Childhood Health Shocks and the Intergenerational Transmission of Inequality

This paper documents a socioeconomic gradient in adult labor market penalties stemming from a single chronic and treatable childhood health shock in a country with universal access to health care. Using childhood onset type 1 diabetes, Danish administrative registry data, and causal forests, we estimate substantial variation in the employment and earnings penalties at age 30. These penalties vary systematically with parental income and maternal educational attainment. Our findings help explain the income-health gradient and have important implications for policy discussions related to the design of health care systems. (JEL H51, I12, I13, I18, J16, J23, J31)

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Publication Details

Journal
American Economic Journal Economic Policy
Published
2026-10-29
DOI
https://doi.org/10.1257/pol.20240586
Primary Topic
Intergenerational and Educational Inequality Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Childhood Health Shocks and the Intergenerational Transmission of Inequality

Peter Thingholm, Amanda Gaulke, Niels Skipper, Tine Louise Mundbjerg Eriksen et al.
American Economic Journal Economic Policy
Intergenerational and Educational Inequality Studies
article

Childhood Health Shocks and the Intergenerational Transmission of Inequality

Peter Thingholm, Amanda Gaulke, Niels Skipper, Tine Louise Mundbjerg Eriksen, Jannet Svensson
article en

Abstract

This paper documents a socioeconomic gradient in adult labor market penalties stemming from a single chronic and treatable childhood health shock in a country with universal access to health care. Using childhood onset type 1 diabetes, Danish administrative registry data, and causal forests, we estimate substantial variation in the employment and earnings penalties at age 30. These penalties vary systematically with parental income and maternal educational attainment. Our findings help explain the income-health gradient and have important implications for policy discussions related to the design of health care systems. (JEL H51, I12, I13, I18, J16, J23, J31)

American Economic Journal Economic PolicyVol. 18(4)
Kansas State University (US), IZA - Institute of Labor Economics (DE), Aarhus University (DK), Steno Diabetes Center Copenhagen (DK)
Reduced inequalities, Good health and well-being, Decent work and economic growth, No poverty
Openalex Percentile: Top 6%
Intergenerational and Educational Inequality Studies
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