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发展中国家的生命早期健康与成年境况

Early-Life Health and Adult Circumstance in Developing Countries
Annual Review of Economics · 2013 · Janet Currie、Tom Vogl

中文摘要

越来越多的文献记录了长期结果与胎儿期、婴儿期和幼儿期健康之间的联系。这些文献大多聚焦于富裕国家,但研究人员正日益利用新的数据来源和识别方法,研究发展中国家儿童期健康的长远影响。在这些国家,生命早期健康可能是成年阶段结果的一个更重要的决定因素,因为健康损害更为频繁,补救能力更为有限,而且多重冲击可能产生交互作用。然而,由于存在较强的死亡选择效应,这些内在关系也可能更难以测量。我们综述了有关生命早期健康与成年阶段结果之间相关关系的近期证据,以及有关疾病、饥荒、营养不良、污染和战争所引发冲击的长期效应的近期证据。

Abstract

A growing literature documents the links between long-term outcomes and health in the fetal period, infancy, and early childhood. Much of this literature focuses on rich countries, but researchers are increasingly taking advantage of new sources of data and identification to study the long reach of childhood health in developing countries. Health in early life may be a more significant determinant of adult outcomes in these countries because health insults are more frequent, the capacity to remediate is more limited, and multiple shocks may interact. However, the underlying relationships may also be more difficult to measure, given significant mortality selection. We survey recent evidence on the adult correlates of early-life health and the long-term effects of shocks resulting from disease, famine, malnutrition, pollution, and war.
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