New IZA DPs -- Health

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IZA Publications

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Sep 4, 2025, 1:34:06 PMSep 4
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Dear Italo Gutierrez,

These new IZA Discussion Papers are now available online.

DP 18054 - Conzo/Della Giusta/Dubois/Rosso/Razzu:
Mine, Theirs or Ours? A Multi-Country Experiment on Citizens’ Motivations to Invest in Mental Health
DP 18069 - Bhalotra/Daysal/Trandafir:
Antidepressant Treatment in Childhood
DP 18078 - Daysal/Ding/Rossin-Slater/Schwandt:
Germs in the Family: The Short- and Long-Term Consequences of Intra-Household Disease Spread
DP 18085 - Domnisoru/Malinovskaya/Taylor:
Education and Mortality: Evidence for the Silent Generation from Linked Census and Administrative Data

Please find the abstracts and download links below.



IZA DP No. 18054

Pierluigi Conzo, Marina Della Giusta, Florent Dubois, Giacomo Rosso, Giovanni Razzu:

Mine, Theirs or Ours? A Multi-Country Experiment on Citizens’ Motivations to Invest in Mental Health

Abstract:
Mental health is vital for well-being and productivity, yet investment remains chronically low. We study how different framings of mental health investment affect cooperation and donations using a pre-registered online experiment across five European countries (N = 8,312). Participants were randomly assigned to receive information emphasizing either individual benefits (Private Perspective), collective benefits (Public Perspective), or prevalence data (Neutral Perspective). All treatments significantly increase cooperation in a Public Goods Game and donations in a Charity Dictator Game, suggesting intrinsic motivation drives behavior. Only the Private Perspective increases personal normative expectations, while empirical expectations remain unaffected—suggesting that interventions influence moral beliefs more than beliefs about others’ actions. All treatments reduce self-reported mental health stigma, consistent with evidence from a list experiment, suggesting stigma reduction as a key mechanism. Heterogeneity analyses show stronger treatment effects among individuals with lived experience or prior concern, and reduced contributions under collective framings when public provision is perceived as adequate—consistent with a substitution effect between public and private action. Donations also decline in post- communist countries, aligning with historically lower institutional trust and weaker norms of private giving. These findings highlight how individual perceptions and institutional legacies shape behavioural responses, and suggest that perceived adequacy of public provision can backfire by discouraging private engagement—potentially trapping societies in a bad equilibrium of persistent underinvestment in mental health.

https://docs.iza.org/dp18054.pdf



IZA DP No. 18069

Sonia R. Bhalotra, N. Meltem Daysal, Mircea Trandafir:

Antidepressant Treatment in Childhood

Abstract:
Mental illnesses emerge in childhood, making early intervention important. However, antidepressant treatment rates remain low following a controversial FDA warning. We provide some of the first evidence of impacts of antidepressant treatment in childhood on objectively measured mental health indicators and economic outcomes over time, and the first attempt to investigate under- vs overtreatment. Treatment improves Math scores in high school, post-compulsory education and adult employment and earnings, reducing welfare dependence. It reduces suicidality and hospital visits. Low-SES children benefit more. Policy simulations in a marginal treatment effects framework suggest under-treatment, highlighting that expanding treatment can reduce inequality.

https://docs.iza.org/dp18069.pdf



IZA DP No. 18078

N. Meltem Daysal, Hui Ding, Maya Rossin-Slater, Hannes Schwandt:

Germs in the Family: The Short- and Long-Term Consequences of Intra-Household Disease Spread

Abstract:
Preschool-aged children get sick frequently and spread disease to other family members. Despite the universality of this experience, there is limited causal evidence on the magnitudes and consequences of these externalities, especially for infant siblings with developing immune systems and brains. We use Danish administrative data to document that, before age one, younger siblings have 2-3 times higher hospitalization rates for respiratory conditions than older siblings. We combine birth order and within-municipality variation in respiratory disease prevalence among young children, and find lasting differential impacts of early-life respiratory disease exposure on younger siblings’ earnings, educational attainment, chronic respiratory health and mental health-related outcomes.

https://docs.iza.org/dp18078.pdf



IZA DP No. 18085

Ciprian Domnisoru, Anna Malinovskaya, Evan J. Taylor:

Education and Mortality: Evidence for the Silent Generation from Linked Census and Administrative Data

Abstract:
We quantify the effect of education on mortality using a linkage of the full count 1940, 2000, and 2010 US census files and the Numident death records file. Our sample is composed of children aged 0-18 in 1940, observed living with at least one parent, for whom we can construct a rich set of parental and neighborhood characteristics. We estimate effects of educational attainment in 1940 on survival to 2000, as well as the effects of completed education, observed in 2000, on 10-year survival to 2010. The educational gradients in longevity that we estimate are robust to the inclusion of detailed individual, parental, household, neighborhood and county covariates. Given our full population census sample, we also explore rich patterns of heterogeneity and examine the effect of mediators of the education-mortality relationship. The mediators we consider in this study explain more than half of the relationship between education and mortality. We further show that the mechanisms und erlying the education-mortality gradient might be different at different margins of educational attainment.

https://docs.iza.org/dp18085.pdf



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IZA Publications

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Sep 4, 2025, 1:36:07 PMSep 4
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