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Birth order has been found to have a surprisingly large influence on educational attainment, yet much less is known about the role of birth order on delinquency outcomes such as disciplinary problems in school, juvenile delinquency, and adult crime: outcomes that carry significant negative externalities. This paper uses particularly rich datasets from Denmark and the state of Florida to examine these outcomes and explore potential mechanisms. Despite large differences in environments across the two areas, we find remarkably consistent results: in families with two or more children, second-born boys are on the order of 20 to 40 percent more likely to be disciplined in school and enter the criminal justice system compared to first-born boys even when we compare siblings. The data allow us to examine a range of potential mechanisms, and the evidence rules out differences in health at birth and the quality of schools chosen for children. We do find that parental time investment measured by time out of the labor force is higher for first-borns at ages 2-4, suggesting that the arrival of a second-born child extends early-childhood parental investments for first-borns.

Zonder onderwerpscode: economie

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Analyzing Florida birth certificates matched to school records, we document that the female advantage in childhood behavioral and academic outcomes is driven by gender gaps at the extremes of the outcome distribution. Using unconditional quantile regression, we investigate whether family socioeconomic status (SES) differentially affects the lower tail outcomes of boys. We find that the differential effects of family SES on boys' outcomes are concentrated in the parts of the distribution where the gender gaps are most pronounced. Accounting for the disproportionate effects of family environment on boys at the tails substantially narrows the gender gap in high school dropout.

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Using spatial and temporal variation in openings of fast food restaurants in Norway between 1980 and 2007, we study the effects of changes in the supply of high caloric nutrition on the health and cognitive ability of young adult males. Our results indicate that exposure to these establishments during childhood and adolescence increases BMI and has negative effects on cognition. Heterogeneity analysis does not reveal meaningful differences in the effects across groups, including for those with adverse prenatal health or high paternal BMI, an exception being that cognition is only affected by exposure at ages 0--12 and this effect is mediated by paternal education.

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We estimate health associations across generations and dynasties using information on healthcare visits from administrative data for the entire Norwegian population. A parental mental health diagnosis is associated with a 9.3 percentage point (40%) higher probability of a mental health diagnosis of their adolescent child. Intensive margin physical and mental health associations are similar, and dynastic estimates account for about 40% of the intergenerational persistence. We also show that a policy targeting additional health resources for the young children of adults diagnosed with mental health conditions reduced the parent-child mental health association by about 40%.

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The past century witnessed a dramatic improvement in public health, the rise of modern medicine, and the transformation of the hospital from a fringe institution to one essential to the practice of medicine. In this paper, we explore how access to the hospital and modern medicine affects mortality. We do so by leveraging a combination of novel data and a unique quasi-experiment: a large-scale hospital modernization program introduced by The Duke Endowment in the early twentieth century. The Endowment helped communities build and expand hospitals, obtain state-of-the-art medical technology, attract qualified medical personnel, and refine management practices. We find that access to a Duke-supported hospital reduced infant mortality by 10%, saving one life for every $20,000 (2017 dollars) spent. Effects were larger for Black infants (16%) than for White infants (7%), implying a reduction in the Black-White infant mortality gap by one-third. We show that the effect of Duke support persisted into later life with a 9% reduction in mortality between the ages of 56 and 65. We further provide evidence on the mechanisms that enabled these effects, finding that Endowment-supported hospitals attracted higher-quality physicians and were better able to take advantage of new medical innovations.