IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v276y2021ics0277953621001441.html
   My bibliography  Save this article

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

Author

Listed:
  • Allais, Olivier
  • Fagherazzi, Guy
  • Mink, Julia

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.

Suggested Citation

  • Allais, Olivier & Fagherazzi, Guy & Mink, Julia, 2021. "The long-run effects of war on health: Evidence from World War II in France," Social Science & Medicine, Elsevier, vol. 276(C).
  • Handle: RePEc:eee:socmed:v:276:y:2021:i:c:s0277953621001441
    DOI: 10.1016/j.socscimed.2021.113812
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621001441
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2021.113812?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Harold Alderman & John Hoddinott & Bill Kinsey, 2006. "Long term consequences of early childhood malnutrition," Oxford Economic Papers, Oxford University Press, vol. 58(3), pages 450-474, July.
    2. Havari, Enkelejda & Peracchi, Franco, 2017. "Growing up in wartime: Evidence from the era of two world wars," Economics & Human Biology, Elsevier, vol. 25(C), pages 9-32.
    3. James Heckman & Flavio Cunha, 2007. "The Technology of Skill Formation," American Economic Review, American Economic Association, vol. 97(2), pages 31-47, May.
    4. Akresh, Richard & Lucchetti, Leonardo & Thirumurthy, Harsha, 2012. "Wars and child health: Evidence from the Eritrean–Ethiopian conflict," Journal of Development Economics, Elsevier, vol. 99(2), pages 330-340.
    5. Flavio Cunha & James J. Heckman & Susanne M. Schennach, 2010. "Estimating the Technology of Cognitive and Noncognitive Skill Formation," Econometrica, Econometric Society, vol. 78(3), pages 883-931, May.
    6. Miguel, Edward & Roland, Gérard, 2011. "The long-run impact of bombing Vietnam," Journal of Development Economics, Elsevier, vol. 96(1), pages 1-15, September.
    7. Steven Brakman & Harry Garretsen & Marc Schramm, 2004. "The strategic bombing of German cities during World War II and its impact on city growth," Journal of Economic Geography, Oxford University Press, vol. 4(2), pages 201-218, April.
    8. Schiman, Jeffrey C. & Kaestner, Robert & Lo Sasso, Anthony T., 2019. "Infant mortality and adult wellbeing: Evidence from wartime Britain," Labour Economics, Elsevier, vol. 60(C), pages 12-29.
    9. Bellows, John & Miguel, Edward, 2009. "War and local collective action in Sierra Leone," Journal of Public Economics, Elsevier, vol. 93(11-12), pages 1144-1157, December.
    10. Blackwell, Debra L. & Hayward, Mark D. & Crimmins, Eileen M., 2001. "Does childhood health affect chronic morbidity in later life?," Social Science & Medicine, Elsevier, vol. 52(8), pages 1269-1284, April.
    11. Richard Akresh & Sonia Bhalotra & Marinella Leone & Una Okonkwo Osili, 2012. "War and Stature: Growing Up during the Nigerian Civil War," American Economic Review, American Economic Association, vol. 102(3), pages 273-277, May.
    12. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    13. Minoiu, Camelia & Shemyakina, Olga N., 2014. "Armed conflict, household victimization, and child health in Côte d'Ivoire," Journal of Development Economics, Elsevier, vol. 108(C), pages 237-255.
    14. Iris Kesternich & Bettina Siflinger & James P. Smith & Joachim K. Winter, 2014. "The Effects of World War II on Economic and Health Outcomes across Europe," The Review of Economics and Statistics, MIT Press, vol. 96(1), pages 103-118, March.
    15. Akbulut-Yuksel, Mevlude, 2017. "War during childhood: The long run effects of warfare on health," Journal of Health Economics, Elsevier, vol. 53(C), pages 117-130.
    16. Julia Mink & Marie-Christine Boutron-Ruault & Marie-Aline Charles & Olivier Allais & Guy Fagherazzi, 2020. "Associations between early-life food deprivation during World War II and risk of hypertension and type 2 diabetes at adulthood," Post-Print hal-03275505, HAL.
    17. Mansour, Hani & Rees, Daniel I., 2012. "Armed conflict and birth weight: Evidence from the al-Aqsa Intifada," Journal of Development Economics, Elsevier, vol. 99(1), pages 190-199.
    18. Donald R. Davis & David E. Weinstein, 2002. "Bones, Bombs, and Break Points: The Geography of Economic Activity," American Economic Review, American Economic Association, vol. 92(5), pages 1269-1289, December.
    19. Jennifer Beam Dowd & Megan Todd, 2011. "Does Self-reported Health Bias the Measurement of Health Inequalities in U.S. Adults? Evidence Using Anchoring Vignettes From the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(4), pages 478-489.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Conti, Gabriella & Poupakis, Stavros & Ekamper, Peter & Bijwaard, Govert E. & Lumey, L.H., 2024. "Severe prenatal shocks and adolescent health: Evidence from the Dutch Hunger Winter," Economics & Human Biology, Elsevier, vol. 53(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Olivier Allais & Guy Fagherazzi & Julia Mink, 2021. "The long-run effects of war on health: Evidence from World War II in France," SciencePo Working papers Main hal-03275491, HAL.
    2. Li, Jian & Koulovatianos, Christos, 2020. "The long shadows of war in China: Battle shocks in early life and health/wealth accumulation," China Economic Review, Elsevier, vol. 60(C).
    3. Hönig, Tillman, 2017. "The Impact of Peace: Evidence from Nigeria," MPRA Paper 83302, University Library of Munich, Germany.
    4. Julia Mink, 2021. "The effects of major life events and exposure to adverse environmental conditions on health and health-related outcomes [Les effets d'événements majeurs de la vie et de l'exposition à des condition," SciencePo Working papers Main tel-03575191, HAL.
    5. Julia Mink, 2021. "The effects of major life events and exposure to adverse environmental conditions on health and health-related outcomes [Les effets d'événements majeurs de la vie et de l'exposition à des condition," SciencePo Working papers tel-03575191, HAL.
    6. Akresh, Richard & Caruso, German Daniel & Thirumurthy, Harsha, 2022. "Detailed geographic information, conflict exposure, and health impacts," World Development, Elsevier, vol. 155(C).
    7. Conzo, Pierluigi & Salustri, Francesco, 2019. "A war is forever: The long-run effects of early exposure to World War II on trust," European Economic Review, Elsevier, vol. 120(C).
    8. Richard Akresh & Sonia Bhalotra & Marinella Leone & Una Osili, 2023. "First- and Second-Generation Impacts of the Biafran War," Journal of Human Resources, University of Wisconsin Press, vol. 58(2), pages 488-531.
    9. Massimiliano Bratti & Mariapia Mendola & Alfonso Miranda, 2015. "Hard to Forget: the Long-Lasting Impact of War on Mental Health," Development Working Papers 388, Centro Studi Luca d'Agliano, University of Milano.
    10. Akbulut-Yuksel, Mevlude, 2017. "War during childhood: The long run effects of warfare on health," Journal of Health Economics, Elsevier, vol. 53(C), pages 117-130.
    11. Achyuta Adhvaryu & James Fenske, 2013. "War, resilience and political engagement in Africa," CSAE Working Paper Series 2013-08, Centre for the Study of African Economies, University of Oxford.
    12. Richard Akresh & German Daniel Caruso & Harsha Thirumurthy, 2014. "Medium-Term Health Impacts of Shocks Experienced In Utero and After Birth: Evidence from Detailed Geographic Information on War Exposure," NBER Working Papers 20763, National Bureau of Economic Research, Inc.
    13. Richard Akresh & Sonia Bhalotra & Marinella Leone & Una Osili, 2017. "Hunger Games: First and Second Generation Impacts of the Biafran War," HiCN Working Papers 254, Households in Conflict Network.
    14. Groppo, Valeria & Kraehnert, Kati, 2016. "Extreme Weather Events and Child Height: Evidence from Mongolia," World Development, Elsevier, vol. 86(C), pages 59-78.
    15. Richard Akresh, 2016. "Climate Change, Conflict, and Children," HiCN Working Papers 221, Households in Conflict Network.
    16. Dominic Rohner & Mathias Thoenig, 2021. "The Elusive Peace Dividend of Development Policy: From War Traps to Macro Complementarities," Annual Review of Economics, Annual Reviews, vol. 13(1), pages 111-131, August.
    17. Armand Mboutchouang Kountchou & Soazic Elise Wang Sonne & Gadom Djal Gadom, 2019. "The Local Impact of Armed Conflict on Children’s Nutrition and Health Outcomes: Evidence from Chad," HiCN Working Papers 301, Households in Conflict Network.
    18. Odozi, John Chiwuzulum & Oyelere, Ruth Uwaifo, 2019. "Conflict Exposure and Economic Welfare in Nigeria," GLO Discussion Paper Series 334, Global Labor Organization (GLO).
    19. Minoiu, Camelia & Shemyakina, Olga N., 2014. "Armed conflict, household victimization, and child health in Côte d'Ivoire," Journal of Development Economics, Elsevier, vol. 108(C), pages 237-255.

    More about this item

    Keywords

    Early-life exposure; Developmental origins; World war II; Health; Human capital development;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:276:y:2021:i:c:s0277953621001441. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.