the costs of living with only one parent vary across groups, then policies that are aimed at reducing the costs that do not acknowledge this variation will not target resources efficiently. We found that the economic costs of living with a single parent are larger for black children than for white children. Most of the discrepancy can be attributed to differences in remarriage rates, marital stability, welfare participation, and female labor supply.