The Incredible Shrinking Black Woman: Implications of Health Policies

Black American women are shrinking in height at a faster rate than other groups, a phenomenon that has consequences for the physical health and economic well-being of black females. Relative to the cohort born from 1955 to 1974, the most recent cohort (1970–1986) of black American women and girls have lost more than half an inch (approximately 0.56) in height. Adult height is a measure of net nutrition acquired during childhood and adolescence and is correlated with a wide variety of economic and health outcomes. Simultaneously, the body mass index (BMI) among blacks has also increased at a faster rate than whites in both the periods of 1988–1994 (1.06 kg/m2) and 1999–2002. Black women and girls, in particular, experienced the greatest increase in BMI since the 1990s. Evidence that black American women are shrinking and BMI is growing highlights the need to examine the nutritional intake of black girls during childhood and adolescence; early nutritional deficiencies have persistent impact over their life course. In this policy brief, we consider several public health policy interventions that affect black girls’ nutritional intake across the life course, particularly during childhood and adolescence.     

Endowments vs. market potential: What explains the relocation of industry after the Polish reunification in 1918?

How did the location of industry across interwar Poland react to the Polish reunification? After more than 120 years of political and economic separation, Poland was reunified at the end of 1918. In consequence, the removal of internal tariff barriers and improved infrastructure strengthened the domestic market, while foreign market relations were cut off. Similarly, the geographical distribution of factor endowments was changed, for example, through internal migration. How did these forces interact to determine the location of industry? We survey the dynamics of industrial location between 1902 and 1925-1937 and estimate a specification that nests market potential and comparative advantage to quantify their respective impact during the interwar years. The results point to a role for both, comparative advantage and access to markets. We show that both statistically and economically the most important factors were the endowment with skilled labour and inter-industry-linkages.     

‘Pitted but not pitied’ or,does smallpox make you small?1

This article examines three propositions put by Leunig and Voth: that smallpox reduced stature irrespective of location, that stunting was most apparent among adolescents, and that these relationships were obscured in my earlier work by small sample size. It tests these claims by re‐examining the original data—including the neglected Wandsworth data set—and questioning the meaning of the chosen method of graphical representation. Furthermore, and most fundamentally, the relationship between smallpox and stunting is advanced by adding new data on a further 34,310 prisoners. Using considerably larger data sets with many more juveniles, and refined definitions of rural and urban locations, this article confirms that the ‘smallpox effect’ varied by location, age, gender, and time period. That the relationship between smallpox and stunting was mediated through place and time suggests the role played by evolving urban conditions. The article offers a warning on the dangers of aggregating data without paying heed to important composition effects, and it argues that size does matter: the size of the smallpox effect, population size, sample size, and the size of the p‐statistic. The reply concludes by again questioning the likely causes of stunting in the world’s first great metropolis, London, arguing for the importance of examining chronic illness as a source of ongoing nutritional insult.     

Inequality and living standards under early communism: Anthropometric evidence from Czechoslovakia, 1946–1966

A sample of adolescent heights and weights from the Czechoslovak city of Liberec is analyzed to shed light on the changes in biological standard of living between 1946 and 1966, the early years of Communist rule in Czechoslovakia. The long-term trend in average height was upwards for all social groups but differences in stature between social groups were about as large as in Communist Czechoslovakia as in market economies, such as the UK. Sons of blue-collar fathers and of parents employed in agriculture were generally shorter than sons of clerks and professional employees (teachers, doctors, lawyers). The anthropometric record also suggests that in the immediately post-war years inequality was greater than in the late 1950s and early 1960s.     

Toddlers,teenagers, and terminal heights: the importance of puberty for male adult stature,Flanders, 1800–76

Does adult stature capture conditions at birth or at some other stage in the growth cycle? Anthropometrics is lauded as a method for capturing net nutritional status over all the growing years. However, it is frequently assumed that conditions at birth were most influential. Was this true for historical populations? This article examines the heights of Flemish men born between 1800 and 1876 to tease apart which moments of growth were most sensitive to disruption and reflected in final heights. It exploits two proximate crises in 1846–9 and 1853–6 as shocks that permit age effects to be revealed. These are affirmed through a study of food prices and death rates. Both approaches suggest a shift of the critical moment away from the first few years of life and towards the adolescent growth spurt as the most influential on terminal stature. Furthermore, just as height is accumulated over the growing years, conditions influencing growth need to be understood cumulatively. Economic conditions at the time of birth were not explanatory, but their collective effects from ages 11 to 18 years were strongly influential. At these ages, both health and nutrition mattered, to varying degrees. Teenagers, rather than toddlers, should be our guides to the past.     

A Tale of Two Armies: Comparative Growth in the Mirror of the First World War

Soldiers born during the late nineteenth century were taller in Australia than in Canada. A widening of the gap for those born in the 1890s supports the more optimistic interpretation of Australia's 1890s depression and is consistent with the ‘hazardous growth’ hypothesis of an inverse relationship between economic change and public health. The rural–urban stature gradient was steeper in Australia although Canada had greater stature inequality in all other dimensions. Native-born soldiers were taller than the British-born in both countries. We see no evidence of selective migration effects that would imply feedback from stature to growth.     

Early beginnings of the quantity theory of money and their context in Polish and Prussian monetary policies, c. 1520–1550

In c. 1540 the counsellors of the King of Poland discovered the central tenet of the quantity theory of money. They were the first to maintain that it was necessary to limit the coinage in order to stop prices rising. Their ideas emerged independently and were much more advanced than the views of Copernicus, and they were applied by the Polish government. The article also claims that this policy was, in principle, appropriate to check the rise of prices. Its investigation of economic conditions in Prussia shows that there is no need for a controversy between the proponents of the monetary and the neo–Malthusian explanations.     

Agricultural specialization and height in ancient and medieval Europe

Land per capita was one important determinant of height in the Malthusian world 0 to 1800 A.D. A second factor was specialization in milk cattle agriculture. It had two positive effects on human stature: first, proximity to protein production resulted in a very low local shadow price of milk, as this important foodstuff could not be transported easily. Second, this low price resulted in a low inequality of nutritional status, whereas, for example, tradable pork contributed to nutritional inequality. For this study, we used a data set of more than two million animal bones to measure specialization in cattle and its impact on stature.     

Internet exposure during adolescence and age at first marriage

The expansion of the internet has provided people with more channels to obtain information. New information about the world and other lifestyles provided by the internet may affect teenagers’ attitudes and change their behavior of first marriage in adulthood. Using data from China Family Panel Studies, this paper explores a national policy reform of the internet in 2000 and combines a difference-in-difference framework with a discrete-time hazard model to estimate the impact of internet exposure in adolescence on women’s age at first marriage. The results show that internet exposure during adolescence significantly reduces the risk of women’s age at first marriage. No change is observed in men of similar age. Further analysis of the mechanism shows that women’s education or search costs in the marriage market cannot explain the findings. In contrast, women’s traditional attitudes toward gender roles vary with internet exposure. Their gender role attitudes become more egalitarian, and their attitudes toward marriage become more open. Exposure to the internet also makes women even more reluctant to enter marriage, an institution that is increasingly differentiated by traditional gender roles.     

Portuguese living standards, 1720–1980, in European comparison: heights,income, and human capital1

When and why did the Portuguese become the shortest Europeans? In order to find the answer to this question, we trace the trend in Portuguese living standards from the 1720s until recent times. We find that during the early nineteenth century average height in Portugal did not differ significantly from average height in most other European countries, but that when, around 1850, European anthropometric values began to climb sharply, Portugal's did not. In a panel analysis of 12 countries, we find that delay in human‐capital formation was the chief factor hindering any improvement in the biological standard of living in Portugal.     

Urban working‐class food consumption and nutrition in Britain in 1904

This article re‐examines the food consumption of working‐class households in 1904 and compares the nutritional content of these diets with modern measures of adequacy. We find a fairly steep gradient of nutritional attainment relative to economic class, with high levels of vitamin and mineral deficiency among the very poorest working households. However, we conclude that the average unskilled‐headed working household was better fed and nourished than previously thought. When proper allowance is made for the likely consumption of alcohol, household energy intakes were significantly higher still. We investigate the likely impact of contemporary cultural food distribution norms and conclude on the basis of the very limited evidence available that women may have received, on average, about 80 per cent of a man's share of the available food. We adjust energy requirements for likely higher physical activity rates and smaller stature and find that except among the poorest households, early twentieth‐century diets were sufficient to provide energy for reasonably physically demanding work. These results are consistent with recent attempts to relate the available anthropometric evidence to long‐run trends in food consumption. We also find that the lower tail of the household nutrition distribution drops away very rapidly, so that few households are estimated to have suffered severe food shortages.     

Geography, insolation, and vitamin D in nineteenth century US African-American and white statures

Using a new source of nineteenth century US state prison records I contrast the biological living conditions of comparable African-Americans and whites. Although blacks and whites today in the US reach similar terminal statures, nineteenth century African-American statures were consistently shorter than those of whites. Greater insolation (vitamin D production) is shown to be associated with taller black and white statures and a considerable share of the stature difference between US blacks and whites was attributable to insolation and vitamin D production. Black statures increased during the antebellum period, while white statures declined. Black and white statures both decreased after the Civil War. Farmers were taller than workers in other occupations, and an alternative explanation for stature variation by social class is considered.     

The liquidity of the London capital markets, 1825–70†

This article examines the liquidity of the London capital markets in the decades following the liberalization of UK incorporation law. Using comprehensive stock and bond data, we calculate a measure of market liquidity for the period 1825–70. We find that stock market liquidity trended upwards but bond market liquidity did not increase over the sample period. Stock market liquidity during our sample period was partially influenced by the bond market, rather than fluctuations in economic output. In our analysis of the cross‐sectional determinants of individual stock liquidity, we find that firm size and the number of issued shares were important determinants of liquidity.  Finally, we find little evidence of an illiquidity premium, which is consistent with the view that investors did not price liquidity in this nascent market.     

Women’s Empowerment and Child Malnutrition: The Case of Mozambique

Using data from the 2011 Demographic and Health Survey in Mozambique this paper checks whether women empowerment has an impact on the nutritional status of children. We evaluate the degree of empowerment of women via multidimensional approaches, making a distinction between five domains: decision making, use of violence by husband/partner, attitude of the woman towards this use of violence, available information, material resources. Each domain includes several questions reflecting different aspects of empowerment. For each domain of empowerment, three different methods of aggregation are used: correspondence analysis, the so‐called Alkire and Foster methodology and the “fuzzy sets” approach. The impact of women empowerment on the nutritional status of children is analyzed via the MIMIC approach. No clear‐cut conclusion concerning the possible impact of women’s empowerment on the nutritional status of children could be drawn. But, ceteris paribus, the material wealth of the household, the educational level of the mother and her BMI are positively correlated with the nutritional status of children which is also higher when the child is female. Finally, there are important differences in the nutritional status of children between the various regions of Mozambique and this nutritional status is in most regions lower in rural areas.     

Disciplining the ‘black sheep of the Balkans’: financial supervision and sovereignty in Bulgaria, 1902–38

Using the example of Bulgaria, we argue that familiar models of international political economy fail to capture the tension between national sovereignty and access to capital markets experienced by peripheral debtors in the late nineteenth and early twentieth centuries. Existing accounts exaggerate the significance of the gold standard as a good housekeeping seal of approval and underestimate the role of direct financial controls. Furthermore, they underestimate the linkage in zones of inter‐imperial rivalry, such as the Balkans, between foreign borrowing and strategic alignment. We show how Bulgaria found its politics destabilized prior to 1914 by the demands of its creditors. After defeat in the First World War, Bulgaria was forced to submit to an even tighter system of creditor control. Though it obtained substantial debt relief during the 1930s, these concessions were gained not through an assertion of national sovereignty and default, but at the price of even closer supervision. This in turn casts new light on the conventional view of Bulgaria as a victim of Nazi ‘informal imperialism’. In light of Bulgaria's previous experience, the more striking feature of its trade relations with Hitler's Germany is that they were conducted on a basis of sovereign equality.     

Does Ethnicity Matter for Access to Childhoodand Adolescent Health Capital in China? Evidence from the Wage-Height Relationship in the 2006 China Health and Nutrition Survey

This paper considers whether ethnicity conditions the return and access to health capital in China. Given that the wage-height relationship reflects the labor market earnings returns to childhood and adolescent health capital, differences in the labor market returns to height by ethnicity reflect ethnic differences in access to health capital during childhood and adolescence. We theoretically motivate the role of height in earnings by providing a Bioeconomic rationale for stature and height determining individual wages, and estimate height-augmented Mincerian earnings functions with data from the 2006 China Health and Nutrition Survey. Our results show that when the effects of unobserved genetic influences on adult height are accounted for, the labor market return on height is higher for Chinese ethnics. This suggests that in China there are ethnic disparities in access to the inputs that produce childhood and adolescent health capital.     

Bagehot for beginners: the making of lender‐of‐last‐resort operations in the mid‐nineteenth century1

In this article we develop new tools to survey the development of lending‐of‐last‐resort operations in the mid‐nineteenth century. One finding is that free lending and extensive liquidity support against good collateral developed gradually after 1847, and was already a fact of life before Bagehot published Lombard Street. Another is that the extension of the Bank of England's lender‐of‐last‐resort function went along with a reduction of its exposure to default risks, in contrast with accounts that have associated lending of last resort with moral hazard. Finally, we provide a new interpretation of the ‘high rates’ advocated by Bagehot. We suggest they were meant to prevent banks from free‐riding on the safety offered by the central bank, and were aimed at forcing them to keep lending during crises so as to maintain a critical degree of liquidity in the money market.