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Examining the long-term mortality effects of early health shocks

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  • Jason M. Fletcher

Abstract

A growing literature in economics and other disciplines has tied exposure to early health shocks, particularly in utero influenza, to reductions in a variety of socioeconomic and health outcomes over the life course. However, less evidence exists that examines this health shock on mortality because of lack of available data. This paper uses recently released restricted-access files from the large, representative National Longitudinal Mortality Study in the United States to explore the mortality effects of the 1918 influenza pandemic for those in utero. While the results on socioeconomic outcomes mimic those in the literature, showing reductions in completed schooling and income fifty years following influenza exposure, the findings also suggest no effect on overall mortality or by categories of cause-of-death. These results are unexpected in their contrast with the many reported effects of in utero insults on later cardiovascular health as well as the literature linking education with later mortality.

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  • Jason M. Fletcher, 2019. "Examining the long-term mortality effects of early health shocks," Applied Economics Letters, Taylor & Francis Journals, vol. 26(11), pages 902-908, June.
    • Handle: RePEc:taf:apeclt:v:26:y:2019:i:11:p:902-908
    DOI: 10.1080/13504851.2018.1520960
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    Cited by:

    1. Turner, Alex J. & Fichera, Eleonora & Sutton, Matt, 2021. "The effects of in-utero exposure to influenza on mental health and mortality risk throughout the life-course," Economics & Human Biology, Elsevier, vol. 43(C).
    2. Sebastian Vollmer & Juditha Wójcik, 2017. "The long-term consequences of the global 1918 influenza pandemic: A systematic analysis of 117 IPUMS international census data sets," Courant Research Centre: Poverty, Equity and Growth - Discussion Papers 242, Courant Research Centre PEG.
    3. 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.
    4. Fletcher, Jason M., 2018. "New Evidence on the Impacts of Early Exposure to the 1918 Influenza Pandemic on Old-Age Mortality: A Research Note," IZA Discussion Papers 11715, Institute of Labor Economics (IZA).
    5. Doran, Áine & Colvin, Christopher L. & McLaughlin, Eoin, 2024. "What can we learn from historical pandemics? A systematic review of the literature," Social Science & Medicine, Elsevier, vol. 342(C).
    6. Fletcher, Jason M., 2018. "The effects of in utero exposure to the 1918 influenza pandemic on family formation," Economics & Human Biology, Elsevier, vol. 30(C), pages 59-68.
    7. Akresh, Richard & Caruso, German Daniel & Thirumurthy, Harsha, 2022. "Detailed geographic information, conflict exposure, and health impacts," World Development, Elsevier, vol. 155(C).
    8. Richard Akresh, 2016. "Climate Change, Conflict, and Children," HiCN Working Papers 221, Households in Conflict Network.
    9. Jason M. Fletcher, 2018. "New Evidence on the Impacts of Early Exposure to the 1918 Influenza Pandemic on Old-Age Mortality," Working Papers 18-06, Center for Economic Studies, U.S. Census Bureau.

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