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Does unemployment worsen babies' health? A tale of siblings, maternal behaviour and selection

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  • De Cao, Elisabetta
  • McCormick, Barry
  • Nicodemo, Catia
Abstract
We study the effect of unemployment on birth outcomes by exploiting geographical variation in the unemployment rate across local areas in England, and comparing siblings born to the same mother via family fixed effects. Using rich individual data from hospital administrative records between 2003 and 2012, babies’ health is found to be strongly procyclical. A one-percentage point increase in the unemployment rate leads to an increase in low birth weight and preterm babies of respectively 1.3 and 1.4%, and a 0.1% decrease in foetal growth. We find heterogenous responses: unemployment has an effect on babies’ health which varies from strongly adverse in the most deprived areas, to mildly favourable in the most prosperous areas. We provide evidence of three channels that can explain the overall negative effect of unemployment on new-born health: maternal stress; unhealthy behaviours - namely excessive alcohol consumption and smoking; and delays in the takeup of prenatal services. While the heterogenous effects of unemployment by area of deprivation seem to be explained by maternal behaviour. Most importantly, we also show for the first time that selection into fertility is the main driver for the previously observed, opposite counter-cyclical results, e.g., Dehejia and Lleras-Muney (2004). Our results are robust to internal migration, different geographical aggregation of the unemployment rate, the use of gender-specific unemployment rates, and potential endogeneity of the unemployment rate which we control for by using a shift-share instrumental variable approach

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  • De Cao, Elisabetta & McCormick, Barry & Nicodemo, Catia, 2019. "Does unemployment worsen babies' health? A tale of siblings, maternal behaviour and selection," LSE Research Online Documents on Economics 102270, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:102270
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    Cited by:

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    3. Balsa, Ana I. & Triunfo, Patricia, 2022. "The COVID-19 pandemic and birth outcomes in 2020: The role of prenatal care and other channels," Economics & Human Biology, Elsevier, vol. 47(C).
    4. Seiz, Marta & Salazar, Leire & Eremenko, Tatiana, 2024. "Perinatal health in Spain during and after the Great Recession: Educational selection into fertility as a protective factor in high unemployment contexts," Social Science & Medicine, Elsevier, vol. 340(C).
    5. Sulin Sardoschau, 2023. "In-utero Exposure to Violence and Child Health in Iraq," Rationality and Competition Discussion Paper Series 452, CRC TRR 190 Rationality and Competition.
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    7. Reader, Mary, 2023. "The infant health effects of starting universal child benefits in pregnancy: evidence from England and Wales," LSE Research Online Documents on Economics 118458, London School of Economics and Political Science, LSE Library.
    8. Jimena Pacheco & Natascha Wagner, 2023. "Long‐term impacts of an early childhood shock on human capital: Evidence from the 1999 economic crisis in Ecuador," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2460-2476, November.
    9. Li, Xue & Smyth, Russell & Xin, Guangyi & Yao, Yao, 2023. "Warmer temperatures and energy poverty: Evidence from Chinese households," Energy Economics, Elsevier, vol. 120(C).
    10. Reader, Mary, 2023. "The infant health effects of starting universal child benefits in pregnancy: Evidence from England and Wales," Journal of Health Economics, Elsevier, vol. 89(C).
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    More about this item

    JEL classification:

    • E24 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Employment; Unemployment; Wages; Intergenerational Income Distribution; Aggregate Human Capital; Aggregate Labor Productivity
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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