Spatial Health Inequality and Regional Disparities

Geography and the quality of the environment may have long lasting effects on the living standards of individuals and this, in its turn, may affect even substantially the distribution of income and regional disparities. In this paper I consider malaria as a measure of “bad geography” and propose som...

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Main Author: Marco Percoco
Format: Article
Language:English
Published: ERSA 2021-01-01
Series:REGION
Online Access:https://openjournals.wu-wien.ac.at/ojs/index.php/region/article/view/325
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author Marco Percoco
author_facet Marco Percoco
author_sort Marco Percoco
collection DOAJ
description Geography and the quality of the environment may have long lasting effects on the living standards of individuals and this, in its turn, may affect even substantially the distribution of income and regional disparities. In this paper I consider malaria as a measure of “bad geography” and propose some evidence showing that it was a major determinant of the health of individuals (as measured by the height of conscripts) and its disparities between individuals and regions in Italy. In particular, to estimate the relationship between malaria exposure and height, I rely on the “fetal origins hypothesis”, that is I hypothesize that exposure to malaria in utero or during childhood has persistent effects on health. Periods under scrutiny in this paper are the last two decades of the XIX century, a period without major public health interventions, and the years around the eradication era in the 1950s. My results support the hypothesis that geographically targeted policies may reduce health inequality between regions and within regions.
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spelling doaj.art-d2dac48c1c8e4c5d86976e9a8c4edcad2023-01-02T02:39:39ZengERSAREGION2409-53702021-01-018110.18335/region.v8i1.325Spatial Health Inequality and Regional DisparitiesMarco Percoco0Department of Policy Analysis and Public Management Università BocconiGeography and the quality of the environment may have long lasting effects on the living standards of individuals and this, in its turn, may affect even substantially the distribution of income and regional disparities. In this paper I consider malaria as a measure of “bad geography” and propose some evidence showing that it was a major determinant of the health of individuals (as measured by the height of conscripts) and its disparities between individuals and regions in Italy. In particular, to estimate the relationship between malaria exposure and height, I rely on the “fetal origins hypothesis”, that is I hypothesize that exposure to malaria in utero or during childhood has persistent effects on health. Periods under scrutiny in this paper are the last two decades of the XIX century, a period without major public health interventions, and the years around the eradication era in the 1950s. My results support the hypothesis that geographically targeted policies may reduce health inequality between regions and within regions.https://openjournals.wu-wien.ac.at/ojs/index.php/region/article/view/325
spellingShingle Marco Percoco
Spatial Health Inequality and Regional Disparities
REGION
title Spatial Health Inequality and Regional Disparities
title_full Spatial Health Inequality and Regional Disparities
title_fullStr Spatial Health Inequality and Regional Disparities
title_full_unstemmed Spatial Health Inequality and Regional Disparities
title_short Spatial Health Inequality and Regional Disparities
title_sort spatial health inequality and regional disparities
url https://openjournals.wu-wien.ac.at/ojs/index.php/region/article/view/325
work_keys_str_mv AT marcopercoco spatialhealthinequalityandregionaldisparities