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The Effect of a Universal Preschool Programme on Long-Term Health Outcomes: Evidence from Spain (AME)

Wednesday 17 March 2021, 11.00AM to 12.00pm

Speaker(s): Laia Bosque Mercader (York).

AbstractThis study evaluates a Spanish universal preschool reformwhich implied a large-scale expansion of full-time high-quality public preschool for three-year-olds implemented in 1991/92 school year, and its effects on long-term health and healthcare outcomes. Using a difference-in-differences analysis, I exploit differential speed of implementation of public preschool uptake across regions and examine the effect on long-term health outcomes. The results show that greater intensity in public preschool improves self-reported health status and decreases the likelihood of having asthma and visiting the general practitioner (GP) for individuals aged three after the policy. The effects on health status and GP visits (chronic asthma) are only significant for males (females). In addition, I find a positive impact on hospitalisation rates for pregnant-related diagnosis and musculoskeletal system and connective tissue diseases, and a negative effect on hospitalisation rates due to infectious and parasitic diseases, endocrine, nutritional and metabolic diseases, and immunity disorders. No effects are found on having any chronic condition, having specific chronic conditions such as chronic allergy and mental disorders, recent consumption of drugs, use of secondary healthcare services, and deaths per 10,000 individuals

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