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The Effect of Lead Exposure on Children’s Learning in the Developing World: A Meta-Analysis★

Lee Crawfurd, Rory Todd, Susannah Hares, Justin Sandefur and Rachel Silverman Bonnifield

The World Bank Research Observer, 2025, vol. 40, issue 2, 229-260

Abstract: Around half of children in low-income countries have elevated blood-lead levels. What role does lead play in explaining low educational outcomes in these settings? We conduct a new systematic review and meta-analysis of observational studies on the relationship between lead exposure and learning outcomes. Adjusting for observable confounds and publication bias yields a benchmark estimate of astandard-deviation reduction in learning per natural log unit of blood lead. As all estimates are non-experimental, we present evidence on the likely magnitude of unobserved confounding, and summarize results from a smaller set of natural experiments. Our benchmark estimate accounts for over a fifth of the gap in learning outcomes between rich and poor countries, and implies moderate learning gains from targeted interventions for highly exposed groups ( 0.1 standard deviations) and modest learning gains ( standard deviations) from broader public health campaigns.

Keywords: lead poisoning; child education; developing countries (search for similar items in EconPapers)
Date: 2025
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