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Birth Order, Parental Health Investment, and Health in Childhood

Author

Listed:
  • Gerald J. Pruckner
  • Nicole Schneeweis
  • Thomas Schober
  • Martina Zweimüller
Abstract
Research has shown that cognitive and non-cognitive skills, education and earnings decrease with birth order. Less is known about birth order effects on health. This paper provides a comprehensive analysis of the relationship between birth order, health at birth and in childhood, and parental health investment. High-quality administrative data on children born in Austria between 1984 and 2015 allow us to exploit within-family variation in birth order to account for confounding familylevel factors. In a sample of families with two to four children, we find statistically significant and quantitatively important birth order effects on health at birth and in primary school. These birth order effects are positive, in that later-born siblings are healthier than the first-born child, and increase with birth order. Consequently, first-born children are more likely to consume medical drugs and to utilize inpatient and outpatient medical services. We also find significant birth order differences in parental health investment. Compared to their later-born siblings, first-born children are more likely to receive preventive medical care and immunization against measles, mumps, and rubella.

Suggested Citation

  • Gerald J. Pruckner & Nicole Schneeweis & Thomas Schober & Martina Zweimüller, 2019. "Birth Order, Parental Health Investment, and Health in Childhood," Economics working papers 2019-16, Department of Economics, Johannes Kepler University Linz, Austria.
    • Handle: RePEc:jku:econwp:2019_16
    Note: English
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    File URL: http://www.econ.jku.at/papers/2019/wp1916.pdf
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    References listed on IDEAS

    as
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    Cited by:

    1. M. Perez-Alvarez & M. Favara, 2023. "Children having children: early motherhood and offspring human capital in India," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1573-1606, July.
    2. Björkegren, Evelina & Svaleryd, Helena, 2023. "Birth order and health disparities throughout the life course," Social Science & Medicine, Elsevier, vol. 318(C).
    3. Humlum, Maria Knoth & Morthorst, Marius Opstrup & Thingholm, Peter Rønø, 2024. "Sibling spillovers and the choice to get vaccinated: Evidence from a regression discontinuity design," Journal of Health Economics, Elsevier, vol. 94(C).
    4. Rabia Arif & Theresa Thompson Chaudhry & Azam Amjad Chaudhry, 2023. "Emigration’s Heterogeneous Impact on Children’s Wellbeing in Punjab, Pakistan," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(3), pages 1251-1295, June.
    5. Pérez-Mesa, David & Marrero, Gustavo A. & Darias-Curvo, Sara, 2021. "Child health inequality in Sub-Saharan Africa," MPRA Paper 108801, University Library of Munich, Germany.
    6. Houmark, Mikkel Aagaard, 2023. "First Among Equals? How Birth Order Shapes Child Development," MPRA Paper 119325, University Library of Munich, Germany.

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    More about this item

    Keywords

    Birth order; parental health investment; parental health behavior; health at birth; health in childhood; health care utilization;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J12 - Labor and Demographic Economics - - Demographic Economics - - - Marriage; Marital Dissolution; Family Structure
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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