{"title":"The intergenerational association of epigenetic modifications between mothers and offspring, from birth to adolescence","authors":"Chiara Costi , Giorgia Menta , Giovanni Fiorito , Conchita D’Ambrosio","doi":"10.1016/j.ehb.2025.101509","DOIUrl":"10.1016/j.ehb.2025.101509","url":null,"abstract":"<div><div>Epigenetic modifications, such as DNA methylation (DNAm), have an important role in human disease development, with early DNAm patterns potentially influencing health outcomes in later life. In this paper, we examine the intergenerational association of epigenetic mutation load (EML), a biomarker of epigenetic instability, identifying DNAm outliers. Using mother-child dyads from a UK-based cohort study, we examine the intergenerational association of EML at three time points: birth, childhood (mean age 7.5), and adolescence (mean age 17). We find significant associations of maternal EML with offspring EML during childhood and adolescence, while this association is absent at birth. This suggests that shared environment, rather than direct biological transmission, might be playing a larger role in this intergenerational correlation. When looking at the association between own EML, and maternal EML, with early-adulthood outcomes, results suggest that own EML predicts worse cognitive abilities later in life, while maternal EML is not directly associated to offspring’s outcomes.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101509"},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144239701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating the impact of long-term care insurance reform on health-related quality of life and inequality among older adults in China: A quasi-experimental analysis","authors":"Lin Lin , Min He , Xianhua Zai","doi":"10.1016/j.ehb.2025.101495","DOIUrl":"10.1016/j.ehb.2025.101495","url":null,"abstract":"<div><div>Less is known about whether and to what extent Long-Term Care Insurance (LTCI) promotes the Health-Related Quality of Life (HRQoL) of older individuals, a vital health outcome for healthy aging. This study utilizes longitudinal data from CHARLS and employs the widely-used EQ-5D-3L method to measure HRQoL. Using the LTCI pilot-which has been implemented in a staggered manner since 2012-as a quasi-experiment, we apply a difference-in-differences approach and find that LTCI increases the HRQoL of older adults aged 60 and older by 1.5%–2% and those aged 70+ by 3.3%. These results suggest that the public LTCI reform in China enhances the HRQoL for the older individuals but only to a relatively modest degree. This minor improvement in HRQoL is primarily driven by increased utilization of formal care, reduced financial strain due to decreased medical expenses, and increased psychological well-being. However, we also find that the current LTCI reform, which mainly targets urban employees and residents, inadvertently exacerbates the urban-rural disparity in HRQoL of older adults.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101495"},"PeriodicalIF":2.2,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empowering women, enhancing diets: The impact of women’s bargaining power on dietary quality in urban China","authors":"Wenli Shang , Ying Zhou , Xu Tian","doi":"10.1016/j.ehb.2025.101505","DOIUrl":"10.1016/j.ehb.2025.101505","url":null,"abstract":"<div><div>This paper investigates the influence of women’s empowerment on the dietary quality of urban residents in China, considering the country’s evolving gender dynamics. Utilizing data from 2022 to 2023 and employing instrumental variable method to address endogeneity issue, our analysis reveals that urban residents living in families with higher female bargaining power are more likely to meet the dietary guideline set by the Chinese Dietary Pagoda. Specifically, these residents exhibit reduced consumption of meat which are current overconsumed, while increasing their intake of dairy products which are current under-consumed. Furthermore, in households with children, enhanced bargaining power of women is associated with a broader variety of food consumption. The effects on dietary quality are particularly notable in low-income households, and there is a significant increase in egg consumption in smaller cities. These changes are likely driven by increased food expenditures and a reduced frequency of dining out. The findings underscore the importance of women’s empowerment as a key factor in improving urban dietary habits in China, with substantial implications for public health and nutrition.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101505"},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of adolescent depression and attention-deficit/hyperactivity disorder on educational attainment in adulthood","authors":"Jiaqi Chen , Alex Weng","doi":"10.1016/j.ehb.2025.101498","DOIUrl":"10.1016/j.ehb.2025.101498","url":null,"abstract":"<div><div>Early-onset mental disorders, particularly depression and attention-deficit/hyperactivity disorder (ADHD), are a growing concern among U.S. adolescents. Previous research offers inconclusive findings on how these conditions affect educational attainment, and the pathways remain unclear. This paper estimates the causal effects of adolescent depression and ADHD on adult educational attainment using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). To address unobservable confounders, measurement errors, and reverse causality, we employ polygenetic scores (PGSs) and friend suicide attempts as instruments. We find that a one standard deviation increase in ADHD score reduces years of education by 1.3 and the predicted probability of achieving a bachelor’s degree by 24.6 percentage points. Depression shows no significant impact on educational attainment. We further identify that the negative impact of ADHD on educational outcomes is primarily attributed to diminished academic performance and impaired self-regulation. School-based interventions and parent management training are potential solutions to mitigate these effects.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101498"},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Apostolos Davillas , Victor Hugo de Oliveira , Athina Raftopoulou
{"title":"Parental health, adolescents’ mental distress and non-cognitive skills","authors":"Apostolos Davillas , Victor Hugo de Oliveira , Athina Raftopoulou","doi":"10.1016/j.ehb.2025.101506","DOIUrl":"10.1016/j.ehb.2025.101506","url":null,"abstract":"<div><div>Drawing on nationally representative UK data, we explore the association of parental health and disability with mental distress and non-cognitive skills development of adolescents; both self-reported and more objectively measured biomarkers are used to capture parental health. Overall, we demonstrate a systematic association between parental health/disability and the non-cognitive skills development of adolescents living in the same household. However, considerable heterogeneity in these associations is observed both between and within mother’s and father’s health and disability measures. Much less evident is the link between parental health/disability and adolescents' mental distress. Our findings suggest that each parent’s health and disability status may be differentially associated with adolescents’ non-cognitive skills development.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101506"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In the eye of the storm. Long-term impact of the Covid-19 pandemic on healthcare utilization in Lombardy","authors":"Federico Franzoni , Claudio Lucifora , Antonio Giampiero Russo , Daria Vigani","doi":"10.1016/j.ehb.2025.101497","DOIUrl":"10.1016/j.ehb.2025.101497","url":null,"abstract":"<div><div>Covid-19 induced an increase in unmet health needs due to mobility restrictions and social distancing policies, fear of contagion and overload of healthcare facilities. Using administrative data for the Metropolitan Area of Milan in Lombardy and a rigorous empirical strategy, this paper investigates the impact of Covid-19 on the provision of outpatient care between January 2018 and June 2021. We find a large and persistent drop in outpatient treatments, with heterogeneous variations across age groups and chronic status of patients, as well as diagnostic categories of treatments. Results also reveal a significant role played by policy response to Covid-19 and behavioral changes in health-seeking behaviors in shaping the Covid-induced variation in outpatients. Finally, we estimate a cumulative and persistent loss in outpatient care around 25 percent over the period of interest, with an accumulated delay of 4.5 standard months.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101497"},"PeriodicalIF":2.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sleep hours fall as income rises: Macro and micro evidence on sleep inequality around the world","authors":"Cristián Jara , Francisca Pérez , Rodrigo Wagner","doi":"10.1016/j.ehb.2025.101496","DOIUrl":"10.1016/j.ehb.2025.101496","url":null,"abstract":"<div><div>People spend about a third of their lives sleeping. Our paper utilizes detailed time-use data to study sleep inequality by income. Our contribution lies in analyzing this relationship both within and across countries, using a global sample. At the micro level, we find that full-time male workers in the top income quartile sleep around half an hour less per day than those in the lowest quartile. This qualitative result is robust to various alternative tests and measurement of key variables. At the macro level, the average sleep hours decrease as the country’s GDP per capita increases. Interestingly, both our micro and macro estimations, are coherent with an estimated income elasticity of sleep around <span><math><mrow><mo>−</mo><mn>0</mn><mo>.</mo><mn>04</mn></mrow></math></span>. Using this elasticity we replicate the implicit relationships identified in previous single-country studies. Additional results suggest that other leisure activities may be positively correlated to income, such as internet use and social outings, substituting sleep.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"58 ","pages":"Article 101496"},"PeriodicalIF":2.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are preadolescent and adolescent physical growth failures related to poorer adolescent cognitive and socioemotional skills in Ethiopia, India, Peru, and Vietnam?","authors":"Le Thuc Duc , Jere R. Behrman","doi":"10.1016/j.ehb.2025.101493","DOIUrl":"10.1016/j.ehb.2025.101493","url":null,"abstract":"<div><div>This study uses longitudinal data from Ethiopia, India, Peru, and Vietnam to assess the associations between adolescent skills and their physical growth in life-cycle periods that are overlapping or following puberty growth spurts. In place of total growth over a life-cycle period, our analysis uses conditional growth, which is the part of height change that is uncorrelated with height at the start of the period. The adolescents’ cognitive achievements are based on their test results in math, receptive vocabulary, and reading comprehension, and their socioemotional skills are based on their self-efficacy, self-esteem, and peer relations. The main findings include: (1) adolescent cognitive achievements are associated with preadolescence and early adolescence growth; (2) the association between cognitive skills and physical growth continues into late adolescence for boys in poor regions; (3) significant associations are found between adolescents’ socioemotional skills and their growth in preadolescence, adolescence or both; and (4) across adolescent groups by sex and poor versus nonpoor regions, growth between ages 12 and 15 is associated with their socioemotional skills. The findings of this study provide additional insights to support age-specific investments in the health and nutrition of preadolescents and adolescents.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"57 ","pages":"Article 101493"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"State-led regional development strategy and multidimensional health poverty of the residents: Evidence from the China’s great western development program","authors":"Yihan Wu , Xingmin Zhang","doi":"10.1016/j.ehb.2025.101494","DOIUrl":"10.1016/j.ehb.2025.101494","url":null,"abstract":"<div><div>This study systematically examines the impact of China's Great Western Development (GWD) program on residential multidimensional health poverty from an institutional beneficiary perspective. Using macro and micro data, we employ a spatial regression discontinuity (SRD) approach to identify causal effects. The results indicate that the GWD program reduces both health poverty incidence and intensity, with findings remaining robust across multiple tests. However, the program shows no significant effects on rural residents, the elderly, residents of small- and medium-sized districts, or those in non-priority districts, likely due to size, urban, political, and efficiency biases. Mechanism analysis suggests that education, social security, healthcare, employment, transportation, energy and environmental management, and economics (at the macro level) drive the program's impact on health poverty. Finally, we identify higher education and physician supply as areas for further improvement. Given these findings, we recommend continued promotion of the GWD program to address its limitations and advance the goal of common prosperity.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"57 ","pages":"Article 101494"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143943644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aarushi Dhingra , Brenda Gannon , Luke Connelly , Gita Mishra
{"title":"Equity in use and financing of assisted reproductive technologies: Does income matter?","authors":"Aarushi Dhingra , Brenda Gannon , Luke Connelly , Gita Mishra","doi":"10.1016/j.ehb.2025.101491","DOIUrl":"10.1016/j.ehb.2025.101491","url":null,"abstract":"<div><div>This study estimates inequity for a relatively low frequency-of-use and expensive health service, Assisted Reproductive Technology (ART) in Australia, that nevertheless has health and well-being related consequences. Although the universal healthcare system provides rebates, a policy to put a monetary cap was introduced in 2010, thereby increasing the co-payments for consumers. These government co-financing decisions include a trade-off between subsidising ART for the wealthy and prioritising insurance for low-income households. Such decisions require careful consideration since they may have profound equity implications. This study produces empirical evidence on inequity in the use and financing of ARTs, using linked administrative data from the years before the policy change, 2006, 2009 and after the policy change, 2012. The results indicate that there is pro-rich inequity in the use of ARTs, which decreases post-policy change and the financing of ART is regressive for the year 2009 pre-policy change and is less regressive after the policy change.</div></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"57 ","pages":"Article 101491"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}