Evidence map›Paper›PMID 33436473›Full record

ArticleBMJ open2021

Causal effect of children's secondary education on parental health outcomes: findings from a natural experiment in Botswana.

Jan Ole Ludwig, Neil M Davies, Jacob Bor, Jan-Walter De Neve

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jan Ole LudwigHeidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany.
Neil M DaviesMedical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
Jacob BorDepartment of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.
Jan-Walter De NeveHeidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany janwalter.deneve@uni-heidelberg.de.ORCID 0000-0003-0090-8249

Funding

Investing In Secondary Schooling To Reduce HIV RiskR03HD098982 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BOR, JACOB · 2019 to 2020
$165k
Medical Research Council MC_UU_00011/1NICHD NIH HHS R03 HD098982
6 · The paper itself

Abstract

objectivesA growing literature highlights the intergenerational transmission of human capital from parents to children. However, far less is known about 'upward transmission' from children to parents. In this study, we use a 1996 Botswana education policy reform as a natural experiment to identify the causal effect of children's secondary schooling on their parents' health.

settingBotswana's decennial census (2001 and 2011). Data were obtained through the Integrated Public Use Microdata Series and are 10% random samples of the complete population in each of these census years.

participantsSurvey respondents who were citizens born in Botswana, at least 18 years old at the time of the census and born in or after 1975 (n=89 721). PRIMARY AND SECONDARY OUTCOME MEASURES: Parental survival and disability at the time of the census, separately for mothers and fathers.

resultsThe 1996 reform caused a large increase in grade 10 enrolment, inducing an additional 0.4 years of schooling for the first cohorts affected (95% CI 0.3 to 0.5, p<0.001). The reform, however, had no effect on parental survival and disability by the time exposed child cohorts reach age 30. Results were robust to a wide array of sensitivity analyses.

conclusionsThis study found little evidence that parents' survival and disability were affected by their offspring's educational attainment in Botswana. Parents' health may not be necessarily affected by increasing their offspring's educational attainment.

Indexed as

Parent-Child RelationsParentsAdolescentAdultBotswanaChildEducational StatusFathersFemaleHumansMaleepidemiologyhealth economicspublic health

Identifiers

PMID33436473
PMCPMC7805356

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.