Working Paper: CEPR ID: DP15036
Authors: Gerard van den Berg; Bettina Siflinger
Abstract: Lockdowns with lack of access to day care may have severe detrimental long-run health and behavioral effects on the children involved. This paper studies the effects of day care exposure on behavioral problems and mental health as well as on various aspects of physical health, at various ages during childhood. We draw on a unique set of comprehensive individual-level outpatient and inpatient health care register data merged with other register data. By exploiting variation in day care exposure by age generated by a major day care policy reform, we estimate cumulative and instantaneous effects on child health at different ages. We find sizeable beneficial cumulative impacts of day care on behavioral and mental health at primary school ages, and substitution of the incidence of infections from primary school ages to low ages. The evidence suggests that the main beneficiaries of day care are in low socio-economic households. Day care usage affects health care utilization and leads to a moderate reduction in health care costs.
Keywords: child care; preschool; infections; noncognitive ability; behavioral disorders; illness; education; health registers; day care fees
JEL Codes: I12; J13; J14; C23; C25; C83
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| day care exposure (J13) | beneficial cumulative impacts on behavioral and mental health (I14) |
| day care exposure (J13) | fewer behavioral disorders (D91) |
| day care exposure (J13) | improved mental health outcomes (I14) |
| day care exposure (ages 1 to 3) (J13) | increase in probability of being diagnosed with infections, ear problems, and respiratory diseases (I12) |
| increase in diagnoses of conditions (I12) | reduction in diagnoses of these conditions as children enter primary school (I12) |
| day care exposure (J13) | better health outcomes in the long run (I14) |
| day care exposure (J13) | bolster immune system development (I15) |
| day care exposure (J13) | significant improvements in health care utilization (I19) |
| day care exposure (J13) | moderate reduction in health care costs (I18) |