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Early childhood health shocks, classroom environment, and social-emotional outcomes

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  • Zhou, Weina
  • Wang, Shun

Abstract

This study finds that experiencing early childhood health shocks before primary school exerts negative externalities in the middle school classroom. Students randomly assigned to classrooms in which more classmates experienced early childhood health shocks are more likely to have worse social-emotional outcomes, including emotional distress, less engagement with school activities, and poor social acclimation with classmates. These effects operate by damaging inter-student relationships, and are unlikely to operate by affecting teachers’ behaviors or preferences. Parents may mitigate negative peer effects by encouraging children to talk about their concerns or interactions at school. The effects on test scores are not statistically significant.

Suggested Citation

  • Zhou, Weina & Wang, Shun, 2023. "Early childhood health shocks, classroom environment, and social-emotional outcomes," Journal of Health Economics, Elsevier, vol. 87(C).
    • Handle: RePEc:eee:jhecon:v:87:y:2023:i:c:s0167629622001138
    DOI: 10.1016/j.jhealeco.2022.102698
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    1. Li, Yanan & Menon, Nidhiya & Sunder, Naveen, 2024. "The Company You Keep: The Positive Peer Effects of Kindergarten on Learning and Mental Health," IZA Discussion Papers 17531, Institute of Labor Economics (IZA).

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    More about this item

    Keywords

    Early childhood health shocks; Social-emotional outcomes; Spillover effect; Parent-child communication;
    All these keywords.

    JEL classification:

    • D91 - Microeconomics - - Micro-Based Behavioral Economics - - - Role and Effects of Psychological, Emotional, Social, and Cognitive Factors on Decision Making
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • J12 - Labor and Demographic Economics - - Demographic Economics - - - Marriage; Marital Dissolution; Family Structure
    • J1 - Labor and Demographic Economics - - Demographic Economics

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