Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
Summary
Understanding the Causal Factors ofFamily and Community that Promote
Good Health
James HeckmanUniversity of Chicago
Session: Working to Improve Communities and Health
Healthy Communities ConferenceFederal Reserve Board
Washington, D.C.July 13, 2010
James Heckman Understanding the Causal Factors
Summary
Developmental origin of health
Investigate causal factors promoting health
Capabilities θt (basic determinants of life sucess)
θt = (θCt , θNt , θHt)↑ ↑ ↑
cognitive non-cognitive health(“soft skills”)
James Heckman Understanding the Causal Factors
Summary
Outcomes Yt
Yt = ψ(θt , %t)↑
effort
%t = φ (Rt)↑
incentives
Explain a wide variety of outcomes from a low dimensional set of capabilitiesand incentives
James Heckman Understanding the Causal Factors
Summary
It investment (family, schools, communities, social networks)
Qt,E environments (community, family, neighborhood variables)
Technology of capability formation
θt+1 = ft(θt , It , θt,E )
James Heckman Understanding the Causal Factors
Summary
A Life Cycle Framework for Organizing Studies and Integrating Evidenceθt = (θC , θN , θH) capabilities at t
It is investment at t (family, community, schools)θtE environmental variables
Technology of Skill Formation: θt+1 = ft(θt , It , θt,E )
E-1
0E
1E
2E
0
1
2
-1
0H
1C 1NC 1H
2C 2NC 2H
TC TNC TH
James Heckman Understanding the Causal Factors
Summary
Literature abounds with correlations.
The key question in all of this is “what is causal?”
For policy, we need to determine causes.
Example: Russian peasants before WWI.
James Heckman Understanding the Causal Factors
Summary
Consider one community development strategy — improved schoolingthat promotes schooling attainment. (Conti and Heckman)
Investigate the role of cognitive ability, personality traits, and early healthendowments, and the effects of education on health.
James Heckman Understanding the Causal Factors
Summary
There is a strong correlation between education and health.
But is this causal?
Does it say that schooling policy (building schools or improving theirquality) is the relevant lever to pull?
Or is it the factors that promote schooling?
Can we change those factors?
James Heckman Understanding the Causal Factors
Summary
Child endowments at age 10 are strong predictors of health disparities atage 30.
Selection on endowments into schooling explains more than half ofobserved difference in poor health, depression, and obesity.
Schooling has a causal effect on these behaviors but a substantial part ofthe correlational effect is due to factors that are present before schoolingbegins.
James Heckman Understanding the Causal Factors
Disparities by Education
0.2
0 1
0.15
0.2
Males
Females
0.05
0.1
0.15
0.2
Males
Females
‐0.05
0
0.05
0.1
0.15
0.2
Log Hourly Wage
FT Employment
Regular Exercise
Cannabis Ever
Obesity Fair/Poor Health
Depression Daily Smoking
Males
Females
‐0.1
‐0.05
0
0.05
0.1
0.15
0.2
Log Hourly Wage
FT Employment
Regular Exercise
Cannabis Ever
Obesity Fair/Poor Health
Depression Daily Smoking
Males
Females
‐0.2
‐0.15
‐0.1
‐0.05
0
0.05
0.1
0.15
0.2
Log Hourly Wage
FT Employment
Regular Exercise
Cannabis Ever
Obesity Fair/Poor Health
Depression Daily Smoking
Males
Females
‐0.2
‐0.15
‐0.1
‐0.05
0
0.05
0.1
0.15
0.2
Log Hourly Wage
FT Employment
Regular Exercise
Cannabis Ever
Obesity Fair/Poor Health
Depression Daily Smoking
Males
Females
Note: Authors’ calculations using BCS70.
Densities of Endowments by Schooling Level
(1) Sorting on cognitive ability.
(a) Males (b) Females
0.2
5.5
.75
1F
requ
ency
−2 −1 0 1 2Cognitive
A1. Cognitive Endowment.
0.2
5.5
.75
1F
requ
ency
−2 −1 0 1 2Cognitive
A2. Cognitive Endowment.
Post-Compulsory Compulsory Post-Compulsory Compulsory
Source: Conti, Heckman, Urzua (2010)
Densities of Endowments by Schooling Level
(2) Sorting on noncognitive ability.
(a) Males (b) Females
0.2
5.5
.75
1F
requ
ency
−2 −1 0 1 2Noncognitive
B1. Noncognitive Endowment.
0.2
5.5
.75
1F
requ
ency
−2 −1 0 1 2Noncognitive
B2. Noncognitive Endowment.
Post-Compulsory Compulsory Post-Compulsory Compulsory
Source: Conti, Heckman, Urzua (2010)
Joint Distributions of Endowments
Figure: Cognitive and Noncognitive - Males
Note: The )igures show the joint distributions of cognitive, noncognitive and health endowments. They are generated using simulated data from our model. The estimated correlations between cognitive and noncognitive is 0.547, between cognitive and health 0.154, and between noncognitive and health is 0.060. Finally, for each endowment the mean is zero.
p1
p16
p32 p48
p64
p80
p100 0
0.002
0.004
0.006
0.008
0.01
0.012
0.014
0.016
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80 p100 0
0.003
0.006
0.009
0.012
0.015
0.018
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80
p100 0
0.003
0.006
0.009
0.012
0.015
p1 p12
p24 p36
p48 p60
p72 p84
p100
A. Cognitive and Noncognitive
C. Noncognitive and Health
B. Cognitive and Health
Cognitive CognitiveNoncognitive Health
NoncognitiveHealth
Source: Conti, Heckman, Urzua (2010)
The correlation between the cognitive and noncognitive endowments is 0.544(p=0.000).
Joint Distributions of Endowments
Figure: Cognitive and Health - Males
Note: The )igures show the joint distributions of cognitive, noncognitive and health endowments. They are generated using simulated data from our model. The estimated correlations between cognitive and noncognitive is 0.547, between cognitive and health 0.154, and between noncognitive and health is 0.060. Finally, for each endowment the mean is zero.
p1
p16
p32 p48
p64
p80
p100 0
0.002
0.004
0.006
0.008
0.01
0.012
0.014
0.016
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80 p100 0
0.003
0.006
0.009
0.012
0.015
0.018
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80
p100 0
0.003
0.006
0.009
0.012
0.015
p1 p12
p24 p36
p48 p60
p72 p84
p100
A. Cognitive and Noncognitive
C. Noncognitive and Health
B. Cognitive and Health
Cognitive CognitiveNoncognitive Health
NoncognitiveHealth
Source: Conti, Heckman, Urzua (2010)
The correlation between the cognitive and health endowments is 0.176(p=0.000).
Joint Distributions of Endowments
Figure: Noncognitive and Health - Males
Note: The )igures show the joint distributions of cognitive, noncognitive and health endowments. They are generated using simulated data from our model. The estimated correlations between cognitive and noncognitive is 0.547, between cognitive and health 0.154, and between noncognitive and health is 0.060. Finally, for each endowment the mean is zero.
p1
p16
p32 p48
p64
p80
p100 0
0.002
0.004
0.006
0.008
0.01
0.012
0.014
0.016
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80 p100 0
0.003
0.006
0.009
0.012
0.015
0.018
p1 p12
p24 p36
p48 p60
p72 p84
p100
p1
p16
p32
p48
p64
p80
p100 0
0.003
0.006
0.009
0.012
0.015
p1 p12
p24 p36
p48 p60
p72 p84
p100
A. Cognitive and Noncognitive
C. Noncognitive and Health
B. Cognitive and Health
Cognitive CognitiveNoncognitive Health
NoncognitiveHealth
Source: Conti, Heckman, Urzua (2010)
The correlation between the noncognitive and health endowments is 0.093(p=0.000).
Health Differential due to Education
0.2
0 1
0.15
Selection ATE
0.05
0.1
0 M M M
M M M M
F F FF
F F F F
‐0.05M
0 15
‐0.1
‐0.2
‐0.15
M=Males, F=Females.
Summary
Need a deeper analysis of policy effects.
Some may benefit from a policy, others may lose.
James Heckman Understanding the Causal Factors
Distribution of Treatment Effects
Daily Smoking, Males (ATE=-0.14)
0.2
.4.6
Fra
ctio
n
−1 0 1Individual Average Treatment Effect
Behind the ATE, there are gains and losses for different individuals...
Distribution of Treatment Effects
Obesity, Females (ATE=0.001)
0.2
.4.6
Fra
ctio
n
−1 0 1Individual Average Treatment Effect
...which may result in a small average treatment effect.
Summary
Summary
Life cycle developmental approach to health.
Dynamic synergy of capabilities in producing each other and fosteringinvestment.
Determine critical and sensitive periods.
Determine causal effects of interventions as a basis for policy.
In study of education on health, education has a causal effect.
Suggests we need to broaden thinking about the policies that promote health.
James Heckman Understanding the Causal Factors