Paragraphs

Cardiovascular diseases (CVDs), which are disorders of the heart and blood vessels, are the world’s leading cause of death (WHO, 2016). The transition from infectious diseases to non-communicable diseases (NCDs), primarily CVDs, as the primary cause of mortality and morbidity worldwide— combined with the economic burden associated with heart-related diseases—prompted the World Health Organization (WHO) and its regional offices to identify CVDs’ risk factors (WHO, 2016). This paper examines these risk factors with a focus on the fetal environment and its interaction with adult body mass index (BMI), using longitudinal data from the Cebu Longitudinal Health and Nutrition Survey (CLHNS).

Using a Cox proportional hazards model to estimate hazard ratios adjusted for age and risk factors in adulthood, such as cigarette smoking, the results suggest that there is a positive association between birth weight and heart disease. In addition, when birth weight is interacted with BMI, raised blood pressure is found to be higher among those who were bigger infants at birth and grew to be lighter adults, suggesting centile crossing. Probit models are also used for sensitivity analysis, and the results are consistent with those of the hazards model. Other factors such as adult obesity and a smoking habit are also positively associated with hypertension and CVD.

Keywords: Fetal origins hypothesis, CLHNS, hazards model, CVD, adult risk factors

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Asia Health Policy Program working paper # 54
Authors
Marjorie Pajaron
Paragraphs

This paper shows that, for mothers in Cebu, Philippines, access to electricity and the type of cooking fuel used at home affect both health outcomes and also how time is allocated, including for paid work. First, the use of fuelwood for cooking adversely affects the health of mothers, who are traditionally responsible for cooking and are often at home, taking care of their families. This result is consistent across different econometric specifications. Second, shifting to a more efficient source of energy allows women more time to be engaged in the labor force, including in micro enterprises. It also enables them to reallocate their time and efforts away from household chores (cooking, tending animals, and childcare) toward caring for themselves (improved personal hygiene and rest). Drafting and strengthening existing gender-sensitive energy policies and programs can, therefore, help the welfare of mothers in the Philippines, where 54% of households rely on fuelwood, and where the resulting indoor air pollution has a particularly adverse impact on women. The analysis relies on a longitudinal data set (CLHNS 1994-2005).

Keywords: Energy access; time allocation; health of mothers; labor participation of mothers; Philippines; CLHNS

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Asia Health Policy Program working paper # 53
Authors
Marjorie Pajaron
Paragraphs

Risky health behaviors such as illicit drug use, smoking, overconsumption of alcohol, violence, and early sexual activity have contemporaneous and intertemporal adverse health and economic outcomes. The health-related and economic costs to individuals and to society overall are particularly pronounced when adolescents are the ones engaging in one or more of such behaviors.

This paper uses longitudinal data from the Philippines (from the Cebu Longitudinal Health and Nutrition Survey) to examine the long-term impact of adolescents’ risky behaviors in 2002 (related to sex, tobacco, alcohol, and violence, but not drugs) on their economic outcomes in 2009 (related to participation in the labor force, educational attainment, and family formation). The results reveal that risky behaviors are most likely to affect educational outcomes. Teenagers who smoked at least one cigarette a day were 21% less likely to be in college several years later, and this difference was 17% for those who had an early sexual initiation, and 7% for those who consumed alcohol at least once a week. Labor outcomes were also adversely affected.

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Asia Health Policy Program working paper # 52
Authors
Marjorie Pajaron
Paragraphs

The growing literature on environmental migration presents conflicting results. While some find that natural disasters induce international migration, others discover a dampening effect. We aim to reconcile these differences by using a comprehensive list of weather shocks from the Philippines, a country prone to natural disasters and a major exporter of labor. We constructed a longitudinal provincial dataset (2005–2015) from an assemblage of administrative and survey datasets and tested linear, quadratic, and lagged models.

Our fixed-effects results are consistent with both strands in the literature with caveats. First, Filipinos are more likely to work abroad when they experience less-intense tropical cyclones and storm warning signal but are more likely to stay with a more damaging storm warning signal. Second, differential effects of weather shocks on international migration contingent on agriculture exists. Third, non-environmental factors such as economic (unemployment rate) and infrastructure (number of high schools) also push Filipinos abroad.

Keywords: Migration, Natural Disaster, Panel Dataset, Agriculture, OFWs

JEL classification: C33, C36, F22

Forthcoming, Journal of Population Economics.

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Asia Health Policy Program working paper # 51
Authors
Marjorie Pajaron

Launched in 2016, this series of public lectures features academics, government practitioners, and business experts who explore contemporary issues focused on the countries of South Asia—their potential and problems, their economies, their place in the region and in the global arena, the agendas of their administrations, and their relations with the United States.

-

The event is jointly sponsored by the Japan Program at the Shorenstein Asia-Pacific Research Center and the Japan Foundation Center for Global Partnership.

Image
urata shujiro1
Japan and the US were involved in fierce trade frictions beginning with textiles in the 1950s to semi-conductors in the 1990s. Bilateral trade problems between Japan and the US have resurged recently after Donald Trump became US President. Analysis of Japan-US trade frictions can provide useful implications for ongoing trade war between the US and China.

Shujiro Urata is a Professor at the Graduate School of Asia-Pacific Studies, Waseda Univeristy.  His focus of research is in international and development economics.  He received his PhD in Economics from Standford University in 1978.

Philippines Conference Room Encina Hall, 3rd Floor 616 Serra Mall, Stanford, CA 94305
Shujiro Urata Professor Waseda University
Seminars
News Type
News
Date
Paragraphs

Former head of the CIA’s Korea Mission Center Andrew Kim will bring rich perspectives and experiences on North Korea. Kim joins the Walter H. Shorenstein Asia-Pacific Research Center at the Freeman Spogli Institute for International Studies.

January 7, 2019
FOR IMMEDIATE RELEASE

STANFORD, CA — Stanford University’s Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) announced today the appointment of Sung Hyun “Andrew” Kim as a William J. Perry visiting scholar through the winter quarter of 2019.

Image
Portrait of Andrew Kim
Kim, who recently retired as a senior intelligence officer from the Central Intelligence Agency after 28 years of service, is the outgoing assistant director of the CIA’s Korea Mission Center, where he helped secure the foundation for the Trump-Kim summit of June 2018. At Stanford, he will contribute to studies of current North Korea diplomacy in comparison to previous negotiations with the DPRK, a research scope that he refers to as “U.S.-DPRK summit of the century and the tide of history.” Kim will also participate in policy engagement regarding North Korea issues through Shorenstein APARC and its Korea Program, which are part of the Freeman Spogli Institute for International Studies (FSI).

“I am delighted to welcome Andrew to Stanford,” said Gi-Wook Shin, director of Shorenstein APARC and of the Korea Program. “I have known him for many years, and his extraordinary expertise and rich experiences in Korean affairs are an invaluable addition to FSI’s and APARC’s community of scholars and practitioners. I look forward to Andrew’s contributions to our explorations of ways to promote sustainable reengagement of North Korea, which reflect our mission of producing policy-relevant research and strengthening dialogue and cooperation between counterparts in the Asia-Pacific and the United States.”

Kim established the CIA’s Korea Mission Center in April 2017 in response to a presidential initiative to address North Korea’s longstanding threat to global security. As part of his role as head of the Mission Center, he managed and guided CIA Korea analysts in providing strategic and tactical analytic products for a range of policymakers. He accompanied CIA Director and then Secretary of State Mike Pompeo to Pyongyang in meeting with the North Korean leader Kim Jong Un several times. Formerly he served as the Agency’s associate deputy director for operations and technology, leading all efforts to update operational technology and incorporate a state-of-the-art doctrine into CIA training curricula.

Earlier in his career, Kim served as the CIA’s chief of station in three major East Asian cities, while also managing the intelligence relationship with politically and militarily complicated foreign countries and advancing U.S. interests. In recognition of his many contributions, Kim was honored by the Agency with the Director’s Award (2018), Presidential Rank Award (2012), and the Donovan Award (1990). He speaks fluent Korean, Japanese, and Mandarin Chinese.

###

About the Walter H. Shorenstein Asia-Pacific Research Center
The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) addresses critical issues affecting the countries of Asia, their regional and global affairs, and U.S.-Asia relations. As Stanford University’s hub for the interdisciplinary study of contemporary Asia, APARC produces policy-relevant research, provides education and training to students, scholars, and practitioners, and strengthens dialogue and cooperation between counterparts in the Asia-Pacific and the United States. Founded in 1983, APARC today is home to a scholar community of distinguished academics and practitioners in government, business, and civil society, who specialize in trends that cut across the entire Asia-Pacific region.

Media contact:
Noa Ronkin, Associate Director for Communications and External Relations
Walter H. Shorenstein Asia-Pacific Research Center
noa.ronkin@stanford.edu

 

Hero Image
Portrait of Andrew Kim
All News button
1
-

Improvements in medical treatment have clearly contributed to significant increases in medical spending, yet there is relatively little quantitative evidence on whether the rise in expenditure is “worth it” in the sense of producing health outcomes of commensurate value. This seminar will focus on empirical research assessing the net value of health care for patients with chronic disease, using the case of type 2 diabetes mellitus. Based on analysis of detailed longitudinal, patient-level data, the collaborating researchers from Hong Kong, Japan, Taiwan, the Netherlands, and the US describe patterns in resource use and quality outcomes as measured by clinical markers and predicted risk of complications and death. In most of the studied cases, increases in spending were accompanied with improvements in outcomes of commensurate or greater value, given a range of values for a quality-adjusted life year. The authors conclude with a discussion of what the results imply about productivity of medical care, quality adjustment of price indices for healthcare, and policies for healthy aging in Asia (based on a forthcoming book).

Philippines Conference Room Encina Hall, 3rd Floor 616 Serra Mall, Stanford, CA 94305
Jianchao Quan Hong Kong University
616 Serra StreetEncina Hall E301Stanford, CA94305-6055
0
toshiaki_iizuka.jpg Ph.D.

Toshiaki Iizuka is Professor at Graduate School of Public Policy and Graduate School of Economics, the University of Tokyo. Before joining the University of Tokyo in 2010, he taught at Vanderbilt University (2001-2005), Aoyama Gakuin University (2005-2009), and Keio University (2009-2010). He served as Dean of Graduate School of Public Policy, the University of Tokyo, between 2016 and 2018. He is a recipient of Abe Fellowship (2018-2019). 

His research interests are in the field of health economics and health policy. He has written a number of articles on incentive and information in the health care markets. His research articles have appeared in leading professional journals, including American Economic Review, RAND Journal of Economics, Journal of Health Economics, and Health Affairs, among others. Dr. Iizuka holds a PhD in Economics from the University of California, Los Angeles, an MIA from Columbia University, and an ME and BE from the University of Tokyo.
Visiting Scholar, Asia Health Policy Program at APARC
University of Tokyo

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

(650) 723-9072 (650) 723-6530
0
Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
CV
Date Label
Stanford University and NBER
Seminars
Paragraphs

Abstract: A large literature has established that the International Monetary Fund (IMF) is heavily politicized. We argue that this politicization has important consequences for international reserve accumulation and financial crises. The IMF generates moral hazard asymmetrically, reducing the expected costs of risky lending and policies for states that are politically influential vis-à-vis the institution. Using a panel data set covering 1980 to 2010, we show that proxies for political influence over the IMF are associated with outcomes indicative of moral hazard: lower international reserves and more frequent financial crises. We support our causal claims by applying the synthetic control method to Taiwan, which was expelled from the IMF in 1980. Consistent with our predictions, Taiwan's expulsion led to a sharp increase in precautionary international reserves and exceptionally conservative financial policies.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
International Organization
Authors
Phillip Lipscy
Authors
Noa Ronkin
News Type
News
Date
Paragraphs

People who are acquainted with the work of Shorenstein APARC’s Asia Health Policy Program (AHPP) may be aware of the Innovation for Healthy Aging collaborative research project led by APARC Deputy Director and AHPP Director Karen Eggleston. This project, which identifies and analyzes productive public-private partnerships advancing healthy aging solutions in East Asia and other regions, encompasses an upcoming volume, co-authored by Eggleston with Harvard University professors Richard Zeckhauser and John Donohue, about public and private roles in governance of multiple sectors in China and the United States, including health care and elderly care. This volume, however, is not the first collaboration between Eggleston and Zeckhauser.

Zeckhauser, the Frank P. Ramsey Professor of Political Economy at Harvard University’s Kennedy School, is known for his many policy investigations that explore ways to promote the health of human beings, to help markets work more effectively, and to foster informed and appropriate choices by individuals and government agencies. In 2006, Eggleston and Zeckhauser co-wrote a paper about antibiotic resistance as a global threat, an issue that has since received much attention as it has become a critical public health and public policy challenge. Zeckhauser was a pioneer in framing antibiotic resistance as a global threat.

On October 20, 2018, Eggleston was among some 150 colleagues, students, and friends who participated in a special symposium at the Kennedy School to celebrate Zeckhauser’s 50th anniversary of teaching and research, and to anticipate what the next 50 years might bring in the multiple fields he has influenced throughout his long career.

Eggleston joined the first of two panels in that symposium, where she spoke about Zeckhauser’s impact on health policy and about what academics and policymakers should be tackling next on the path to addressing the global threat of antibiotic resistance.

The panel was moderated by Harvard Professor Edward Glaeser. In addition to Eggleston, it included Jeffrey Liebman, Daniel Schrag, and Cass Sunstein.

A video recording of the panel is made available by the Kennedy School. Listen to Eggleston’s remarks (beginning at the 8:42 and 36:20 time marks):

 

Hero Image
Karen Eggleston speaking on a panel celebrating Harvard Professor Richard Zeckhauser. Harvard Kennedy School
All News button
1
Subscribe to Asia-Pacific