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IZA Discussion Paper No. 16503
October 2023
The Long Shadow of the Past: Early-Life Disease Environment and Later-Life Mortality

A recently growing literature evaluates the influence of early-life conditions on life-cycle health and mortality. This paper extends this literature by estimating the associations between birth-state infant mortality rates experienced during early-life (as a proxy for general disease environment, health-care access, and nutrition) and life-cycle mortality rates. Using the universe of death records in the US over the years 1979-2020 and implementing two-way fixed effect models, we find that a 10 percent rise in birth-state infant mortality rate is associated with about 0.23 percent higher age-specific mortality rate. These correlations are more concentrated in ages past 50, suggesting delayed effects of early-life exposures. Moreover, we find substantially larger correlations among nonwhites, suggesting that the observed racial disparities in mortality can partly be explained by disparities in early-life conditions. Further, we provide empirical evidence to argue that reductions in education, income, and socioeconomic scores are likely mechanism channels.

Communications
Mark Fallak
mark.fallak@liser.lu
+352 585-855-526
World of Labour
Olga Nottmeyer
olga.nottmeyer@liser.lu
+352 585-855-501
Network Coordination
Christina Gathmann
christina.gathmann@liser.lu

The IZA@LISER Network is a global community of scholars dedicated to excellence in labor economics and related fields, now coordinated at the Luxembourg Institute of Socio-Economic Research (LISER) following its transition from Bonn.

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