Partial Identification of Economic Mobility: With an Application to the United States
Summary (3 min read)
Global and Epidemiological
- Perspectives on Diet and Mood F.N. Jacka Deakin University, Geelong, VIC, Australia 8 Noncommunicable diseases (NCDs) globally account for the largest burden of early mortality and are predicted to cost more than US$30 trillion over the next 20 years (Bloom et al., 2011).
- When the global burden of disease is viewed in terms of disability rather than mortality, mental and substance use disorders account for the leading cause of health-related disability worldwide, with unipolar depression alone accounting for the second highest number of years lost to disability (Murray et al., 2013).
- There are data to support such increases from the United States (Twenge et al., 2010), Britain (Collishaw et al., 2004), Taiwan (Fu et al., 2013), and Australia (O’Donnell et al., 2013), although upward trends in young people may be plateauing (Maughan et al., 2008).
- Type 2 diabetes mellitus, and cancer—are well known to be directly influenced by unhealthy diet (WHO, 2011; Swinburn et al., 2011), there is now highly consistent evidence across age groups, cultures, and countries to suggest that unhealthy diet is also a key risk factor for common mental disorders, particularly depression.
- The following presents a discussion of the change to global eating patterns and the recent literature highlighting the relationships between diet and mental health.
CHANGES TO THE FOOD SUPPLY AND GLOBAL IMPACT ON HEALTH
- Substantial changes in efficiencies of production, marketing, transport, and sale of food have had a highly detrimental impact on dietary patterns across the globe, with a widespread shift toward increased intake of fast foods and sugar-sweetened beverages (Adair and Popkin, 2005).
- In the West, dietary patterns are commonly high in saturated fats and refined sugar, with nutrient-poor and energy-dense foods contributing approximately 30% of the daily intakes of US adults (Kant, 2000).
- Alongside these changes were declines in the intake of fruit and vegetables.
- It is estimated that dietary intakes of micronutrients for early humans may have been up to 10 times that of modern humans because of the composition of wild plant foods known to be consumed by hunter-gatherers (Brand-Miller and Holt, 1998); carbohydrate consumption was almost exclusively derived from fruits and vegetables (Eaton and Eaton, 2000).
- In support of this, intervention studies performed in indigenous Australian populations have reported a pronounced reduction in risk factors for CVD, as well as metabolic abnormalities associated with diabetes, after reversion to a traditional hunter-gatherer diet containing substantial quantities of red meat from wild animals (O’Dea, 1984; O’Dea and Sinclair, 1985).
NUTRIENTS AND MENTAL HEALTH
- Before 2009, scientific data were scarce and the existing literature focused primarily on individual nutrients or foods—particularly fish and the long-chain omega-3 polyunsaturated fatty acids (n-3 PUFAs).
- In one of the first studies in this field, Hibbeln (1998) suggested that substantial cross-national variation in prevalence rates of depression may be, in part, a function of a demonstrated, strong, inverse correlation between national levels of fish consumption and national depression prevalence rates across nine countries.
- One meta-analysis examining the effect of n-3 PUFA supplementation for depressed mood concluded that there was a small beneficial effect of treatment with n-3 PUFA compared with placebo, but that this benefit was restricted to those with major depressive disorder (MDD; Appleton et al., 2010).
- Clinical studies have long observed folate deficiency and low folate status in those with clinical depression, and low folate is also associated with depression in population studies (Morris et al., 2003), even in the presence of folate fortification (Ramos et al., 2004).
- In a clinical context, low concentrations of zinc are commonly observed in patients with major depression (Swardfager et al., 2013) whereas zinc supplementation has been shown to enhance the efficacy of antidepressant therapy (Nowak et al., 2003a), with a systematic review supporting its use as an adjunctive therapy (Lai et al., 2011).
DIET QUALITY
- It is important to recognize that magnesium, folate, zinc, and long-chain fatty acids are all components of a healthy diet, found primarily in foods such as leafy green vegetables, legumes, whole grains, lean red meat, and fish.
- This association existed before and after controlling for a comprehensive range of potentially confounding factors, including sociodemographic, anthropometric, and lifestyle factors; other health behaviors; and medical history.
- Thus the hypothesis that diet is related to common mental disorders, particularly depression, is supported by studies in a wide range of countries and cultures as diverse as Spain, Norway, China, the United States, Japan, Australia, and many others.
- At the other end of the age spectrum, diet quality is also associated with mental health in adolescents and children.
- As well as both healthy and unhealthy dietary patterns during the first years of life, are associated with the risk for mental health problems in young children (Jacka et al., 2013b).
INTERVENTION STUDIES
- This new body of observational data is notable for the relative consistency of the reported relationships and the observed effect sizes.
- This is an increasingly common question in clinical practice and the general community, and it remains unanswered to date, representing a serious gap in their knowledge base.
- A systematic review examined the data from dietary interventions that have examined mental health outcomes in various populations and concluded that, although data from depressed samples are currently lacking, there is some evidence suggesting a positive impact of dietary improvement on depression (Opie et al., 2014).
- In the large PREDIMED study, older individuals randomized to an MDP compared with a low-fat diet tended to be less likely to develop depression over the period of the intervention, and this relationship was particularly pronounced for those individuals with type 2 diabetes (Sanchez-Villegas et al., 2013).
- Those in the Mediterranean diet groups also demonstrated improved cognition compared with controls (Martinez-Lapiscina et al., 2013).
CLINICAL APPLICATIONS
- This new literature provides face validity for the role of nutritional factors in the genesis and management of depression.
- The data largely fulfill the Bradford Hill criteria for causality (Jacka et al., 2012c) and are consistent and compelling.
- Moreover, although there is currently a dearth of evidence regarding the efficacy of dietary modulation to treat depression, it is clear that diet has a major impact on comorbid physical disorders that are disproportionally more common in people with depression, such as cardiovascular disorders and diabetes.
- Chronic low-grade inflammation, with accompanying oxidative stress, is a common feature of virtually all mental disorders, as well as the somatic disorders with which mental disorders are so commonly comorbid.
- Indeed, emerging data from experimental and human studies now suggest that the gut is a key pathway by which environmental factors, such as poor diet, sedentary behavior, and stress, influence the immune system and host health, with downstream effects on the risk for mental, as well as physical, disorders.
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Additional excerpts
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887 citations
"Partial Identification of Economic ..." refers methods in this paper
...This is similar to Heckman, Smith, and Clements’ (1997) ranked invariance assumption in the context of the distribution of potential outcomes in a treatment effects framework....
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877 citations
"Partial Identification of Economic ..." refers background in this paper
...Level set restrictions place equality constraints on population transition probabilities across observations with different observed attributes (Manski 1990; Lechner 1999)....
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...…more structure via shape restrictions, level set restrictions that relate transition probabilities across observations with different attributes (Manski 1990; Lechner 1999), and monotonicity restrictions that assume monotonic relationships between the true income and certain observed covariates…...
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Frequently Asked Questions (12)
Q2. What are the future works mentioned in the paper "Partial identification of economic mobility: with an application to the united states" ?
The authors are hopeful that future work will consider additional restrictions that may be used to further tighten the bounds on transition probabilities, as well as bounds on additional summary measures of mobility derived from the transition matrix.
Q3. What is the scalar measure of mobility?
Several scalar measures of mobility considered in the literature are derived directly from the elements of the transition matrices.
Q4. What are the main assumptions for identification of error-free income?
as in McGarry (1995), identification of error-free income relies on strong assumptions for identification, such as serially uncorrelated measurement error, particular functional forms, and valid instrumental variables.
Q5. What is the disadvantage of transition matrices?
Such matrices have the disadvantage of not providing a scalar measure of mobility, simplifying spatial and temporal comparisons of mobility.
Q6. What are the main disadvantages of the simulation-based methods?
While simulation-based methods allow for estimation of transition matrices, these methods are complex, lack transparency, rely on strong functional form and distributional assumptions, and often require more than two years of data.
Q7. What are the effects of shape restrictions on the population transition probabilities?
Level set restrictions place equality constraints on population transition probabilities across observations with different observed attributes (Manski 1990; Lechner 1999).
Q8. What are the disadvantages of the model?
While the authors’model has some advantages compared to earlier attempts to simulate error-free outcomes, these advantages come at a cost of increased complexity, decreased transparency of the identifying assumptions, and a need for four periods of data.
Q9. What is the measure of mobility given by Prais (1955)?
The Prais (1955) measure of mobility captures the expected exit time from partition k and is given by11− p∗kk , k = 1, ..., K. (11)Bradbury (2016) defines measures of upward and downward mobility that account for the size of the partitions.
Q10. How many assumptions are used to determine the probability of being in poverty in 2008?
allowing for misclassification errors in up to 10% of the sample, the authors find that the probability of being in (out of) poverty in 2008 conditional on being in poverty in 2004 is at least 35% (27%) under their most restrictive set of assumptions.
Q11. What is the probability of income being misclassified in a period?
θ(0,0)(k,l) represents the probability of no misclassification in either period for an observation with true income in partitions k and l.99θ (0,0) (k,l) may be strictly positive even though income is misreported in either or both periods (i.e., yit 6= y∗it for at least some i and t) as long as the misreporting is not so severe as to invalidate the observed partitions (i.e., k′ = k and l′ = l regardless).
Q12. What is the simplest way to explain the inequality constraints?
Monotonicity restrictions place inequality constraints on population transition probabilities across observations with different observed attributes (Manski and Pepper 2000; Chetverikov et al. 2018).