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Updated: Jan 1, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neonatal health of parents and cognitive development of children
Claus Thustrup Kreiner1, Hans Henrik Sievertsen2
1University of Copenhagen, CEBI and CEPR, Denmark.
Insights
Parental birth weight significantly impacts children's academic performance, suggesting intergenerational links in health and socioeconomic success. This highlights the importance of neonatal health for future generations.
Area of Science:
- Health Economics
- Developmental Psychology
- Sociology
Background:
- Neonatal health is a known predictor of adult socioeconomic status.
- The intergenerational impact of neonatal health on offspring outcomes remains less understood.
Purpose of the Study:
- To investigate the relationship between parental birth weight and their children's school test scores.
- To determine if parental neonatal health influences the next generation's cognitive outcomes.
Main Methods:
- Utilized empirical specifications analyzing the association between parental birth weight and child test scores.
- Employed grandmother fixed effects to control for within-family variations between mothers.
Main Results:
- A significant positive association was found between parental birth weight and child school test scores.
- Maternal birth weight explained 50-80% of the association between a child's own birth weight and test scores.
- Both maternal and paternal birth weights demonstrated equal importance in predicting child test scores.
Conclusions:
- Parental birth weight is a strong predictor of offspring academic achievement.
- Inequalities in neonatal health contribute to intergenerational disparities in key life outcomes.
- Intergenerational health transmission plays a crucial role in socioeconomic mobility.
Abstract:
It is well-established that neonatal health is a strong predictor of socioeconomic outcomes later in life, but does neonatal health also predict key outcomes of the next generation? This paper documents a surprisingly strong relationship between birth weight of parents and school test scores of their children. The association between maternal birth weight and child test scores corresponds to 50-80 percent of the association between the child's own birth weight and test scores across various empirical specifications, for example including grandmother fixed effects that isolate within-family differences between mothers. Paternal and maternal birth weights are equally important in predicting child test scores. Our intergenerational results suggest that inequality in neonatal health is important for inequality in key outcomes of the next generation.
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