Using data on biomarkers and siblings to study early-life economic determinants of type-2 diabetes.

Autor: Alessie, Rob J. M., Angelini, Viola, van den Berg, Gerard J., Mierau, Jochen O., Niccodemi, Gianmaria
Zdroj: Health Economics; Jun2024, Vol. 33 Issue 6, p1266-1283, 18p
Abstrakt: We study the effect of economic conditions early in life on the occurrence of type-2 diabetes in adulthood using contextual economic indicators and withinsibling pair variation. We use data from Lifelines: a longitudinal cohort study and biobank including 51,270 siblings born in the Netherlands from 1950 onward. Sibling fixed-effects account for selective fertility. To identify type-2 diabetes we use biomarkers on the hemoglobin A1c concentration and fasting glucose in the blood. We find that adverse economic conditions around birth increase the probability of type-2 diabetes later in life both in males and in females. Inference based on self-reported diabetes leads to biased results, incorrectly suggesting the absence of an effect. The same applies to inference that does not account for selective fertility. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index