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.
|Henseke, Golo (2018) Good jobs, good pay, better health? The effects of job quality on health among older European workers. Eur J Health Econ 19:59-73|
|Dobkin, Carlos; Finkelstein, Amy; Kluender, Raymond et al. (2018) The Economic Consequences of Hospital Admissions. Am Econ Rev 108:308-52|
|Turley, Patrick; Walters, Raymond K; Maghzian, Omeed et al. (2018) Multi-trait analysis of genome-wide association summary statistics using MTAG. Nat Genet 50:229-237|
|Rokicki, Slawa; Cohen, Jessica; Fink, Günther et al. (2018) Inference With Difference-in-Differences With a Small Number of Groups: A Review, Simulation Study, and Empirical Application Using SHARE Data. Med Care 56:97-105|
|Foverskov, Else; Glymour, M Maria; Mortensen, Erik L et al. (2018) Education and Cognitive Aging: Accounting for Selection and Confounding in Linkage of Data From the Danish Registry and Survey of Health, Ageing and Retirement in Europe. Am J Epidemiol 187:2423-2430|
|Ho, Kate; Pakes, Ariel; Shepard, Mark (2018) The Evolution of Health Insurer Costs in Massachusetts, 2010-12. Rev Ind Organ 53:117-137|
|Abeliansky, Ana Lucia; Strulik, Holger (2018) How We Fall Apart: Similarities of Human Aging in 10 European Countries. Demography 55:341-359|
|Lübs, Lena; Peplies, Jenny; Drell, Carina et al. (2018) Cross-sectional and longitudinal factors influencing physical activity of 65 to 75-year-olds: a pan European cohort study based on the survey of health, ageing and retirement in Europe (SHARE). BMC Geriatr 18:94|
|Heger, Dörte; Korfhage, Thorben (2018) Care choices in Europe: To Each According to His or Her Needs? Inquiry 55:46958018780848|
|Dobkin, Carlos; Finkelstein, Amy; Kluender, Raymond et al. (2018) The Economic Consequences of Hospital Admissions. Am Econ Rev 102:308-352|
Showing the most recent 10 out of 403 publications