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Updated: Jun 12, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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You are What Your Parents Expect: Height and Local Reference Points
Fan Wang1, Esteban Puentes2, Jere Behrman3
1Department of Economics, University of Houston, Houston, Texas, USA.
Summary
Parental preferences for child height significantly impact child stunting. Reference height, influenced by community norms, explains most of the protein intervention
Area of Science:
- Child health and nutrition
- Developmental economics
- Behavioral economics
Background:
- Child stunting affects 150 million children globally, impacting cognitive and economic outcomes.
- Understanding determinants of growth retardation is crucial for effective public policy.
- Parental preferences and community norms play a role in child health outcomes.
Purpose of the Study:
- To model parental nutritional and health choices with reference-dependent preferences.
- To analyze how parental targets for child height are influenced by community reference points.
- To decompose the effects of a protein-supplementation intervention on child height.
Main Methods:
- Developed a model of nutritional choices and health incorporating reference-dependent preferences.
- Used height as the targeted health outcome for children.
- Explored exogenous variation in reference height from a Guatemalan protein-supplementation experiment.
- Estimated model parameters using empirical data.
Main Results:
- Reference height is an equilibrium outcome determined by previous cohorts' choices.
- Changes in reference points accounted for 65% of the height difference in children.
- This effect was observed in the sixth annual cohort after the intervention's start.
Conclusions:
- Parental concern for child height relative to a reference population is a significant factor in child growth.
- Interventions aimed at improving child health must consider the influence of social reference points.
- Understanding reference-dependent preferences can refine public health policies for child nutrition.
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