# Birth Weight and Labor Market Outcomes: Findings From Tohoku Medical Megabank Data

## TL;DR

Low birth weight, especially very low birth weight, is linked to worse labor market outcomes, and these effects are amplified during disaster recovery phases.

## Contribution

This study provides new Japanese evidence on how low birth weight affects labor outcomes, particularly during post-disaster recovery.

## Key findings

- Very low birth weight individuals are more likely to face poor labor market outcomes, including contingent employment and income decline.
- The negative effects of very low birth weight on labor outcomes are more pronounced during disaster recovery phases.
- Low birth weight is associated with a higher likelihood of income decline but not necessarily with other labor market outcomes.

## Abstract

Epidemiological and economic literature has revealed that low birth weight (LBW) is related to poor health conditions and a broader range of negative socio‐economic outcomes, including academic achievement, income levels, and working status. However, Japanese evidence for labor outcomes is particularly lacking, as is the question of whether the impact of LBW on adulthood worsens when disasters occur. We aimed to reveal the impact on LBW on labor outcomes during the disaster recovery phase.

We used a cross‐sectional data set of 4156 national health insurance holders, males aged 40–60 years, from the Miyagi and Iwate prefectures during the earthquake recovery phase. Employing a multinomial probit and logistic model, we estimated the impact of LBW on the employment status, changes in income, and the propensity to face a decline in income with a job change.

The very low birth weights (VLBWs) have a disadvantage in all labor market outcomes. Compared to the non‐LBWs, the VLBWs were 15.2% less likely to be full‐time/self‐employed and 17.1% more likely to be contingent/temporary/part‐time workers. Moreover, 32.9% are more likely to face a decline in income and approximately 3.7 times more likely to change jobs leading to income decline. The LBWs were likely to face a decline in income by 8.6% and 4.6%, respectively, but no other significant effects were found on other outcomes.

The effects were apparent for the VLBW, but not so much for the LBW. The effects became larger during the disaster recovery phase, even though the regional economies were boosted.

We aimed to reveal the impact on LBW on labor outcomes during the disaster recovery phase. Two findings should be highlighted. First, the effects were apparent for the VLBW, but not so much for the LBW. Second, the effects became larger during the disaster recovery phase.