Title

The Long Reach of Childhood Health and Circumstance: Evidence from the Whitehall II Study

Author(s)

Anne Case Anne Case (Princeton University)

Christina Paxson Christina Paxson (Princeton University)

Abstract

We use data from the Whitehall II study to examine the potential role played by early-life health and circumstances in determining health and employment status in middle and older ages. The population from which the Whitehall II cohort was drawn consisted almost exclusively of white collar civil servants. We demonstrate that estimates of the impact of early-life conditions based on the Whitehall II cohort provide a lower bound on the effect of early-life circumstances on adult health and economic status for the population as a whole. That said, using the Whitehall II cohort data, we find early life circumstances are all predictive of entry grade and promotion to higher grade in Whitehall. Even with controls for entry grade or current grade, we find that childhood circumstances predict cohort members' current health status. Using fixed effect and first-difference models of self-assessed health status and civil service employment grade, we find no evidence of civil service grade affecting future self-assessed health. However, we find self-assessed health has a significant effect on future civil service grade.

Creation Date

2010-01

Section URL ID

CHWB

Paper Number

January2011

URL

https://drive.google.com/file/d/0BwjFN4HbBrDBTlBWcVQ0YjJsdVk/view

File Function

Jel

I12,J24,J45

Keyword(s)

health, employment status, early life, social disadvantage

Suppress

false

Series

9