Long-term impacts of early-life exposure to malaria: Evidence from Taiwan's Eradication Campaign in the 1950s

Health Econ. 2018 Oct;27(10):1484-1512. doi: 10.1002/hec.3781. Epub 2018 Jun 12.

Abstract

This paper utilizes the eradication campaign in Taiwan in the 1950s to estimate the long-term impacts of early-life (in utero and postnatal) exposure to malaria. Matching adults in the 1992-2012 Taiwan Social Change Survey to the malaria intensity in their individual place and year of birth, difference-in-difference estimation shows strong evidence that the eradication increased men's own educational attainment as well as their family income in adulthood. We also use the 1980 census data to show there was a sharp education increase after the eradication. Furthermore, the eradication increased the educational attainment of married men's spouses. Finally, quantile regressions show that the effect concentrated on the lower percentile of the income distribution. Overall, our results suggest negative effects of early-life exposure to malaria.

Keywords: Taiwan; education; family income; fetal origins hypothesis; malaria eradication; spouse education.

Publication types

  • Historical Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disease Eradication / history*
  • Educational Status*
  • Female
  • History, 20th Century
  • Humans
  • Income / statistics & numerical data
  • Malaria / epidemiology
  • Malaria / prevention & control*
  • Male
  • Middle Aged
  • Spouses / statistics & numerical data*
  • Taiwan / epidemiology