Linking Health, Nutrition and Wages: The Evolution of Age at Menarche and Labor Earnings Among Adult Mexican Woman

Investment in Health: Social and Economic Returns, Pan American Health Organization, Scientific and Technical Publication, No. 582, p. 63, 2001

Posted: 12 May 2012 Last revised: 20 Jan 2014

See all articles by Felicia Knaul

Felicia Knaul

Mexican Health Foundation; Harvard Global Equity Initiative

Julio Frenk

Bill and Melinda Gates Foundation

A. Aguilar

affiliation not provided to SSRN

Date Written: 2001

Abstract

This study uses a human capital framework to evaluate the impact on labor market productivity of investments in health and nutrition in Mexico. The research extends the existing literature by proposing age at menarche as an effective indicator for analyzing the impact on productivity in the labor market of health and nutritional investments during childhood and adolescence. As in the case of adult height and body mass index, indicators that have been widely used in the analysis of the health-productivity relationship, menarche is a variable that reflects the secular increase in the level of economic development of many countries in the region. Age at menarche has shown a steady decrease of approximately 3-4 months per decade in many countries over the past 150 years. This decrease is a reflection of a variety of socio-economic factors and in particular nutritional status as a child. Despite the parallels between menarche and adult height as indicators of cumulative health status, age at menarche has apparently not been previously incorporated into the analysis of the impact of health on economic development. The paper considers the correlates of age at menarche in the framework of a reduced form health production function. Particular emphasis is placed on the importance of policy-sensitive health variables as determinants of age at menarche, and hence long-run female health. Hourly wages are used to measure the impact on labor market productivity of investment in health and nutrition early in the life cycle. Age at menarche is presented as a proxy for certain aspects of the health and nutritional components of human capital. The integrated human capital framework that underlies the theoretical model is developed in Schultz (1997), and applied in such works as Schultz (1996), Schultz and Tansel (1997) and Strauss and Thomas (1997).

Keywords: labor market, health, menarche

Suggested Citation

Knaul, Felicia and Frenk, Julio and Aguilar, A., Linking Health, Nutrition and Wages: The Evolution of Age at Menarche and Labor Earnings Among Adult Mexican Woman (2001). Investment in Health: Social and Economic Returns, Pan American Health Organization, Scientific and Technical Publication, No. 582, p. 63, 2001. Available at SSRN: https://ssrn.com/abstract=2056451

Felicia Knaul (Contact Author)

Mexican Health Foundation ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
El Arenal Tepepan, Tlalpan
Mexico, D.F., 14610
Mexico
(52) 55 56559011 (Phone)
(52) 55 56559082 (Fax)

HOME PAGE: http://http//www.funsalud.org.mx

Harvard Global Equity Initiative ( email )

FXB Building, Room 632
651 Huntington Avenue
Boston, MA 02115
United States
(617) 4327938 (Phone)

HOME PAGE: http://isites.harvard.edu/icb/icb.do?keyword=k62597&pageid=icb.page268594

Julio Frenk

Bill and Melinda Gates Foundation ( email )

P.O. Box 23350
Seattle, WA 98102
United States

A. Aguilar

affiliation not provided to SSRN ( email )

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