THE ADVANTAGES OF PANEL SURVEYS THE MEXICAN FAMILY LIFE SURVEY ENCUESTA NACIONAL SOBRE LOS NIVELES DE VIDA DE LOS HOGARES CODIRECTORES: GRACIELA TERUEL Y LUIS RUBALCAVA ROADMAP 1. Some advantages of Panel surveys 2. MxFLS an ongoing national-representative panel survey in Mexico 3. Examples: 1. Who falls, who stays and who leaves poverty 2. Are Mexican migrants healthier than those who stay? 3. Does crime affect the mental health of the Mexican population? 2. ADVANTAGES OF PANEL SURVEYS ¡ Economies of scale-- it is useful for many evaluations and policies, as opposed to evaluations done purposefully for one program ¡ Long term exposure analysis—if you have a long enough panel and low attrition ¡ Difficult to do in randomized trials 2. ADVANTAGES Excellent tool to study health, economic transitions overtime Ø Health transition Ø Labor transitions Ø Poverty transitions ¡ Important for the study of migration dynamics Ø Domestic migration Ø International migration Ø Return migration 3. MEXICAN FAMILY LIFE SURVEY Encuesta Nacional de Niveles de Vida de los Hogares An ongoing national-representative longitudinal survey in Mexico MXFLS´ GOAL ¡ Collect information on the welfare of Mexican households ¡ Representative of the population at the national, urban-rural and regional level ¡ Multi-thematic ¡ Longitudinal ¡ Community component CHARACTERISTICS ¡ Conducts in-person interviews (to all household members) ¡ Collects objective health information (anthropometric measures and biomarkers) with specialized health personnel ¡ Comprises information on ONE single instrument (households and individuals) ¡ Follows individuals overtime, regardless of their place of residence ¡ Re-contacts in Mexico ¡ Re-contacts in the USA CHARACTERISTICS ¡ First round (baseline survey) in 2002 ¡ Second round in 2005-2006 ¡ Third round in 2010-2012 ¡ Baseline sample: 35,000 individuals ¡ Mex-U.S. Migrants follow up: ¡ Second Round 900 individuals (recontact: 91%) ¡ Third Round 1,300 individuals (recontact 88%) TOPICS HOUSEHOLD LEVEL ¡ Economic characteristics (income, expenditure, wealth, savings, credits) ¡ Transfers inside and outside the household ¡ Victimization ¡ Agricultural land use and management (rural households) TOPICS INDIVIDUAL LEVEL ¡ Human capital (schooling, cognitive ability and health status) ¡ Employment and time use ¡ Migration (national and international) ¡ Reproductive health ¡ Marriage history ¡ Anthropometric measures and biomarkers ¡ Reproductive health, contraceptive methods and pregnancy history ¡ Health perception, mental health HEALTH Objective health information (anthropometric measures and biomarkers) of all household members: ¡ Weight ¡ Height ¡ Waist circumference ¡ Hip circumference ¡ Blood pressure >15 years old ¡ Hemoglobin >6 months old HEALTH Objective health information (anthropometric measures and biomarkers) of all household members: ¡ 2005 + cholesterol LDL, cholesterol HDL, total glucose and dried blood samples ¡ In 2010+Hba1c, leg length TOPICS COMMUNITY LEVEL Collects information on the infrastructure of the communities where the sample households live: ¡ Schools ¡ Health centers ¡ Small health providers ¡ Local authorities ¡ Commercial establishments ADVANTAGES OF MXFLS ¡ PANEL: look at transitions: ¡ For example, who is in poverty over an extended period? Who can leave poverty? Who falls into poverty? ¡ MULTIPURPOSE: Studying the relationship between different variables ¡ For example, are Mexican Migrants healthier than the overall population? ¡ CONDUCT CASUAL-EFFECT ANALYSES. ¡ For example: Does crime affect the mental health of the Mexican population? ¡ Evaluation of Public Policies ¡ Evaluation of Seguro Popular, health insurance program; PROSPERA (CCT program). Example 1 Who stays, leaves and falls into poverty? MEDICIÓN OFICIAL DE LA POBREZA EN MÉXICO El Consejo Nacional de Evaluación de la Política de Desarrollo Social (CONEVAL) I. Medición de la Pobreza a nivel Nacional, Estatal y Municipal II. Evaluación de los programas y políticas sociales DESVENTAJAS ¡ Sin embargo, la medición no permite saber nada acerca de la entrada, permanencia o salida de los estados de pobreza de las personas a lo largo del tiempo. ¡ ¿Son los mismos individuos los que aparecen en pobreza extrema en 2010 y 2012? ¡ ¿Las personas que viven en pobreza extrema logran salir de su condición inicial? CIFRAS DE POBREZA EN MÉXICO 2010 Y 2012 Bienestar Ingreso 2010 2012 LBE LBE LBM LBM Carencias Derecho sociales Carencias Derecho sociales CARACTERIZACIÓN DE LOS GRUPOS Se utilizó la misma metodología que el Coneval para estimar la pobreza y con base en ésta se definen 4 grupos: 1. Pobres crónicos: aquellas personas que en los tres periodos analizados se encontraron en pobreza. 2. Pobres persistentes: aquellas personas clasificados en pobreza en dos de los tres periodos analizados 3. Pobres Transitorios: individuos que presentaron la condición de pobreza sólo en uno de los tres periodos. 4. No pobres: aquellas personas que no se clasificaron como pobres en ninguno de los tres periodos POVERTY TRANSITION LÍNEA DE BIENESTAR ECONÓMICO Movilidad social de la pobreza multidimensional total (LBE) Porcentaje Pobre crónico 25.33 Pobre persistente 23.67 Pobre transitorio 24.43 No pobre 26.56 Total 100 POVERTY TRANSITION LÍNEA DE BIENESTAR MÍNIMA Movilidad social de la pobreza multidimensional extrema (LBM) Porcentaje Pobre crónico extremo 1.50 Pobre persistente extremo 5.13 Pobre transitorio extremo 16.55 No pobre extremo 76.82 Total 100 HALLAZGOS ü La probabilidad de quedarse inmóvil en una sola categoría de pobreza es baja. ü La probabilidad de vivir siempre en pobreza extrema es muy baja, menor a 2%. ü 7.7 de cada 10 mexicanos han experimentado estar pobreza en el periodo de análisis (2002,2005,2012). Example 2 Are Mexican migrants healthier than those who stay? INTRODUCTION ¡ Characteristics of movers to the US prior to their move is not fully understood ¡ Movers are not randomly drawn from their origin country ¡ Healthy Migrant Effect ¡ Positive selection on education, mental and physical health ¡ Possible explanation to the Hispanic Paradox DIFFICULTY TESTING THE HEALTHY MIGRANT EFFECT ¡ Lack of data on immigrants close to the time of migration ¡ Health status of individuals potentially affected by time spent in the US ¡ Reference Group: Comparisons of foreign-born and native-born individuals in the US ¡ Measures of health: self-reports and utilization MXFLS WELL SUITED…. ¡ 1. Health information before individuals moved to the US (2002) ¡ 2. Comparison group of non-movers in home country ¡ 3. We use physical measures of health as opposed to only self assessed ¡ 4. Control for origin location of migration and age ¡ 5. We will also include schooling as another measure of human capital EMPIRICAL STRATEGY ¡ Using a logistic regression we compare movers and non-movers and relate them to their health and education as measured in 2002 ¡ Dependent variable: construct an indicator of whether an individual moved to the US between 2002 to 2005 (using 2005) HEALTH, EDUCATION AND PROBABILITY OF MOVING FORM MEXICO TO THE US DEPENDENT VARIABLE IS (1) IF MOVED TO THE US AFTER 2002 ODDS RATIO FROM LOGISTIC REGRESSIONS Healthandeduca,onin2002 Height(cm) (1)IfBMI<25 (1)Normalbloodpressure (1)IfHbreplete (1)IfGHSisgood (1)IfrelaMveGHSisgood YearsofeducaMon Samplesize Male Rural Urban 0.998 1.013 1.701* 1.105 1.709 1.027 1.929* 0.792 0.586* 0.932 1.032 0.515* 0.999 1.011 2,148 1,669 Female Rural Urban 0.98 1.071* 0.98 1.349 1.88 0.834 2.02* 1.081 0.6* 1.618 1.1 1.688* 1.07 1.063 1,505 2,148 MARGINAL EFFECT Marginaleffectof… excellenthealthin2002 highmigraMonstate Chi-squaretestforjointsignificanceof allhealthcovariates (p-value) Rural 5.70% 43.20% Urban 0.02% 20.10% 18.34 11.88 0.01 0.06 RESULTS ¡ Health does not do a good job at predicting whether people move to the US ¡ Health selection of rural males and females in general ¡ GHS must be interpreted with caution Example 3 Does crime affect the mental health of the Mexican population? 5.6 2.8 1.7 1.7 1.1 0.9 0.8 0.6 0.5 Chile France New Zeland Germany Spain Japan Hong Kong 5.3 India Argentina 5.7 United States 7.9 Uruguay 8.9 Costa Rica 11.0 Indonesia Mexico Russia South Africa Brazil Colombia 52.0 Jamaica Venezuela Honduras 57.9 Homicide Rate by country 2002 – 2009 Homicides per 100.000 inhabitants 49.0 36.4 25.2 18.0 14.9 Flores, Linaloe R. El Universal, A14. 26-oct-2010. MXFLS WELL SUITED…. ¡ Analyze the effect of crime on health at the population level ¡ Attempt to look at causality instead of correlations ¡ Exploit high incidence of crime in Mexico EMPIRICAL STRATEGY ¡ Measure change in health from baseline to first panel: ∆Health= Health2005-Health2002 ¡ Compare the ∆Health between individuals who suffered a crime after baseline, and those who did not. Diff-in-Diff= [∆Health]victim-[∆Health]no victim ¡ Control for: SES and CFE MENTAL HEALTH ¡ Subjective Burden Scale ¡ 22-CESDS type questions (HRS) ¡ Calderon (1997) Validated for Mexico ¡ Measures prevalence of anxiety and depression Effect of street crime on females Health measure Sadness Crying Obsessive Pressure on chest Nervous Pessimistic Lonely Desire to Die Street crime (2) Severe (4) HH member (5) 0.14** 0.16** 0.13* 0.13* 0.21** 0.15** 0.14* 0.07 0.06 0.10 0.13* 0.09 0.11 0.11 0.13* 0.03 0.10** 0.07 0.02 0.01 0.09* 0.12** 0.06 -0.01 Heterogeneity in the effect of street crime Street crime Severe HH member (2) (4) (5) AVERAGE Log total score 0.07** 0.06** 0.04** FEMALES Log total score 0.10** 0.09** 0.06** MALES Log total score 0.05 0.03 0.01 CONCLUSIONS ¡ The Mexican Crime wave has consequences beyond the monetary value of the immediate economic losses. ¡ Victimization imposes a significant burden on the mental health of the urban population. ¡ Crime hits differentially across genders, with women´s health suffering higher costs. ¡ Female mental health is affected by crimes suffered in person as much as crimes suffered by her households.