DP9650 Economic Conditions at Birth, Birth Weight, Ability, and the Causal Path to Cardiovascular Mortality

Author(s): Bitte Modin, Gerard van den Berg
Publication Date: September 2013
Keyword(s): business cycle, cardiovascular disease, cause of death, cognitive ability, developmental origins, education, fetal programming, genetic determinants, health, life course, life expectancy, longevity, nature and nurture, school grades, siblings, stratified partial likelihood.
JEL(s): C41, E32, I10, I12, I21, I31, J10, J13, N34
Programme Areas: Labour Economics, Public Economics, Development Economics, Economic History
Link to this Page: cepr.org/active/publications/discussion_papers/dp.php?dpno=9650

We analyze interaction effects of birth weight and the business cycle at birth on individual cardiovascular (CV) mortality later in life. In addition, we examine to what extent these long-run effects run by way of cognitive ability and education and to what extent those mitigate the long-run effects. We use individual records of Swedish birth cohorts from 1915--1929 covering birth weight, family characteristics, school grades, sibling identifiers, and outcomes later in life including the death cause. The birth weight distribution does not vary over the business cycle. The association between birth weight (across the full range) and CV mortality rate later in life is significantly stronger if the individual is born in a recession. This is not explained by differential fertility by social class over the cycle. Ability itself, as measured at age 10, varies with birth weight and the cycle at birth. But the long-run effects of early-life conditions appear to mostly reflect direct biological mechanisms. We do not find evidence of indirect pathways through ability or education, and the long-run effects are not mitigated by education.