TY - JOUR AU - Case,Anne AU - Paxson,Christina TI - The Long Reach of Childhood Health and Circumstance: Evidence from the Whitehall II Study JF - National Bureau of Economic Research Working Paper Series VL - No. 15640 PY - 2010 Y2 - January 2010 UR - http://www.nber.org/papers/w15640 L1 - http://www.nber.org/papers/w15640.pdf N1 - Author contact info: Anne Case 367 Wallace Hall Princeton University Princeton, NJ 08544 Tel: 609/258-2177 Fax: 609/258-5974 E-Mail: accase@princeton.edu Christina Paxson 424 Robertson Hall Princeton University Princeton, NJ 08544-1022 Tel: 609/258-6474 Fax: 609/258-5974 E-Mail: cpaxson@princeton.edu AB - We use data from the Whitehall II study to examine the potential role played by early-life health and circumstances in determining health and employment status in middle and older ages. The population from which the Whitehall II cohort was drawn consisted almost exclusively of white collar civil servants. We demonstrate that estimates of the impact of early-life conditions based on the Whitehall II cohort provide a lower bound on the effect of early-life circumstances on adult health and economic status for the population as a whole. That said, using the Whitehall II cohort data, we find early life circumstances are all predictive of entry grade and promotion to higher grade in Whitehall. Even with controls for entry grade or current grade, we find that childhood circumstances predict cohort members' current health status. Using fixed effect and first-difference models of self-assessed health status and civil service employment grade, we find no evidence of civil service grade affecting future self-assessed health. However, we find self-assessed health has a significant effect on future civil service grade. ER -