Skip to main content


CINCH - Health Economics Research Center

New CINCH Working Paper


A new working paper has been added to the CINCH working paper series: “The Educational and Fertility Effects of Sibling Deaths” by Dhanushka Thamarapani, Marc Rockmore, and Willa Friedman.

An emerging literature finds that childhood exposure to adverse events determines adult outcomes and behavior. We extend this research to understand the influence of witnessing a sibling death as a child on subsequent educational and fertility outcomes in Indonesia. Using panel data and a sibling fixed effects model, we identify this relationship based on variation in the age of surviving children within the same family. Our findings strongly support the importance and persistence of adverse childhood experiences. In particular, for surviving sisters, witnessing a sibling death reduces the years of completed education and the likelihood of completing secondary schooling. The effect on surviving brothers is more muted. A potential channel for this result is that women respond by changing their fertility behavior. While surviving the death of a sibling has little effect on desired fertility levels, we find evidence that surviving sisters start a family about 3-4 years earlier. This suggests that interventions targeted at early-life outcomes may have important ripple effects and that the full impact of health interventions may not be visible until decades afterwards.

See all working papers.

Monday Health Economics Seminar


On Monday, July 16 2018, 14:00 - 15:30, Irene Mussio (University of Massachusetts Amherst) will present:

An (un)healthy social dilemma: using normative messaging to increase flu vaccinations

Research suggests that normative messaging can be used to increase voluntary provision of public goods. We extend the literature by examining the impact of normative messaging on a joint product: a flu vaccine. We conduct a field experiment in conjunction with University Health Services, targeting undergraduate students living on campus. The wording on the posters is varied to emphasize either the individual benefits of the vaccine, the social benefits of the vaccine or both benefits together. We find that highlighting both the individual and social benefits of vaccination has the strongest impact on vaccination turnout. Overall, the result is driven predominantly by females. This is consistent with previous literature suggesting that women are more sensitive to social cues and have stronger emotional reactions to risky situations as well as higher rates of health care usage.

Room: WST-C.02.12, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.

Monday Health Economics Seminar


On Monday, July 9 2018, 14:00 - 15:30, Sotiris Vandoros (King's College London/Harvard) will present:

Economic uncertainty and health

Previous studies have examined the medium- and long-term effects of negative financial events on health and health-related behaviours, as well as the impact of job insecurity on health. This study provides evidence from two natural experiments to study the short-term impact of uncertainty on health and well-being. We use a daily economic policy uncertainty index in Great Britain, and study its relationship with the daily number of suicides and road traffic crashes using OLS and time series analyses. Furthermore, we examine the impact of the Brexit vote on mental health and subjective wellbeing using a differences-in-differences approach. Results highlight the need to intensify prevention programmes during periods of high economic uncertainty and demonstrate the importance of timing of interventions.

Room: WST-C.02.12, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.