The effects of a daycare reform on health in childhood-Evidence from Sweden

Gerard J. van den Berg; Bettina M. Siflinger

doi:10.1016/j.jhealeco.2021.102577

The effects of a daycare reform on health in childhood-Evidence from Sweden

Gerard J. van den Berg, Bettina M. Siflinger^*

^*Corresponding author for this work

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Abstract

This paper studies the impact ofadaycarereformonchildren'smentalandphysicalhealthdevel-opmentinSweden.Thereformeffectivelyreduceddaycarefeesbyasignificantamountandwentalongwithanexpansionofsupply.Wedrawonauniquesetofcomprehensiveindividual-levelhealthcareregisterdataovertheperiod1999-2008.Byexploitingvariationinreformexposurebybirthcohort,weestimateshortandmedium-runeffectsonchildhealthatdifferentages.Wefindasignificantreductioninmentaldisordersinthemedium-runforchildrenaffectedbythereform.Thereformleadstostrongandimmediateincreasesinprobabilitiesofdiagnosiswithphysicalhealthconditionsthatfadeoutaschildrengetolder.Sub-sampleanalysesindicatethatthere-formeffectsarestronglyassociatedwithchildrenfromdisadvantagedbackgrounds.Ananalysisofhealthcareutilizationshowsthataffectedchildrenhavemoreoverallmedicalvisitsatyoungeragesbutfewersickness-relatedvis its in primary school than non-affected children.

Original language	English
Article number	102577
Number of pages	21
Journal	Journal of Health Economics
Volume	81
DOIs	https://doi.org/10.1016/j.jhealeco.2021.102577
Publication status	Published - Jan-2022

Keywords

Child health
Childcare
Healthcare register
Socioeconomic status
Healthcare utilization
PRESCHOOL-CHILDREN
BEHAVIOR EVIDENCE
TERM
IMPACTS
PARENTS

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@article{02c36dfffbc8477c9f215dc507ecc7e4,

title = "The effects of a daycare reform on health in childhood-Evidence from Sweden",

abstract = "This paper studies the impact ofadaycarereformonchildren'smentalandphysicalhealthdevel-opmentinSweden.Thereformeffectivelyreduceddaycarefeesbyasignificantamountandwentalongwithanexpansionofsupply.Wedrawonauniquesetofcomprehensiveindividual-levelhealthcareregisterdataovertheperiod1999-2008.Byexploitingvariationinreformexposurebybirthcohort,weestimateshortandmedium-runeffectsonchildhealthatdifferentages.Wefindasignificantreductioninmentaldisordersinthemedium-runforchildrenaffectedbythereform.Thereformleadstostrongandimmediateincreasesinprobabilitiesofdiagnosiswithphysicalhealthconditionsthatfadeoutaschildrengetolder.Sub-sampleanalysesindicatethatthere-formeffectsarestronglyassociatedwithchildrenfromdisadvantagedbackgrounds.Ananalysisofhealthcareutilizationshowsthataffectedchildrenhavemoreoverallmedicalvisitsatyoungeragesbutfewersickness-relatedvis its in primary school than non-affected children.",

keywords = "Child health, Childcare, Healthcare register, Socioeconomic status, Healthcare utilization, PRESCHOOL-CHILDREN, BEHAVIOR EVIDENCE, TERM, IMPACTS, PARENTS",

author = "{van den Berg}, {Gerard J.} and Siflinger, {Bettina M.}",

year = "2022",

month = jan,

doi = "10.1016/j.jhealeco.2021.102577",

language = "English",

volume = "81",

journal = "Journal of Health Economics",

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AU - van den Berg, Gerard J.

AU - Siflinger, Bettina M.

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N2 - This paper studies the impact ofadaycarereformonchildren'smentalandphysicalhealthdevel-opmentinSweden.Thereformeffectivelyreduceddaycarefeesbyasignificantamountandwentalongwithanexpansionofsupply.Wedrawonauniquesetofcomprehensiveindividual-levelhealthcareregisterdataovertheperiod1999-2008.Byexploitingvariationinreformexposurebybirthcohort,weestimateshortandmedium-runeffectsonchildhealthatdifferentages.Wefindasignificantreductioninmentaldisordersinthemedium-runforchildrenaffectedbythereform.Thereformleadstostrongandimmediateincreasesinprobabilitiesofdiagnosiswithphysicalhealthconditionsthatfadeoutaschildrengetolder.Sub-sampleanalysesindicatethatthere-formeffectsarestronglyassociatedwithchildrenfromdisadvantagedbackgrounds.Ananalysisofhealthcareutilizationshowsthataffectedchildrenhavemoreoverallmedicalvisitsatyoungeragesbutfewersickness-relatedvis its in primary school than non-affected children.

AB - This paper studies the impact ofadaycarereformonchildren'smentalandphysicalhealthdevel-opmentinSweden.Thereformeffectivelyreduceddaycarefeesbyasignificantamountandwentalongwithanexpansionofsupply.Wedrawonauniquesetofcomprehensiveindividual-levelhealthcareregisterdataovertheperiod1999-2008.Byexploitingvariationinreformexposurebybirthcohort,weestimateshortandmedium-runeffectsonchildhealthatdifferentages.Wefindasignificantreductioninmentaldisordersinthemedium-runforchildrenaffectedbythereform.Thereformleadstostrongandimmediateincreasesinprobabilitiesofdiagnosiswithphysicalhealthconditionsthatfadeoutaschildrengetolder.Sub-sampleanalysesindicatethatthere-formeffectsarestronglyassociatedwithchildrenfromdisadvantagedbackgrounds.Ananalysisofhealthcareutilizationshowsthataffectedchildrenhavemoreoverallmedicalvisitsatyoungeragesbutfewersickness-relatedvis its in primary school than non-affected children.

KW - Child health

KW - Childcare

KW - Healthcare register

KW - Socioeconomic status

KW - Healthcare utilization

KW - PRESCHOOL-CHILDREN

KW - BEHAVIOR EVIDENCE

KW - TERM

KW - IMPACTS

KW - PARENTS

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DO - 10.1016/j.jhealeco.2021.102577

M3 - Article

VL - 81

JO - Journal of Health Economics

JF - Journal of Health Economics

SN - 0167-6296

M1 - 102577

ER -