2009
DOI: 10.1162/rest.91.1.52
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Chronic Disease Burden and the Interaction of Education, Fertility, and Growth

Abstract: This study considers the eradication of hookworm disease from the American South as a test of the quantity-quality (Q-Q) framework of fertility. Eradication was principally a shock to the price of quality because of three factors: hookworm (i) depresses the return to human-capital investment, (ii) had a very low case-fatality rate, and (iii) had negligible prevalence among adults. Consistent with the Q-Q model, we find a significant decline in fertility associated with eradication. Relative sizes of fertility … Show more

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Cited by 176 publications
(117 citation statements)
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References 39 publications
(31 reference statements)
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“…Historical analyses of the trade-off have been conducted by Bleakley and Lange (2009) on the American South in 1910 and by Becker et al (2010a) on Prussia in 1849.…”
Section: Introductionmentioning
confidence: 99%
“…Historical analyses of the trade-off have been conducted by Bleakley and Lange (2009) on the American South in 1910 and by Becker et al (2010a) on Prussia in 1849.…”
Section: Introductionmentioning
confidence: 99%
“…The construction of the proposed utility function in equation (1) implies that the household receives utility from surviving children, and that the marginal utility from born children is increasing in the survival rate. 8 The household is confronted with the following budget constraint:…”
Section: Theorymentioning
confidence: 99%
“…In contrast, a decrease in the child mortality rate due to lower case fatality elicits a weak TFR response and the NFR increases despite fertility falling. 13 Next consider the quantity-quality tradeoff. Quality investment in either type of child is increasing in √ t .…”
Section: The Effect Of Mortalitymentioning
confidence: 99%
“…In the next generation, however, less healthy (healthier) adults will have more (fewer) children in response to their lower (greater) longevity, ¡ t . Hence the overall NFR 13 A lower prevalence or case fatality rate means fewer sickly children and, ceteris paribus, less time raising a given number of children. Assumption A1 is a robustness check to show that as long as unhealthy children do not require too much parental time commitment, total and net fertility rates behave this way when child mortality falls.…”
Section: The Effect Of Mortalitymentioning
confidence: 99%