tailieunhanh - Sibship Size and Health Outcomes in Later Life among the Mexican Elderly

Several community health centers operate a PACE program, a home and community based service that allows severely disabled elders who are eligible for nursing home placement to remain in the community. PACE is usually based in adult day health centers and operates as a small Medicare Advantage capitated managed care plan at risk for providing all Medicare and Medicaid covered services including long term care and acute hospital care. Primary care services are also provided by the PACE program in a clinic setting utilizing employed or contracted medical providers. PACE programs typically provide all personal assistance and home health services. | Sibship Size and Health Outcomes in Later Life among the Mexican Elderly Very preliminary. Comments welcome. Takashi Yamashita Department of Economics University of Nevada Las Vegas December 2006 Abstract This paper investigates whether the number of siblings is associated with health outcomes in the elderly population using the Mexican Health and Aging Study MHAS . The main questions the paper tries to answer are i whether the association between the number of siblings and health outcomes exists and if so ii whether such association remains significant even after controlling for childhood and adult characteristics such as childhood socioeconomic status educational attainment and work history. Empirical estimates suggest that sibship size matters in predicting incidence of cancer for both men and women respiratory illness and stroke for men while it does not show any association for other illnesses. As the sibship size is positively related to adult height it seems unlikely that parental resource dilution for a large number of children is the mechanism through which childhood circumstances affect health in later life. Instead as the number of siblings appears to be mostly associated with incidence of disease with infectious etiology early exposures to certain infectious agents may play a role in transmitting the family background to health outcomes later in life. These findings confirm results found in the epidemiological literature. JEL Classification Codes I1 J1 D1 Keywords sibship size sibling rivalry life course models pathway models health status aged I. Introduction Socioeconomic conditions during early-childhood years are shown to be related to health conditions in adult years and mortality later in life. Children from poorer households tend to be less healthy and children with poorer health have disadvantages in education as they tend to end up with lower educational attainment Case Lubotsky and Paxon 2002 . In turn educational attainment is known to be .

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