6. INTERVENTION TO FIGHT ANEMIA &IMPROVE WELL-BEING IN A VERY LOW INCOME SETTING Iron deficiency is believed to be the most common nutrient deficiency in the worid today, linked to low productivity in adults;slowing of cognitive and physical growth among children;and increased risk of cognitive impairment, physical disability and decreased muscle strength in the elderly. It may also impact economic indicators such as productivity and wages earned. At the heart of the problem is the difficulty of putting in place a sustainable method of distributing iron supplements. A previous study of iron-fortified flour found that declining take-up muted any positive impacts. Double-fortified salt (DFS) was proposed as an improved alternative, given salt's broad use among all strata of society and the relative logistical ease in a centralized fortification and distribution program. This subproject will investigate the health and economic effects of subsidizing DFS in a predominantly anemic, low-income, rural population in Bhojpur district, India.
The specific aims are: (1) To conduct, in collaboration with the State Health Society of the Government of Bihar, a cluster level randomized control trial of the effect of DFS subsidization in private and government sponsored shops. (2) To measure the effect of the availability of subsidized DFS on several outcomes. (3) To specifically investigate the effect of the policy on cognitive decay among older adults. (4) If DFS reduces anemia, to use the availability of DFS as an instrument to measure the effect of increased hemoglobin level on economic and health outcomes, and cognitive capacity. (5) To investigate whether the take up of the salt and the final effect differ by previous anemia status, poverty levels, and education level. (6) To collect and make publicly available a rich data set on health and well-being for about 10,000 households in Bihar.
Micronutrient deficiency, particularly iron deficiency anemia (IDA), is believed by many to impact both long-term health outcomes, such as cognitive impairment in the elderly, and economic outcomes, such as wages. This project will seek to understand the impact of double-fortified salt (iron and iodine) on combating IDA and indirectly affecting health and wealth outcomes.
|(2016) Understanding Changes in Healthy Life Spans. Natl Bur Econ Res Bull Aging Health :4|
|Beshears, John; Choi, James J; Laibson, David I et al. (2016) Vaccination Rates are Associated With Functional Proximity But Not Base Proximity of Vaccination Clinics. Med Care 54:578-83|
|Deaton, Angus (2016) On Death and Money: History, Facts, and Explanations. JAMA 315:1703-5|
|Bordone, Valeria; de Valk, Helga A G (2016) Intergenerational support among migrant families in Europe. Eur J Ageing 13:259-270|
|GBD 2015 DALYs and HALE Collaborators (2016) Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 388:1603-1658|
|Palladino, Raffaele; Tayu Lee, John; Ashworth, Mark et al. (2016) Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries. Age Ageing 45:431-5|
|Aitken, Murray; Berndt, Ernst R; Cutler, David et al. (2016) Has The Era Of Slow Growth For Prescription Drug Spending Ended? Health Aff (Millwood) 35:1595-603|
|Sowa, Agnieszka; Golinowska, StanisÅ‚awa; Deeg, Dorly et al. (2016) Predictors of religious participation of older Europeans in good and poor health. Eur J Ageing 13:145-157|
|Okbay, Aysu; Baselmans, Bart M L; De Neve, Jan-Emmanuel et al. (2016) Genetic variants associated with subjective well-being, depressive symptoms, and neuroticism identified through genome-wide analyses. Nat Genet 48:624-33|
|Rappange, David R; Brouwer, Werner B F; van Exel, Job (2016) Rational expectations? An explorative study of subjective survival probabilities and lifestyle across Europe. Health Expect 19:121-37|
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