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Growing up in wartime: Evidence from the era of two world wars
Affiliation:1. European Commission, Joint Research Centre, Ispra (VA), Italy;2. Department of Economics, Georgetown University, United States;3. Department of Economics and Finance, University of Rome Tor Vergata, Italy;1. Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil;2. Postgraduate Program in Epidemiology and Hospital de Clinicas de Porto Alegre, Universidade Federal Rio Grande do Sul, Porto Alegre, Brazil;3. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil;4. Laboratory of Health and Environment Education, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil;1. Postgraduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais, Avenida Professor Alfredo Balena, 190, Belo Horizonte, Minas Gerais 31930-800, Brazil;2. Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA;3. School of Nutrition, Universidade Federal de Ouro Preto, Campus Universitário, Morro do Cruzeiro, 35400-000 Ouro Preto, Minas Gerais, Brazil;4. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Av. Brasil, 4365, Manguinhos, 21040-360 Rio de Janeiro, Rio de Janeiro, Brazil;5. Laboratory of Health and Environment Education, Fundação Oswaldo Cruz, Av. Brasil, 4365, Manguinhos, 21040-360 Rio de Janeiro, Rio de Janeiro, Brazil;6. Center for Clinical and Epidemiologic Research, Hospital Universitário, Universidade de São Paulo, Avenida Professor Lineu Prestes, 2565, 3o andar, Cidade Universitária, 05508-000 São Paulo, São Paulo, Brazil;7. Internal Medicine Department, School of Medicine, Universidade de São Paulo, Avenida Doutor Arnaldo, 455, Cerqueira César, 01246-903 São Paulo, São Paulo, Brazil;1. Faculty of Medicine Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil;2. Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil;3. Postgraduate Studies Program in Epidemiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil;4. College of Nursing and Health Sciences, Flinders University, Adelaide, Australia;5. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil;6. Campus Centro Oeste Dona Lindu, Universidade Federal São João del Rey, Divinópolis, Brazil;7. Public Health School Universidade Federal do Ceará, Fortaleza, Brazil;1. Faculdade de Medicina & Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;2. Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil;3. Department of Physiological Sciences, Universidade Federal do Espírito Santo, Vitoria, Espírito Santo, Brazil;1. University of Manchester, United Kingdom;2. Institute for Fiscal Studies, United Kingdom;3. Ca’ Foscari University of Venice, Italy;4. NETSPAR, Netherlands
Abstract:We document the association between war-related shocks in childhood and adult outcomes for Europeans born during the first half of the twentieth century. Using a variety of data, at both the macro- and the micro-level, we address the following questions: What are the patterns of mortality among Europeans born during this period? Do war-related shocks in childhood and adolescence help predict adult health, human capital and wellbeing of the survivors? Are there differences by sex, socio-economic status in childhood, and age when the shocks occurred? At the macro-level, we show that the secular trend towards lower mortality was interrupted by dramatic increases in mortality during World War I, the Spanish Flu, the Spanish Civil War, and World War II, and we quantify the size of these mortality shocks. Different patterns characterize these high-mortality episodes, with substantial variation by country, sex and age group. At the micro-level, we show that war-related hardship in childhood or adolescence, in particular exposure to war events and experience of hunger, is associated with worse physical and mental health, education, cognitive ability and subjective wellbeing at older ages. The strength of the association differs by sex and type of hardship, with war exposure being more important for females and experience of hunger for males. We also show that hardships matter more if experienced in childhood, and have stronger consequences if they last longer.
Keywords:World War I  World War II  Spanish Flu  Adult outcomes  Childhood circumstances  Europe  Human mortality database  SHARE  ELSA
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