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Int. J. Environ. Res. Public Health 2018, 15(2), 212; doi:10.3390/ijerph15020212

The Effect of Childhood Health Status on Adult Health in China

School of Business, Dalian University of Technology, Panjin 124221, China
China Center for Health Development Studies, Peking University, Beijing 100083, China
Department of Health Policy and Administration, Peking University, Beijing 100083, China
Department of Family, Population & Preventive Medicine, State University of New York at Stony Brook, Stony Brook, NY 11790, USA
Author to whom correspondence should be addressed.
Received: 5 December 2017 / Revised: 20 January 2018 / Accepted: 22 January 2018 / Published: 26 January 2018
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Childhood health in China was poor in the 1950s and 1960s because of limited nutrition. In the last three decades, China has distinguished itself through its tremendous economic growth and improvements in health and nutrition. However, prior to such growth, access to good nutrition was more variable, with potentially important implications, not only for childhood health, but also for adult health, because of its long-term effects lasting into adulthood. To shed light on these issues, this study examined the long-run association between childhood health and adult health outcomes among a middle-aged Chinese population and addresses the endogeneity of childhood health. A nationwide database from the 2011 China Health and Retirement Longitudinal Study (CHARLS) was employed. Three adult health outcomes variables were used: self-reported health status, cognition, and physical function. The local variation in grain production in the subjects’ fetal period and the first 24 months following birth was employed as an instrument for childhood health in order to correct for its endogeneity. Childhood health recalled by the respondents was positively and significantly associated with their adult health outcomes in terms of self-reported health status, cognition, and physical function in single-equation estimates that did not correct for the endogeneity of childhood health. A good childhood health status increased the probabilities of good adult health, good adult cognitive function, and good adult physical function by 16% (95% CI: 13–18%), 13% (95% CI: 10–15%), and 14% (95% CI: 12–17%), respectively. After correcting for endogeneity, the estimated effects of good childhood health were consistent but stronger. We also studied the male and female populations separately, finding that the positive effects of childhood health on adult health were larger for males. In China, childhood health significantly affects adult health. This suggests that early interventions to promote childhood health will have long-term benefits in China and that health-care policies should consider their long-term impacts over the life cycle in addition to their effects on specific age groups. View Full-Text
Keywords: childhood health; adult health; adult cognition; adult physical function; China childhood health; adult health; adult cognition; adult physical function; China

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Wang, Q.; Zhang, H.; Rizzo, J.A.; Fang, H. The Effect of Childhood Health Status on Adult Health in China. Int. J. Environ. Res. Public Health 2018, 15, 212.

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