Poverty, children's health, and health care utilization

This paper was presented at the conference "Unequal incomes, unequal outcomes? Economic inequality and measures of well-being" as part of session 1, "Health status of children and households in poverty." The conference was held at the Federal Reserve Bank of New York on May 7, 1999. This paper discusses health as a direct measure of economic well-being and draws attention to those suffering the worst outcomes and the link between poverty and health. According to the author, in 1994 only 10 percent of children under age five in families making $35,000 or more were in less than very good or excellent health. By comparison, one-third of young children in families with income below$10,000 were in less than very good health. Moreover, in recent years the number of poor children whose health is fair or poor has increased relative to the number of nonpoor children in these same health categories. In 1987, for every nonpoor child with health problems, there were close to two children in poverty in poor health; by 1996, that ratio had risen to 2.7.Poverty ; Income ; Medical care

"The Health, Earnings Capacity, and Poverty of Single-Mother Families"

Approximately 1.4 million single mothers have substantial health problems. Even if they were to work full time, they would be unlikely to earn enough to adequately provide for themselves and their children. Many of these women are not likely to find employment that offers health insurance coverage for themselves or their children. Employment is thus not an option that would provide sufficient resources--in terms of income or insurance--for them to live at or above the poverty line. Those single mothers who have a disabled child are at additional disadvantage. These children may require increased time from an adult and are likely to have considerable medical care needs and expenditures. For these families, employment of the mother may not provide adequate resources in terms of either time available to meet the disabled child's special needs, income, or adequate health insurance. We explore these issues, first examining the health status of single mothers compared to other women. We next estimate their earnings capacity--the amount they would earn were they to join the work force on a full-time basis, taking into account their health status and that of their children. We then investigate the percentage of single mothers and their children who would be poor if they had to rely on the earnings capacity of the women (working 40 hours per week, adjusting for health). Finally, we explore the policy implications of our findings, which seem particularly timely in the face of the new work requirements of the 1988 Family Support Act. The act requires most single mothers currently receiving or applying for Aid to Families with DependentChildren (AFDC) to enroll in training or register to work.

Child Mental Health and Human Capital Accumulation: The Case of ADHD Revisited

Recently, Currie and Stabile (2006) made a significant contribution to our understanding of the influence of ADHD symptoms on a variety of school outcomes including participation in special education, grade repetition and test scores. Their contributions include using a broad sample of children and estimating sibling fixed effects models to control for unobserved family effects. In this paper we look at a sample of older children and confirm and extend many of the JCMS findings in terms of a broader set of measures of human capital and additional specifications.

Education and Labor Market Consequences of Teenage Childbearing: Evidence Using the Timing of Pregnancy Outcomes and Community Fixed Effects

The question of whether giving birth as a teenager has negative economic consequences for the mother remains controversial despite substantial research. In this paper, we build upon existing literature, especially the literature that uses the experience of teenagers who had a miscarriage as the appropriate comparison group. We show that miscarriages are not random events, but rather are likely correlated with (unobserved) community-level factors, casting some doubt on previous findings. Including community-level fixed effects in our specifications lead to important changes in our estimates. By making use of information on the timing of miscarriages as well as birth control choices preceding the teenage pregnancies we construct more relevant control groups for teenage mothers. We find evidence that teenage childbearing likely reduces the probability of receiving a high school diploma by 5 to 10 percentage points, reduces annual income as a young adult by $1,000 to$2,400, and may increase the probability of receiving cash assistance and decrease years of schooling.teen pregnancy, economic consequences, human capital

Labor and Transfer Income and Older Women's Work: Estimates From the United States

This paper deals with the effects of labor and transfer incomes as determinants of older women's labor force participation. It examines the responsiveness of women aged 48-62 to the level of income available from both work and public transfer programs when deciding between work and nonwork options. The main focus is on whether the availability and generosity of disability-related transfers affects the labor supply of these women. A maximum-likelihood model is estimated separately for heads of household and wives. The results suggest income opportunities have significant effect only on the work choices of wives. The responsiveness to the availability and generosity of public transfers is largest among older, disabled women who have low expected earnings.

Time Use and Population Representation in the Sloan Study of Adolescents

Do studies of time use interfere too much in the lives of the subjects? As a result are those who agree to participate a biased sample of the population? We examine the characteristics of the Experience Sampling Method (ESM) adolescent sample from the Alfred P. Sloan Study of Youth and Social Development in order to detect and quantify instances of sampling and nonresponse bias. According to available proxies for time use and standard demographic variables, the Sloan ESM sample is nearly representative in terms of teen employment rates, parental employment rates, a student's grade point average, and TV watching. Work hours are slightly undercounted in the study because of slightly higher nonresponse rates by teenagers working long hours. The sample is less representative in terms of the time of week and gender; nonresponse is relatively common on school nights and (to a lesser extent) on weekends, and among boys. We offer some suggestions regarding general implications of our findings for the measurement of time use.

Inequality and Health: Is Housing Crowding the Link?

In this study we extend the literature (e.g. Deaton, 2002a; Kennedy and Kawachi, 1996; Wilkinson, 1996) by proposing a new mechanism through which income inequality can influence health. We argue that increased income inequality induces household crowding, which in turn leads to increased rates of infectious diseases. We use data from New Zealand that links hospital discharge rates with community-level characteristics to explore this hypothesis. Our results provide support for a differential effect of income inequality and housing crowding on rates of hospital admissions for infectious diseases among children. Importantly, we find that genetic and non-communicable diseases do not show these joint crowding and inequality effects. The effect of housing on communicable diseases provides a biological foundation for an income inequality gradient.Housing crowding, child health outcomes, income inequality