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Summary Understanding the Causal Factors of Family and Community that Promote Good Health James Heckman University of Chicago Session: Working to Improve Communities and Health Healthy Communities Conference Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors

Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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Page 1: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 2: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 3: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 4: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 5: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 6: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 7: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 8: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 9: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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

Page 10: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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.

Page 11: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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)

Page 12: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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)

Page 13: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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).

Page 14: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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).

Page 15: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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).

Page 16: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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.

Page 17: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

Summary

Need a deeper analysis of policy effects.

Some may benefit from a policy, others may lose.

James Heckman Understanding the Causal Factors

Page 18: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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...

Page 19: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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.

Page 20: Understanding the Causal Factors of Family and Community ... · Federal Reserve Board Washington, D.C. July 13, 2010 James Heckman Understanding the Causal Factors. Summary ... A2

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