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.

Public Health Relevance

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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Program Projects (P01)
Project #
5P01AG005842-28
Application #
8726248
Study Section
Special Emphasis Panel (ZAG1)
Project Start
Project End
Budget Start
2014-08-01
Budget End
2015-07-31
Support Year
28
Fiscal Year
2014
Total Cost
Indirect Cost
Name
National Bureau of Economic Research
Department
Type
DUNS #
City
Cambridge
State
MA
Country
United States
Zip Code
02138
Pakpahan, Eduwin; Hoffmann, Rasmus; Kröger, Hannes (2017) Retrospective life course data from European countries on how early life experiences determine health in old age and possible mid-life mediators. Data Brief 10:277-282
Stone, Arthur A; Schneider, Stefan; Broderick, Joan E (2017) Psychological stress declines rapidly from age 50 in the United States: Yet another well-being paradox. J Psychosom Res 103:22-28
Deaton, Angus; Cartwright, Nancy (2017) Understanding and misunderstanding randomized controlled trials. Soc Sci Med :
Garcia, Maria Teresa Medeiros; Marques, Pedro Deslandes Correia Vasconcelos (2017) Ownership of individual retirement accounts - an empirical analysis based on SHARE. Int Rev Appl Econ 31:69-82
Gordon, E H; Peel, N M; Samanta, M et al. (2017) Sex differences in frailty: A systematic review and meta-analysis. Exp Gerontol 89:30-40
Chandra, Amitabh; Frakes, Michael; Malani, Anup (2017) Challenges To Reducing Discrimination And Health Inequity Through Existing Civil Rights Laws. Health Aff (Millwood) 36:1041-1047
Rezayatmand, Reza; Groot, Wim; Pavlova, Milena (2017) Smoking behaviour and health care costs coverage: a European cross-country comparison. Int J Health Econ Manag 17:453-471
Sirven, Nicolas; Rapp, Thomas (2017) The Dynamics of Hospital Use among Older People Evidence for Europe Using SHARE Data. Health Serv Res 52:1168-1184
Manski, Richard; Moeller, John (2017) Barriers to oral health across selected European countries and the USA. Int Dent J 67:133-138
Kaschowitz, Judith; Brandt, Martina (2017) Health effects of informal caregiving across Europe: A longitudinal approach. Soc Sci Med 173:72-80

Showing the most recent 10 out of 329 publications