IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v97y2013icp259-266.html
   My bibliography  Save this article

Malnutrition in early life and adult mental health: Evidence from a natural experiment

Author

Listed:
  • Huang, Cheng
  • Phillips, Michael R.
  • Zhang, Yali
  • Zhang, Jingxuan
  • Shi, Qichang
  • Song, Zhiqiang
  • Ding, Zhijie
  • Pang, Shutao
  • Martorell, Reynaldo

Abstract

As natural experiments, famines provide a unique opportunity to test the health consequences of nutritional deprivation during the critical period of early life. Using data on 4972 Chinese born between 1956 and 1963 who participated in a large mental health epidemiology survey conducted between 2001 and 2005, we investigated the potential impact of exposure to the 1959–1961 Chinese Famine in utero and during the early postnatal life on adult mental illness. The risk of mental illness was assessed with the 12-item General Health Questionnaire (GHQ-12) and eight other risk factors, and the famine impact on adult mental illness was estimated by difference-in-difference models. Results show that compared with unexposed women born in 1963, women born during the famine years (1959–1961) had higher GHQ scores (increased by 0.95 points; CI: 0.26, 1.65) and increased risk of mental illness (OR = 2.80; CI: 1.23, 6.39); those born in 1959 were the most affected and had GHQ scores 1.52 points higher (CI: 0.42, 2.63) and an OR for mental illness of 4.99 (CI: 1.68, 14.84). Compared to men in the 1963 birth cohort, men born during the famine had lower GHQ scores (decreased by 0.89 points; CI: −1.59, −0.20) and a nonsignificant decrease in the risk of mental illness (OR = 0.60; CI: 0.26, 1.40). We speculate that the long-term consequences of early-life famine exposure include both the selection of the hardiest and the enduring deleterious effects of famine on those who survive. The greater biological vulnerability and stronger natural selection in utero of male versus female fetuses during severe famine may result in a stronger selection effect among men than women, obscuring the deleterious impact of famine exposure on the risk of mental illness in men later in life.

Suggested Citation

  • Huang, Cheng & Phillips, Michael R. & Zhang, Yali & Zhang, Jingxuan & Shi, Qichang & Song, Zhiqiang & Ding, Zhijie & Pang, Shutao & Martorell, Reynaldo, 2013. "Malnutrition in early life and adult mental health: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 97(C), pages 259-266.
    • Handle: RePEc:eee:socmed:v:97:y:2013:i:c:p:259-266
    DOI: 10.1016/j.socscimed.2012.09.051
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612008337
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.09.051?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. Carlos Bozzoli & Angus Deaton & Climent Quintana-Domeque, 2009. "Adult height and childhood disease," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 647-669, November.
    2. Xin Meng & Nancy Qian & Pierre Yared, 2010. "The Institutional Causes of China's Great Famine, 1959-61," NBER Working Papers 16361, National Bureau of Economic Research, Inc.
    3. Zhehui Luo & Ren Mu & Xiaobo Zhang, 2006. "Famine and Overweight in China ," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 28(3), pages 296-304.
    4. Gale Johnson, D., 1998. "China's great famine: Introductory remarks," China Economic Review, Elsevier, vol. 9(2), pages 103-109.
    5. Wei Li & Dennis Tao Yang, 2005. "The Great Leap Forward: Anatomy of a Central Planning Disaster," Journal of Political Economy, University of Chicago Press, vol. 113(4), pages 840-877, August.
    6. Sharon Maccini & Dean Yang, 2009. "Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall," American Economic Review, American Economic Association, vol. 99(3), pages 1006-1026, June.
    7. Unknown, 2005. "Forward," 2005 Conference: Slovenia in the EU - Challenges for Agriculture, Food Science and Rural Affairs, November 10-11, 2005, Moravske Toplice, Slovenia 183804, Slovenian Association of Agricultural Economists (DAES).
    8. Yong Cai & Wang Feng, 2005. "Famine, social disruption, and involuntary fetal loss: Evidence from chinese survey data," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 301-322, May.
    9. Susan Athey & Guido W. Imbens, 2006. "Identification and Inference in Nonlinear Difference-in-Differences Models," Econometrica, Econometric Society, vol. 74(2), pages 431-497, March.
    10. Song, Shige & Wang, Wei & Hu, Peifeng, 2009. "Famine, death, and madness: Schizophrenia in early adulthood after prenatal exposure to the Chinese Great Leap Forward Famine," Social Science & Medicine, Elsevier, vol. 68(7), pages 1315-1321, April.
    11. Gørgens, Tue & Meng, Xin & Vaithianathan, Rhema, 2012. "Stunting and selection effects of famine: A case study of the Great Chinese Famine," Journal of Development Economics, Elsevier, vol. 97(1), pages 99-111.
    12. Lin, Justin Yifu & Yang, Dennis Tao, 2000. "Food Availability, Entitlements and the Chinese Famine of 1959-61," Economic Journal, Royal Economic Society, vol. 110(460), pages 136-158, January.
    13. Puhani, Patrick A. & Sonderhof, Katja, 2010. "The effects of a sick pay reform on absence and on health-related outcomes," Journal of Health Economics, Elsevier, vol. 29(2), pages 285-302, March.
    14. Lin, Justin Yifu, 1990. "Collectivization and China's Agricultural Crisis in 1959-1961," Journal of Political Economy, University of Chicago Press, vol. 98(6), pages 1228-1252, December.
    15. Chang, Gene Hsin & Wen, Guanzhong James, 1997. "Communal Dining and the Chinese Famine of 1958-1961," Economic Development and Cultural Change, University of Chicago Press, vol. 46(1), pages 1-34, October.
    16. Catalano, Ralph A. & Bruckner, Tim, 2005. "Economic antecedents of the Swedish sex ratio," Social Science & Medicine, Elsevier, vol. 60(3), pages 537-543, February.
    17. Chen, Yuyu & Zhou, Li-An, 2007. "The long-term health and economic consequences of the 1959-1961 famine in China," Journal of Health Economics, Elsevier, vol. 26(4), pages 659-681, July.
    18. Preston, Samuel H. & Hill, Mark E. & Drevenstedt, Greg L., 1998. "Childhood conditions that predict survival to advanced ages among African-Americans," Social Science & Medicine, Elsevier, vol. 47(9), pages 1231-1246, November.
    19. Xin Meng & Nancy Qian, 2009. "The Long Term Consequences of Famine on Survivors: Evidence from a Unique Natural Experiment using China's Great Famine," NBER Working Papers 14917, National Bureau of Economic Research, Inc.
    20. Yang, Dali L. & Su, Fubing, 1998. "The politics of famine and reform in rural China," China Economic Review, Elsevier, vol. 9(2), pages 141-155.
    21. Andrew Noymer & Michel Garenne, 2000. "The 1918 Influenza Epidemic's Effects on Sex Differentials in Mortality in the United States," Population and Development Review, The Population Council, Inc., vol. 26(3), pages 565-581, September.
    22. Mu, Ren & Zhang, Xiaobo, 2011. "Why does the Great Chinese Famine affect the male and female survivors differently? Mortality selection versus son preference," Economics & Human Biology, Elsevier, vol. 9(1), pages 92-105, January.
    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. Cheng, Zhiming & Guo, Liwen & Smyth, Russell & Tani, Massimiliano, 2022. "Childhood adversity and energy poverty," Energy Economics, Elsevier, vol. 111(C).
    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. Cheng, Yawen & Kong, Dongmin & Wang, Qin, 2023. "Parents' early experience and children's years of schooling: The long-term impact of son preference," China Economic Review, Elsevier, vol. 82(C).
    4. He, Ping & Luo, Yanan & Ding, Ruoxi & Zheng, Xiaoying, 2022. "Is it just a cure? Re-evaluating the effects of prenatal exposure to the Great Chinese Famine on the risk of infectious diseases in adulthood," Social Science & Medicine, Elsevier, vol. 314(C).
    5. Maclean, Johanna Catherine & Popovici, Ioana & French, Michael T., 2016. "Are natural disasters in early childhood associated with mental health and substance use disorders as an adult?," Social Science & Medicine, Elsevier, vol. 151(C), pages 78-91.
    6. Fang, Guanfu & Li, Wei & Zhu, Ying, 2022. "The shadow of the epidemic: Long-term impacts of meningitis exposure on risk preference and behaviors," World Development, Elsevier, vol. 157(C).
    7. Li, Yanan & Sunder, Naveen, 2021. "What doesn’t kill her, will make her depressed," Economics & Human Biology, Elsevier, vol. 43(C).
    8. Schott, Whitney & Aurino, Elisabetta & Penny, Mary E. & Behrman, Jere R., 2019. "The double burden of malnutrition among youth: Trajectories and inequalities in four emerging economies," Economics & Human Biology, Elsevier, vol. 34(C), pages 80-91.
    9. Xu, Hongwei & Li, Lydia & Zhang, Zhenmei & Liu, Jinyu, 2016. "Is natural experiment a cure? Re-examining the long-term health effects of China's 1959–1961 famine," Social Science & Medicine, Elsevier, vol. 148(C), pages 110-122.
    10. Benjamin A. Olken & Junko Onishi & Susan Wong, 2014. "Should Aid Reward Performance? Evidence from a Field Experiment on Health and Education in Indonesia," American Economic Journal: Applied Economics, American Economic Association, vol. 6(4), pages 1-34, October.
    11. Nobles, Jenna & Hamoudi, Amar, 2019. "Detecting the Effects of Early-Life Exposures: Why Fecundity Matters," SocArXiv x4zm6, Center for Open Science.
    12. Xiaodong Zheng & Yue Zhang & Yu Chen & Xiangming Fang, 2021. "Internal Migration Experience and Depressive Symptoms among Middle-Aged and Older Adults: Evidence from China," IJERPH, MDPI, vol. 19(1), pages 1-15, December.
    13. Mokhtari, MohammadAli, 2023. "Opioids ease my pain: Early-life malnutrition and elderly outcomes," Social Science & Medicine, Elsevier, vol. 327(C).
    14. Angelini, Viola & Mierau, Jochen O. & Viluma, Laura, 2021. "Socioeconomic Conditions in Childhood and Mental Health Later in Life," GLO Discussion Paper Series 844, Global Labor Organization (GLO).
    15. Zheng, Xiaodong & Shangguan, Shuangyue & Fang, Zuyi & Fang, Xiangming, 2021. "Early-life exposure to parental mental distress and adulthood depression among middle-aged and elderly Chinese," Economics & Human Biology, Elsevier, vol. 41(C).
    16. Jenna Nobles & Amar Hamoudi, 2019. "Detecting the Effects of Early-Life Exposures: Why Fecundity Matters," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 38(6), pages 783-809, December.

    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. Mu, Ren & Zhang, Xiaobo, 2008. "Gender difference in the long-term impact of famine:," IFPRI discussion papers 760, International Food Policy Research Institute (IFPRI).
    2. Xue Feng Hu & Gordon G. Liu & Maoyong Fan, 2017. "Long‐Term Effects of Famine on Chronic Diseases: Evidence from China's Great Leap Forward Famine," Health Economics, John Wiley & Sons, Ltd., vol. 26(7), pages 922-936, July.
    3. Li, Qiang & An, Lian, 2015. "Intergenerational health consequences of the 1959–1961 Great Famine on children in rural China," Economics & Human Biology, Elsevier, vol. 18(C), pages 27-40.
    4. Feng, Xunan & Johansson, Anders C., 2018. "Living through the Great Chinese Famine: Early-life experiences and managerial decisions," Journal of Corporate Finance, Elsevier, vol. 48(C), pages 638-657.
    5. Mu, Ren & Zhang, Xiaobo, 2011. "Why does the Great Chinese Famine affect the male and female survivors differently? Mortality selection versus son preference," Economics & Human Biology, Elsevier, vol. 9(1), pages 92-105, January.
    6. Elizabeth Gooch, 2018. "Resistance is Futile? Institutional and Geographic Factors in China’s Great Leap Famine," HiCN Working Papers 266, Households in Conflict Network.
    7. Kim, Seonghoon & Deng, Quheng & Fleisher, Belton M. & Li, Shi, 2014. "The Lasting Impact of Parental Early Life Malnutrition on Their Offspring: Evidence from the China Great Leap Forward Famine," World Development, Elsevier, vol. 54(C), pages 232-242.
    8. Wenli Cheng & Hui Shi, 2019. "Surviving the Famine Unscathed? An Analysis of the Long‐Term Health Effects of the Great Chinese Famine," Southern Economic Journal, John Wiley & Sons, vol. 86(2), pages 746-772, October.
    9. Douglas Almond & Lena Edlund & Hongbin Li & Junsen Zhang, 2010. "Long-Term Effects of Early-Life Development: Evidence from the 1959 to 1961 China Famine," NBER Chapters, in: The Economic Consequences of Demographic Change in East Asia, pages 321-345, National Bureau of Economic Research, Inc.
    10. Tan, Chih Ming & Tan, Zhibo & Zhang, Xiaobo, 2014. "Sins of the fathers: The intergenerational legacy of the 1959-1961 Great Chinese Famine on children's cognitive development:," IFPRI discussion papers 1351, International Food Policy Research Institute (IFPRI).
    11. Chen, Qihui & Deng, Tinghe & Pei, Chunchen & Wang, Chengcheng, 2018. "Memory of Famine – Does Childhood Experience of Severe Food Shortage Affect Food Choice in Old Age?," 2018 Annual Meeting, August 5-7, Washington, D.C. 273897, Agricultural and Applied Economics Association.
    12. Song, Shige, 2010. "Mortality consequences of the 1959-1961 Great Leap Forward famine in China: Debilitation, selection, and mortality crossovers," Social Science & Medicine, Elsevier, vol. 71(3), pages 551-558, August.
    13. Xin Meng & Nancy Qian, 2009. "The Long Term Consequences of Famine on Survivors: Evidence from a Unique Natural Experiment using China's Great Famine," NBER Working Papers 14917, National Bureau of Economic Research, Inc.
    14. Song, Shige, 2013. "Identifying the intergenerational effects of the 1959–1961 Chinese Great Leap Forward Famine on infant mortality," Economics & Human Biology, Elsevier, vol. 11(4), pages 474-487.
    15. Cormac Ó Gráda, 2007. "Making Famine History," Journal of Economic Literature, American Economic Association, vol. 45(1), pages 5-38, March.
    16. Loren Brandt & Aloysius Siow & Carl Vogel, 2016. "Large Demographic Shocks And Small Changes In The Marriage Market," Journal of the European Economic Association, European Economic Association, vol. 14(6), pages 1437-1468, December.
    17. Seonghoon Kim & Belton Fleisher & Jessica Ya Sun, 2017. "The Long‐term Health Effects of Fetal Malnutrition: Evidence from the 1959–1961 China Great Leap Forward Famine," Health Economics, John Wiley & Sons, Ltd., vol. 26(10), pages 1264-1277, October.
    18. Ziying Fan & Wei Xiong & Li-An Zhou, 2016. "Information Distortion in Hierarchical Organizations: A Study of China’s Great Famine," Working Papers 2016-8, Princeton University. Economics Department..
    19. Gørgens, Tue & Meng, Xin & Vaithianathan, Rhema, 2012. "Stunting and selection effects of famine: A case study of the Great Chinese Famine," Journal of Development Economics, Elsevier, vol. 97(1), pages 99-111.
    20. Yared, Pierre & Qian, Nancy & ,, 2010. "The Institutional Causes of China's Great Famine, 1959-61," CEPR Discussion Papers 8012, C.E.P.R. Discussion Papers.

    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:97:y:2013:i:c:p:259-266. 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.