Skip to main content
Top
Published in: Social Indicators Research 1/2017

10-07-2015

The Long-Term Health Effects of Mass Political Violence: Evidence from China’s Cultural Revolution

Authors: Asadul Islam, Paul Raschky, Russell Smyth

Published in: Social Indicators Research | Issue 1/2017

Log in

Activate our intelligent search to find suitable subject content or patents.

search-config
loading …

Abstract

We examine the long-term health effects of mass political violence experienced in utero and in adolescence using China’s Cultural Revolution as a natural experiment. We find that individuals who were in utero in the Cultural Revolution have reduced lung capacity later in life. We also find that individuals who were adolescents in the Cultural Revolution have higher blood pressure and reduced ability to engage in activities of daily living later in life. Females who were adolescents in the Cultural Revolution have reduced lung capacity later in life, while males who were adolescents in the Cultural Revolution have reduced cognitive function later in life. We find that these effects are channelled through childhood health and education as well as height, which itself is a marker of childhood health.

Dont have a licence yet? Then find out more about our products and how to get one now:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Footnotes
1
Almond and Currie (2011a, b) review much of this literature and draw out the cross over between the epidemiology literature and the economics literature following Barker (1990) and Almond (2006).
 
Literature
go back to reference Akresh, R., Bhalotra, S., Leone, M., & Osili, U. O. (2012a). War and stature: Growing up during the Nigerian civil war. American Economic Review, 102(3), 273–277.CrossRef Akresh, R., Bhalotra, S., Leone, M., & Osili, U. O. (2012a). War and stature: Growing up during the Nigerian civil war. American Economic Review, 102(3), 273–277.CrossRef
go back to reference Akresh, R., Lucchetti, L., & Thirumurthy, H. (2012b). Wars and child health: Evidence from the Eritrean–Ethiopian conflict. Journal of Development Economics, 99(2), 330–340.CrossRef Akresh, R., Lucchetti, L., & Thirumurthy, H. (2012b). Wars and child health: Evidence from the Eritrean–Ethiopian conflict. Journal of Development Economics, 99(2), 330–340.CrossRef
go back to reference Almond, D. (2006). Is the 1918 influenza pandemic over? Long-term effects of in utero influenza exposure in the post 1940 US population. Journal of Political Economy, 114, 672–712.CrossRef Almond, D. (2006). Is the 1918 influenza pandemic over? Long-term effects of in utero influenza exposure in the post 1940 US population. Journal of Political Economy, 114, 672–712.CrossRef
go back to reference Almond, D., & Currie, J. (2011a). Killing me softly: The fetal origins hypothesis. Journal of Economic Perspectives, 25(3), 153–172.CrossRef Almond, D., & Currie, J. (2011a). Killing me softly: The fetal origins hypothesis. Journal of Economic Perspectives, 25(3), 153–172.CrossRef
go back to reference Almond, D., & Currie, J. (2011b). Human capital development before age five. In O. Ashenfelter & D. Card (Eds.), Handbook of labor economics (Vol. 4B, pp. 1315–1486). Amsterdam: Elsevier. Almond, D., & Currie, J. (2011b). Human capital development before age five. In O. Ashenfelter & D. Card (Eds.), Handbook of labor economics (Vol. 4B, pp. 1315–1486). Amsterdam: Elsevier.
go back to reference Almond, D., Edlund, L., Li, H., & Zhang, J. (2010). Long-term health effects of the 1959–1961 China famine: Mainland China and Hong Kong. In T. Ito & A. K. Rose (Eds.), The economic consequences of demographic change in East Asia (pp. 321–350). Chicago: University of Chicago Press.CrossRef Almond, D., Edlund, L., Li, H., & Zhang, J. (2010). Long-term health effects of the 1959–1961 China famine: Mainland China and Hong Kong. In T. Ito & A. K. Rose (Eds.), The economic consequences of demographic change in East Asia (pp. 321–350). Chicago: University of Chicago Press.CrossRef
go back to reference Anda, R., Brown, D., Dube, S., Bremnar, D., Felitti, V., & Giles, W. (2008). Adverse child experiences and chronic pulmonary disease in adults. American Journal of Preventative Medicine, 34, 396–403.CrossRef Anda, R., Brown, D., Dube, S., Bremnar, D., Felitti, V., & Giles, W. (2008). Adverse child experiences and chronic pulmonary disease in adults. American Journal of Preventative Medicine, 34, 396–403.CrossRef
go back to reference Anstey, K., & Christensen, H. (2000). Education, activity, health, blood pressure and apolipoprotein E as predictors of cognitive change in old age: A review. Gerentology, 46, 163–177.CrossRef Anstey, K., & Christensen, H. (2000). Education, activity, health, blood pressure and apolipoprotein E as predictors of cognitive change in old age: A review. Gerentology, 46, 163–177.CrossRef
go back to reference Banerjee, A., Duflo, E., Postel-Vinay, G., & Watts, T. M. (2010). Long-run health impacts of income shocks: Wine and phylloxera in nineteenth century France. Review of Economics and Statistics, 92(4), 714–728.CrossRef Banerjee, A., Duflo, E., Postel-Vinay, G., & Watts, T. M. (2010). Long-run health impacts of income shocks: Wine and phylloxera in nineteenth century France. Review of Economics and Statistics, 92(4), 714–728.CrossRef
go back to reference Barker, D. J. P. (1990). The fetal and infant origins of adult disease: The womb may be more important than the home. British Medical Journal, 301, 1111.CrossRef Barker, D. J. P. (1990). The fetal and infant origins of adult disease: The womb may be more important than the home. British Medical Journal, 301, 1111.CrossRef
go back to reference Barnouin, B., & Yu, C. (1993). Ten years of turbulence: The cultural revolution. London: Kegan Paul International. Barnouin, B., & Yu, C. (1993). Ten years of turbulence: The cultural revolution. London: Kegan Paul International.
go back to reference Beard, A. S., & Blaser, M. J. (2002). The ecology of height: The effect of microbial transmission on human height. Perspectives in Biology and Medicine, 45, 475–499.CrossRef Beard, A. S., & Blaser, M. J. (2002). The ecology of height: The effect of microbial transmission on human height. Perspectives in Biology and Medicine, 45, 475–499.CrossRef
go back to reference Bundervoet, T., Vervimp, P., & Akresh, R. (2009). Health and civil war in rural Burundi. Journal of Human Resources, 44(2), 536–563.CrossRef Bundervoet, T., Vervimp, P., & Akresh, R. (2009). Health and civil war in rural Burundi. Journal of Human Resources, 44(2), 536–563.CrossRef
go back to reference Case, A., Fertig, A., & Paxson, C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24, 365–389.CrossRef Case, A., Fertig, A., & Paxson, C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24, 365–389.CrossRef
go back to reference Case, A., & Paxson, C. (2008). Height, health and cognitive function at older ages. American Economic Review: Papers & Proceedings, 98, 463–467.CrossRef Case, A., & Paxson, C. (2008). Height, health and cognitive function at older ages. American Economic Review: Papers & Proceedings, 98, 463–467.CrossRef
go back to reference Chang, J., & Holliday, J. (2005). Mao: The unknown story. London: Jonathan Cape. Chang, J., & Holliday, J. (2005). Mao: The unknown story. London: Jonathan Cape.
go back to reference Chen, Q. (2010). Interrupted maternal education and child health: The long-run health impact of the Cultural Revolution. Job Market Paper: Department of Applied Economics, University of Minnesota. Chen, Q. (2010). Interrupted maternal education and child health: The long-run health impact of the Cultural Revolution. Job Market Paper: Department of Applied Economics, University of Minnesota.
go back to reference Cutler, D., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic Perspectives, 20, 97–120.CrossRef Cutler, D., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic Perspectives, 20, 97–120.CrossRef
go back to reference Cutler, D., Miller, G., & Norton, D. M. (2007). Evidence on early life income and late life health from America’s dust bowl era. Proceedings of the National Academy of Science, 104, 13244–13249.CrossRef Cutler, D., Miller, G., & Norton, D. M. (2007). Evidence on early life income and late life health from America’s dust bowl era. Proceedings of the National Academy of Science, 104, 13244–13249.CrossRef
go back to reference De Groot, R., Stein, A., Jolles, J., Boxtel, M., et al. (2011). Prenatal famine exposure and cognition at age 59 years. International Journal of Epidemiology, 40, 327–337.CrossRef De Groot, R., Stein, A., Jolles, J., Boxtel, M., et al. (2011). Prenatal famine exposure and cognition at age 59 years. International Journal of Epidemiology, 40, 327–337.CrossRef
go back to reference Dittmer, L. (1991). Learning from trauma: The Cultural Revolution in Post-Mao Politics. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 19–40). Cambridge: Harvard University Press. Dittmer, L. (1991). Learning from trauma: The Cultural Revolution in Post-Mao Politics. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 19–40). Cambridge: Harvard University Press.
go back to reference Forster, K. (1991). Factional politics in Zhejiang, 1973-1976. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 105–132). Cambridge: Harvard University Press. Forster, K. (1991). Factional politics in Zhejiang, 1973-1976. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 105–132). Cambridge: Harvard University Press.
go back to reference Godfrey, K. M. (1998). Maternal regulation of fetal development and health in adult life. European Journal of Obstetrics and Gynecology & Reproductive Biology, 78, 141–150.CrossRef Godfrey, K. M. (1998). Maternal regulation of fetal development and health in adult life. European Journal of Obstetrics and Gynecology & Reproductive Biology, 78, 141–150.CrossRef
go back to reference Harms, C. (2006). Does gender affect pulmonary function and exercise capacity? Respiratory Physiology & Neurobiology, 151, 124–131.CrossRef Harms, C. (2006). Does gender affect pulmonary function and exercise capacity? Respiratory Physiology & Neurobiology, 151, 124–131.CrossRef
go back to reference Higgins, L., Greenwood, S. L., Wareing, M., Sibley, C. P., & Mills, T. A. (2011). Obesity and the placenta: A consideration of nutrient exchange mechanisms in relation to aberrant fetal growth. Placenta, 32, 1–7.CrossRef Higgins, L., Greenwood, S. L., Wareing, M., Sibley, C. P., & Mills, T. A. (2011). Obesity and the placenta: A consideration of nutrient exchange mechanisms in relation to aberrant fetal growth. Placenta, 32, 1–7.CrossRef
go back to reference Ji, C. Y., Ohsawa, S., & Kasai, N. (1995). Secular changes in the stature, weight and age at maximum growth increments of urban Chinese girls from the 1950s to 1985. American Journal of Human Biology, 7, 473–474.CrossRef Ji, C. Y., Ohsawa, S., & Kasai, N. (1995). Secular changes in the stature, weight and age at maximum growth increments of urban Chinese girls from the 1950s to 1985. American Journal of Human Biology, 7, 473–474.CrossRef
go back to reference Joseph, W., Wong, C., & Zweig, D. (1991). Introduction. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the cultural revolution (pp. 1–18). Cambridge: Harvard University Press. Joseph, W., Wong, C., & Zweig, D. (1991). Introduction. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the cultural revolution (pp. 1–18). Cambridge: Harvard University Press.
go back to reference Jurges, H. (2012). Collateral damage: Educational attainment and labor market outcomes among German war and post-war cohorts. Munich Center for the Economics of Aging, Discussion Paper 253-2012. Jurges, H. (2012). Collateral damage: Educational attainment and labor market outcomes among German war and post-war cohorts. Munich Center for the Economics of Aging, Discussion Paper 253-2012.
go back to reference Kaitz, M., Levy, M., Ebstein, R., Faraone, S., et al. (2009). The intergenerational effects of trauma from terror: A real possibility. Infant Mental Health Journal, 30, 158–179.CrossRef Kaitz, M., Levy, M., Ebstein, R., Faraone, S., et al. (2009). The intergenerational effects of trauma from terror: A real possibility. Infant Mental Health Journal, 30, 158–179.CrossRef
go back to reference Kajante, E., & Raikkonen, K. (2010). Early life predictors of the psychological stress response later in life. Neuroscience and Biobehavioral Reviews, 35, 23–32.CrossRef Kajante, E., & Raikkonen, K. (2010). Early life predictors of the psychological stress response later in life. Neuroscience and Biobehavioral Reviews, 35, 23–32.CrossRef
go back to reference Kesternich, I., Siflinger, B., Smith, J. P., & Winter, J. K. (2014). The effects of World War II on economic and health outcomes across Europe. Review of Economics and Statistics, 96(1), 103–118.CrossRef Kesternich, I., Siflinger, B., Smith, J. P., & Winter, J. K. (2014). The effects of World War II on economic and health outcomes across Europe. Review of Economics and Statistics, 96(1), 103–118.CrossRef
go back to reference Leung, S. S. F., Lau, J. T. F., Xu, Y. Y., Tse, L. Y., Huen, K. F., Wong, G. W. K., et al. (1996). Secular changes in standing height, sitting height and sexual maturation of Chinese—The Hong Kong growth study. Annals of Human Biology, 23, 297–306.CrossRef Leung, S. S. F., Lau, J. T. F., Xu, Y. Y., Tse, L. Y., Huen, K. F., Wong, G. W. K., et al. (1996). Secular changes in standing height, sitting height and sexual maturation of Chinese—The Hong Kong growth study. Annals of Human Biology, 23, 297–306.CrossRef
go back to reference Lobel, M., Dunkel-Schetter, C., & Scrimshaw, S. (1992). Prenatal maternal stress and prematurity: A prospective study of socioeconomically disadvantaged women. Health Psychology, 11, 32–40.CrossRef Lobel, M., Dunkel-Schetter, C., & Scrimshaw, S. (1992). Prenatal maternal stress and prematurity: A prospective study of socioeconomically disadvantaged women. Health Psychology, 11, 32–40.CrossRef
go back to reference Low, B. S. (2000). Why sex matters: A Darwinian look at human behavior. Princeton NJ: Princeton University Press. Low, B. S. (2000). Why sex matters: A Darwinian look at human behavior. Princeton NJ: Princeton University Press.
go back to reference Neelsen, S., & Stratmann, T. (2011). Effects of prenatal and early life malnutrition: Evidence from the Greek Famine. Journal of Health Economics, 30, 479–488.CrossRef Neelsen, S., & Stratmann, T. (2011). Effects of prenatal and early life malnutrition: Evidence from the Greek Famine. Journal of Health Economics, 30, 479–488.CrossRef
go back to reference Norman, M. A., Evans, J. D., Miller, S. W., & Heaton, R. K. (2000). Demographically corrected norms for the California Verbal Learning Test. Journal of Clinical and Experimental Neuropsychology, 22, 80–94.CrossRef Norman, M. A., Evans, J. D., Miller, S. W., & Heaton, R. K. (2000). Demographically corrected norms for the California Verbal Learning Test. Journal of Clinical and Experimental Neuropsychology, 22, 80–94.CrossRef
go back to reference Plassman, B. L., Williams, J. W., Burke, J., Holsinger, T., et al. (2010). Systematic review: The factors associated with risk for, and possible prevention of, cognitive decline in later life. Annals of Internal Medicine, 153, 182–193.CrossRef Plassman, B. L., Williams, J. W., Burke, J., Holsinger, T., et al. (2010). Systematic review: The factors associated with risk for, and possible prevention of, cognitive decline in later life. Annals of Internal Medicine, 153, 182–193.CrossRef
go back to reference Schmand, B., Smit, J., Lindeboom, J., Smits, C., Hooijer, C., Jonker, C., & Deelman, B. (1997). Low education is a genuine risk factor for accelerated memory decline and dementia. Journal of Clinical Epidemiology, 50, 1025–1033.CrossRef Schmand, B., Smit, J., Lindeboom, J., Smits, C., Hooijer, C., Jonker, C., & Deelman, B. (1997). Low education is a genuine risk factor for accelerated memory decline and dementia. Journal of Clinical Epidemiology, 50, 1025–1033.CrossRef
go back to reference Sidel, W. W. (1972). The barefoot doctors of the People’s Republic of China. New England Journal of Medicine, 286, 1292–1300.CrossRef Sidel, W. W. (1972). The barefoot doctors of the People’s Republic of China. New England Journal of Medicine, 286, 1292–1300.CrossRef
go back to reference Stewart, A. J., & Newton, N. J. (2010). Gender, adult development and aging. Handbook of gender research in aging, 7, 559–580.CrossRef Stewart, A. J., & Newton, N. J. (2010). Gender, adult development and aging. Handbook of gender research in aging, 7, 559–580.CrossRef
go back to reference Su, Y. (2006). Mass killings in the Cultural Revolution: A study of three provinces. In J. Ersherick, P. Pickowicz, & A. Walder (Eds.), The Chinese Cultural Revolution as history (pp. 96–123). Stanford: Stanford University Press. Su, Y. (2006). Mass killings in the Cultural Revolution: A study of three provinces. In J. Ersherick, P. Pickowicz, & A. Walder (Eds.), The Chinese Cultural Revolution as history (pp. 96–123). Stanford: Stanford University Press.
go back to reference Unger, J. (2007). The Cultural Revolution at the grass roots. China Journal, 57, 109–137.CrossRef Unger, J. (2007). The Cultural Revolution at the grass roots. China Journal, 57, 109–137.CrossRef
go back to reference Van den Berg, G., Deeg, D. J., Lindeboom, M., & Portrait, F. (2010). The role of early-life conditions in the cognitive decline due to adverse events later in life. Economic Journal, 120, F411–F428. Van den Berg, G., Deeg, D. J., Lindeboom, M., & Portrait, F. (2010). The role of early-life conditions in the cognitive decline due to adverse events later in life. Economic Journal, 120, F411–F428.
go back to reference Vrijlandt, E., Gerritsen, J., Boezen, H. M., Grevink, R. G., et al. (2006). Lung function and exercise capacity in young adults born prematurely. American Journal of Respiratory and Critical Care Medicine, 173, 890–896.CrossRef Vrijlandt, E., Gerritsen, J., Boezen, H. M., Grevink, R. G., et al. (2006). Lung function and exercise capacity in young adults born prematurely. American Journal of Respiratory and Critical Care Medicine, 173, 890–896.CrossRef
go back to reference Walder, A. (1991). Cultural Revolution radicalism: Variations on a Stalinist theme. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 41–62). Cambridge: Harvard University Press. Walder, A. (1991). Cultural Revolution radicalism: Variations on a Stalinist theme. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 41–62). Cambridge: Harvard University Press.
go back to reference Walder, A., & Su, Y. (2003). The Cultural Revolution in the countryside: Scope, timing and human impact. China Quarterly, 173, 74–99.CrossRef Walder, A., & Su, Y. (2003). The Cultural Revolution in the countryside: Scope, timing and human impact. China Quarterly, 173, 74–99.CrossRef
go back to reference White, L. T. (1991). The Cultural Revolution as an unintended result of administrative policies. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 83–104). Cambridge: Harvard University Press. White, L. T. (1991). The Cultural Revolution as an unintended result of administrative policies. In W. Joseph, C. Wong, & D. Zweig (Eds.), New perspectives on the Cultural Revolution (pp. 83–104). Cambridge: Harvard University Press.
go back to reference Wright, R. J., & Steinbach, S. F. (2001). Violence: An unrecognized environmental exposure that may contribute to greater asthma morbidity in high risk inner-city populations. Environmental Health Perspectives, 109, 1085–1089.CrossRef Wright, R. J., & Steinbach, S. F. (2001). Violence: An unrecognized environmental exposure that may contribute to greater asthma morbidity in high risk inner-city populations. Environmental Health Perspectives, 109, 1085–1089.CrossRef
go back to reference Zapata, B. C., Rebolledo, A., Atalah, E., Newman, B., et al. (1992). The influence of social and political violence on the risk of pregnancy complications. American Journal of Public Health, 82, 685–690.CrossRef Zapata, B. C., Rebolledo, A., Atalah, E., Newman, B., et al. (1992). The influence of social and political violence on the risk of pregnancy complications. American Journal of Public Health, 82, 685–690.CrossRef
go back to reference Zhang, J., Liu, P. W., & Yung, L. (2007). The Cultural Revolution and returns to schooling in China: Estimates based on twins. Journal of Development Economics, 84, 631–639.CrossRef Zhang, J., Liu, P. W., & Yung, L. (2007). The Cultural Revolution and returns to schooling in China: Estimates based on twins. Journal of Development Economics, 84, 631–639.CrossRef
go back to reference Zhao, Y., Strauss, J., Park, A., & Sun, Y. (2009). China health and retirement longitudinal study, Pilot User’s Guide. Beijing: National School of Development, Peking University. Zhao, Y., Strauss, J., Park, A., & Sun, Y. (2009). China health and retirement longitudinal study, Pilot User’s Guide. Beijing: National School of Development, Peking University.
Metadata
Title
The Long-Term Health Effects of Mass Political Violence: Evidence from China’s Cultural Revolution
Authors
Asadul Islam
Paul Raschky
Russell Smyth
Publication date
10-07-2015
Publisher
Springer Netherlands
Published in
Social Indicators Research / Issue 1/2017
Print ISSN: 0303-8300
Electronic ISSN: 1573-0921
DOI
https://doi.org/10.1007/s11205-015-1030-6

Other articles of this Issue 1/2017

Social Indicators Research 1/2017 Go to the issue