[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/20599.html
   My bibliography  Save this paper

Second Trimester Sunlight and Asthma: Evidence from Two Independent Studies

Author

Listed:
  • Nils Wernerfelt
  • David Slusky
  • Richard Zeckhauser
Abstract
One in twelve Americans suffers from asthma and its annual costs are estimated to exceed $50 billion. Simultaneously, the root causes of the disease remain unknown. A recent hypothesis speculates that maternal vitamin D levels during pregnancy affect the probability the fetus later develops asthma. In two large-scale studies, we test this hypothesis using a natural experiment afforded by historical variation in sunlight, a major source of vitamin D. Specifically, holding the birth location and month fixed, we see how exogenous within-location variation in sunlight across birth years affects the probability of asthma onset. We show that this measurement of sunlight correlates with actual exposure, and consistent with pre-existing results from the fetal development literature, we find substantial and highly significant evidence in both datasets that increased sunlight during the second trimester lowers the subsequent probability of asthma. Our results suggest policies designed to augment vitamin D levels in pregnant women, the large majority of whom are vitamin D insufficient, could be very cost-effective.

Suggested Citation

  • Nils Wernerfelt & David Slusky & Richard Zeckhauser, 2014. "Second Trimester Sunlight and Asthma: Evidence from Two Independent Studies," NBER Working Papers 20599, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:20599
    Note: CH EH PE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w20599.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Jennifer Trudeau & Karen Smith Conway & Andrea Kutinova Menclova, 2016. "Soaking Up the Sun: The Role of Sunshine in the Production of Infant Health," American Journal of Health Economics, MIT Press, vol. 2(1), pages 1-40, January.
    2. 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.
    3. Kasey S. Buckles & Daniel M. Hungerman, 2013. "Season of Birth and Later Outcomes: Old Questions, New Answers," The Review of Economics and Statistics, MIT Press, vol. 95(3), pages 711-724, July.
    4. Douglas Almond & Lena Edlund & Mårten Palme, 2009. "Chernobyl's Subclinical Legacy: Prenatal Exposure to Radioactive Fallout and School Outcomes in Sweden," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(4), pages 1729-1772.
    5. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 409-439.
    6. Nicholas J. Sanders, 2012. "What Doesn’t Kill You Makes You Weaker: Prenatal Pollution Exposure and Educational Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 47(3), pages 826-850.
    7. Costa, Dora L., 2003. "Understanding mid-life and older age mortality declines: evidence from Union Army veterans," Journal of Econometrics, Elsevier, vol. 112(1), pages 175-192, January.
    8. Abhijit Banerjee & Esther Duflo & Gilles Postel-Vinay & Tim Watts, 2010. "Long-Run Health Impacts of Income Shocks: Wine and Phylloxera in Nineteenth-Century France," The Review of Economics and Statistics, MIT Press, vol. 92(4), pages 714-728, November.
    9. Currie, Janet & Neidell, Matthew & Schmieder, Johannes F., 2009. "Air pollution and infant health: Lessons from New Jersey," Journal of Health Economics, Elsevier, vol. 28(3), pages 688-703, May.
    10. 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.
    11. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    12. Janet Currie & Joshua Graff Zivin & Katherine Meckel & Matthew Neidell & Wolfram Schlenker, 2013. "Something in the water: contaminated drinking water and infant health," Canadian Journal of Economics, Canadian Economics Association, vol. 46(3), pages 791-810, August.
    13. Robert W. Fogel, 2004. "Changes in the Disparities in Chronic Disease during the Course of the Twentieth Century," NBER Working Papers 10311, National Bureau of Economic Research, Inc.
    14. Jennifer Trudeau & Karen Smith Conway & Andrea Kutinova Menclova, 2016. "Soaking Up the Sun: The Role of Sunshine in the Production of Infant Health," American Journal of Health Economics, MIT Press, vol. 2(1), pages 1-40, Winter.
    15. Janet Currie & Matthew Neidell, 2005. "Air Pollution and Infant Health: What Can We Learn from California's Recent Experience?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 120(3), pages 1003-1030.
    16. Neidell, Matthew J., 2004. "Air pollution, health, and socio-economic status: the effect of outdoor air quality on childhood asthma," Journal of Health Economics, Elsevier, vol. 23(6), pages 1209-1236, November.
    17. Emily Oster, 2004. "Witchcraft, Weather and Economic Growth in Renaissance Europe," Journal of Economic Perspectives, American Economic Association, vol. 18(1), pages 215-228, Winter.
    18. Robert Jensen, 2000. "Agricultural Volatility and Investments in Children," American Economic Review, American Economic Association, vol. 90(2), pages 399-404, May.
    19. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    20. Wolfram Schlenker & W. Reed Walker, 2016. "Airports, Air Pollution, and Contemporaneous Health," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 83(2), pages 768-809.
    21. Jay Bhattacharya & Janet Currie, 2001. "Youths at Nutrition Risk: Malnourished or Misnourished?," NBER Chapters, in: Risky Behavior among Youths: An Economic Analysis, pages 483-522, National Bureau of Economic Research, Inc.
    22. Prashant Bharadwaj & Katrine Vellesen L?ken & Christopher Neilson, 2013. "Early Life Health Interventions and Academic Achievement," American Economic Review, American Economic Association, vol. 103(5), pages 1862-1891, August.
    23. repec:ucn:wpaper:10197/317 is not listed on IDEAS
    24. Fletcher, Jason M. & Green, Jeremy C. & Neidell, Matthew J., 2010. "Long term effects of childhood asthma on adult health," Journal of Health Economics, Elsevier, vol. 29(3), pages 377-387, May.
    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. Slusky, David J.G. & Zeckhauser, Richard J., 2021. "Sunlight and Protection Against Influenza," Economics & Human Biology, Elsevier, vol. 40(C).
    2. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    3. Tushar Bharati & Samuel Rapeport, 2021. "How Smart is SunSmart? Skin Cancer Information Campaigns, Sunlight Exposure, and Asthma in Australia," Economics Discussion / Working Papers 21-04, The University of Western Australia, Department of Economics.
    4. Zhang, Xin & Wang, Yixuan & Chen, Xi & Zhang, Xun, 2019. "Prenatal Sunshine Exposure and Birth Outcomes in China," IZA Discussion Papers 12877, Institute of Labor Economics (IZA).
    5. Gabriella Conti, 2013. "The Developmental Origins of Health Inequality," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 285-309, Emerald Group Publishing Limited.
    6. Christian Dustmann & Malte Sandner & Uta Schönberg, 2024. "The Effects of Sun Intensity during Pregnancy and in the First 12 Months of Life on Childhood Obesity," Journal of Human Resources, University of Wisconsin Press, vol. 59(6), pages 1683-1713.
    7. Jennifer Trudeau & Karen Smith Conway & Andrea Kutinova Menclova, 2016. "Soaking Up the Sun: The Role of Sunshine in the Production of Infant Health," American Journal of Health Economics, MIT Press, vol. 2(1), pages 1-40, January.
    8. Conway, Karen Smith & Trudeau, Jennifer, 2019. "Sunshine, fertility and racial disparities," Economics & Human Biology, Elsevier, vol. 32(C), pages 18-39.
    9. Ray, Mukesh K. & Maredia, Mywish K., 2018. "Legume Technologies as a Sustainable Solution to Climatic Shocks: Evidence from Malawi," 2018 Annual Meeting, August 5-7, Washington, D.C. 273873, Agricultural and Applied Economics Association.

    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. Joshua Graff Zivin & Matthew Neidell, 2013. "Environment, Health, and Human Capital," Journal of Economic Literature, American Economic Association, vol. 51(3), pages 689-730, September.
    2. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    3. Sanders, Nicholas J. & Stoecker, Charles, 2015. "Where have all the young men gone? Using sex ratios to measure fetal death rates," Journal of Health Economics, Elsevier, vol. 41(C), pages 30-45.
    4. Alastair Ball, 2018. "The Long-Term Economic Costs of the Great London Smog," Birkbeck Working Papers in Economics and Finance 1814, Birkbeck, Department of Economics, Mathematics & Statistics.
    5. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    6. Fletcher, Jason & Noghanibehambari, Hamid, 2024. "The siren song of cicadas: Early-life pesticide exposure and later-life male mortality," Journal of Environmental Economics and Management, Elsevier, vol. 123(C).
    7. Conway, Karen Smith & Trudeau, Jennifer, 2019. "Sunshine, fertility and racial disparities," Economics & Human Biology, Elsevier, vol. 32(C), pages 18-39.
    8. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    9. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2014. "Early Life Circumstance and Mental Health in Ghana," CSAE Working Paper Series 2014-03, Centre for the Study of African Economies, University of Oxford.
    10. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2019. "Early Life Circumstance and Adult Mental Health," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1516-1549.
    11. Hill, Elaine L. & Ma, Lala, 2022. "Drinking water, fracking, and infant health," Journal of Health Economics, Elsevier, vol. 82(C).
    12. Eskander, Shaikh M.S.U. & Barbier, Edward B., 2022. "Long-term impacts of the 1970 cyclone in Bangladesh," World Development, Elsevier, vol. 152(C).
    13. Nicholas J. Sanders, 2012. "What Doesn’t Kill You Makes You Weaker: Prenatal Pollution Exposure and Educational Outcomes," Journal of Human Resources, University of Wisconsin Press, vol. 47(3), pages 826-850.
    14. von Hinke, Stephanie & Sørensen, Emil N., 2023. "The long-term effects of early-life pollution exposure: Evidence from the London smog," Journal of Health Economics, Elsevier, vol. 92(C).
    15. Almond, Douglas & Currie, Janet & Herrmann, Mariesa, 2012. "From infant to mother: Early disease environment and future maternal health," Labour Economics, Elsevier, vol. 19(4), pages 475-483.
    16. 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.
    17. Prashant Bharadwaj & Matthew Gibson & Joshua Graff Zivin & Christopher Neilson, 2017. "Gray Matters: Fetal Pollution Exposure and Human Capital Formation," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 4(2), pages 505-542.
    18. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    19. Ball, Alastair, 2014. "Air pollution, foetal mortality, and long-term health: Evidence from the Great London Smog," MPRA Paper 63229, University Library of Munich, Germany, revised 25 Mar 2015.

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:nbr:nberwo:20599. 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: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    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.