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The lasting health and income effects of public health formation in Sweden

Lazuka, Volha LU (2017) In Lund Papers in Economic History: Population Economics
Abstract
Socio-economic inequalities are remarkable in contemporary developed countries and continue to grow. The sources of these phenomena are not understood, and there is no agreement as to when in an individual’s life they originate, from early childhood to adulthood. The literature showing that health in infancy may be an important factor in later-life health and income trajectories is expanding, but empirical evidence is still scarce. This paper is the first to link differences in individual access to better health care during infancy to income and health outcomes in old age. Due to the public health care reform that became one of the first elements of the Swedish welfare state, between 1890 and 1917, all rural areas established local health... (More)
Socio-economic inequalities are remarkable in contemporary developed countries and continue to grow. The sources of these phenomena are not understood, and there is no agreement as to when in an individual’s life they originate, from early childhood to adulthood. The literature showing that health in infancy may be an important factor in later-life health and income trajectories is expanding, but empirical evidence is still scarce. This paper is the first to link differences in individual access to better health care during infancy to income and health outcomes in old age. Due to the public health care reform that became one of the first elements of the Swedish welfare state, between 1890 and 1917, all rural areas established local health districts that implemented preventive measures with regard to the spread of infectious diseases. Using administrative longitudinal population data and exploiting exogenous variation in the timing of the implementation of the reform across parishes, we examine whether individuals treated in their infancy have an advantage in old age. Our findings indicate that treatment in the public health care system in infancy leads to a significant reduction in mortality, with the largest effects on cardiovascular diseases and to an increase in individual permanent incomes. The effects are universal across different subpopulations, with somewhat stronger responses among individuals from poor socio-economic backgrounds. (Less)
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author
organization
publishing date
type
Working Paper
publication status
published
subject
keywords
Sweden, Life-course, Reform, Early-life, Health District, Mortality, Income
in
Lund Papers in Economic History: Population Economics
issue
153
pages
53 pages
publisher
Department of Economic History, Lund University
ISSN
1101-346X
language
English
LU publication?
yes
id
9b72bf39-a27a-4e66-9962-f681edd7d757
date added to LUP
2017-01-26 16:30:48
date last changed
2017-02-28 09:03:23
@misc{9b72bf39-a27a-4e66-9962-f681edd7d757,
  abstract     = {Socio-economic inequalities are remarkable in contemporary developed countries and continue to grow. The sources of these phenomena are not understood, and there is no agreement as to when in an individual’s life they originate, from early childhood to adulthood. The literature showing that health in infancy may be an important factor in later-life health and income trajectories is expanding, but empirical evidence is still scarce. This paper is the first to link differences in individual access to better health care during infancy to income and health outcomes in old age. Due to the public health care reform that became one of the first elements of the Swedish welfare state, between 1890 and 1917, all rural areas established local health districts that implemented preventive measures with regard to the spread of infectious diseases. Using administrative longitudinal population data and exploiting exogenous variation in the timing of the implementation of the reform across parishes, we examine whether individuals treated in their infancy have an advantage in old age. Our findings indicate that treatment in the public health care system in infancy leads to a significant reduction in mortality, with the largest effects on cardiovascular diseases and to an increase in individual permanent incomes. The effects are universal across different subpopulations, with somewhat stronger responses among individuals from poor socio-economic backgrounds.},
  author       = {Lazuka, Volha},
  issn         = {1101-346X},
  keyword      = {Sweden,Life-course,Reform,Early-life,Health District,Mortality,Income},
  language     = {eng},
  note         = {Working Paper},
  number       = {153},
  pages        = {53},
  publisher    = {Department of Economic History, Lund University},
  series       = {Lund Papers in Economic History: Population Economics},
  title        = {The lasting health and income effects of public health formation in Sweden},
  year         = {2017},
}