WEALTH, HEALTH, AND CHILD DEVELOPMENT: EVIDENCE FROM ADMINISTRATIVE DATA ON SWEDISH LOTTERY PLAYERS
WEALTH, HEALTH, AND CHILD DEVELOPMENT: EVIDENCE FROM ADMINISTRATIVE DATA ON SWEDISH LOTTERY PLAYERS
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DOI：
10.1093/qje/qjw001
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发表时间：
2016-05-01
影响因子：
13.7
通讯作者：
Wallace, Bjorn
中科院分区：
文献类型：
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作者：
Cesarini, David;Lindqvist, Erik;Wallace, Bjorn
我们使用瑞典彩票玩家的管理数据来估计重大财富冲击对玩家自身健康及其子女的健康和发育结果的因果影响。我们的估计样本很大，几乎没有损耗，并且使我们能够控制随机分配奖品的条件因素。对于成年人来说，我们没有发现任何证据表明财富会影响死亡率或医疗保健利用率，除了心理健康药物消费量的小幅减少之外。我们的估计使我们能够排除对 10 年死亡率的影响，其影响相当于横截面财富-死亡率梯度的六分之一。在我们的代际分析中，我们发现财富增加了儿童在彩票后几年的医疗保健利用率，还可能降低肥胖风险。对大多数其他儿童结果的影响，包括药物消耗、学业表现和技能，通常可以限制在零附近的一个紧密区间内。总体而言，我们的研究结果表明，在拥有广泛社会安全网的富裕国家，财富的因果效应并不是财富-死亡率梯度的主要来源，也不是观察到的儿童发展结果与家庭收入之间关系的主要来源。
We use administrative data on Swedish lottery players to estimate the causal impact of substantial wealth shocks on players' own health and their children's health and developmental outcomes. Our estimation sample is large, virtually free of attrition, and allows us to control for the factors conditional on which the prizes were randomly assigned. In adults, we find no evidence that wealth impacts mortality or health care utilization, with the possible exception of a small reduction in the consumption of mental health drugs. Our estimates allow us to rule out effects on 10-year mortality one sixth as large as the cross-sectional wealth-mortality gradient. In our intergenerational analyses, we find that wealth increases children's health care utilization in the years following the lottery and may also reduce obesity risk. The effects on most other child outcomes, including drug consumption, scholastic performance, and skills, can usually be bounded to a tight interval around zero. Overall, our findings suggest that in affluent countries with extensive social safety nets, causal effects of wealth are not a major source of the wealth-mortality gradients, nor of the observed relationships between child developmental outcomes and household income.