Birth order, parental health investment, and health in childhood

Gerald Pruckner, Nicole Schneeweis, Thomas Schober and Martina Zweimüller

Journal of Health Economics, 2021, vol. 76, issue C

Abstract: We analyze the relationship between birth order, parental health investment and children's health using administrative data from Austria. We show that later-born children have better health endowments at birth. They are less likely born preterm or with a low birth weight, and less likely hospitalized for perinatal conditions. We also find significant birth order differences in parental health investment in early childhood. Later-born children are less likely to participate in preventive medical screenings and their vaccine uptake rates are lower. Our analysis indicates that these birth order differences in parental health investments are not driven by children's health endowments. Thus, we do not find evidence for compensatory behavior of parents. We discuss alternative explanations, such as the role of resource constraints. Furthermore, we show, that the initial health inequalities extend into middle childhood. Later-born children show a better health status in school health checks, they consume less medication and are less often hospitalized.

Keywords: Birth order; Parental health investment; Parental health behavior; Health at birth; Health in childhood; Health care utilization (search for similar items in EconPapers)
JEL-codes: I10 I12 I14 J12 J13 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (7)

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Related works:
Working Paper: Birth Order, Parental Health Investment, and Health in Childhood (2019)
Working Paper: Birth Order, Parental Health Investment, and Health in Childhood (2019)
Working Paper: Birth Order, Parental Health Investment, and Health in Childhood (2019)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:jhecon:v:76:y:2021:i:c:s0167629621000114

DOI: 10.1016/j.jhealeco.2021.102426

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