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Lessons from the Baby Bonus in South Korea: Increased Births and Restored Natural Sex Ratio

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Lessons from the Baby Bonus in South Korea: Increased Births and Restored Natural Sex Ratio Lessons from the Baby Bonus in South Korea: Increased Births and Restored Natural Sex Ratio Wookun Kim January 20, 2021 I study the causal effects of South Korea’s baby bonus on fertility by exploiting temporal and spatial variation in pro-natalist cash transfers provided to families with newborn babies. Based on registry records spanning the universe of births from 2000 to 2015, I find that the baby bonus increased completed fertility: in the absence of the policy, the total fertility rate in 2015 would have been lower by 3%, which is equivalent to 450,000 fewer babies born to the 2015 female population over their lifetimes. The baby bonus was partly responsible for correcting the sex ratio favoring boys. I provide evidence that the cash incentives were particularly valuable among working mothers. Their selection into childbearing explains lower health outcomes on average. A high fertility rate of more than six children per woman in China during the 1960s quickly dropped and stayed below the replacement level of 2.1 since the early 1990s, thanks to China’s “Later, Longer, Fewer” campaign and the one-child policy (Chen and Fang, 2018). This unique family planning policy is partly responsible for lowering the total fertility rate and increasing the male-to-female ratio, favoring boys, at birth (Ebenstein, 2010) (see Note 1). The one-child policy was repealed in 2015, but there is no sign of recovery to the replacement level. South Korea—a country neighboring China—shares a similar experience. Its government carried out one of the most successful family planning policies during the 1960s and 1970s. The total fertility rate has stayed below the 2.1 replacement level since 1983, and an unnaturally high male-to- female ratio at birth persisted (Yoo et al., 2016). In 2001, local governments started providing a baby bonus, a pro-natalist policy giving cash transfers to families with newborn babies (see Note 2). The generosity of the cash transfers differed widely by birth order, across districts, and over time. Depending on where a family lived, when they had their baby, and the birth order of that baby, the family would receive a different bonus amount. By 2015, 44%, 88%, and 100% of districts had adopted the baby bonus for the first, second, and third child, respectively (see Note 3). http://voxchina.org [email protected] [email protected] In Kim (2020), I study whether this pro-natalist financial incentive increased birth rates and changed neonatal health outcomes that shape the children’s long-run outcomes. The main empirical strategy compares the birth outcomes across districts in which residents with newborn babies were “treated” with varying implementation timing and amount of cash transfers while holding all other determinants of birth outcomes constant. I construct district-level, age-specific birth rates for each birth order (first, second, and third) based on the birth registry records spanning the universe of births from 2001 to 2015. These records contain information on individual health outcomes (birth weight, gestational age, and sex). My paper has three broad results: Figure 1: Birth Rates Before and After the Implementation of Baby Bonus Note: This event-study figure plots the changes in the birth rates before and after pro-natalist cash transfer policy implementation for the first child (left), second child (center), and third child (right). Each observation corresponds to a district-year pair and is weighted by the female population between the ages of 15 and 49. Across each panel, the same set of fixed effects (i.e., district fixed effects and city-by-year fixed effects) and district- level control variables are included. The control variables include the log of the total population, percentage of the female population, the percentage of the adult population (between the ages of 20 and 64), the percentage of the elderly (older than 64), the net migration rate (total inflow-outflow normalized by population), marriage rate, indicators for the gender and political party affiliation of the local government head, and the financial independence rate. In addition, the estimations for the second child (he third child) include the lagged number of births for the first child (the first and second child). Error bars show 95% confidence intervals. Standard errors are two-way-clustered at the district level and city-by-year level. In the absence of the baby bonus, the total fertility rate in 2015 would have been 3% lower, equivalent to about 430,000 fewer children ever http://voxchina.org [email protected] [email protected] born by the female population in 2015 over their lifetime. I employ an event study specification to estimate the changes in birth rates before and after implementing the baby bonus. Figure 1 plots the results for first, second, and third children (left, center, and right panels, respectively). The birth rates for first and third children did not change leading up to the implementation of the baby bonus, while the birth rate for second children was on a downward trajectory. After implementation, birth rates increased by 8% for first children and 5% for both second and third children (see Note 4). I leverage the variation in the baby bonus amount and the policy implementation timing and estimate the elasticities of birth rates with respect to the baby bonus. A 10% increase in the cash transfers for first, second, and third children increased the birth rate for the corresponding birth order by 0.6%, 0.4%, and 0.4%. I provide evidence that the estimated effects of cash transfers on birth rates are not driven by spatial sorting of families expected to have babies or the temporal adjustment of fertility (see Note 5). Overall, we learn the baby bonus increased completed fertility. Both birth weight and gestational age were affected by the baby bonus. Based on the individual birth records, I find that the baby bonus lowered the gestational age of the second and third children. Further investigation based on parental information available in the birth records reveals that these cash transfers are more valuable among employed mothers, especially when they were trying to have a second or third child. Their selection into childbearing lowers gestational age because these mothers tend to have a shorter pregnancy durations due to time constraints than mothers who are not working. On the one hand, this decrease led to a reduction in birth weight due to a strong positive correlation between birth weight and pregnancy duration. On the other hand, holding gestational age constant, the cash transfers increased birth weights. I find that a $1,000 increase in cash transfers leads to an increase of 9.01 grams and 3.06 grams in birth weight among second and third children, respectively (see Note 6). Table 1: Fraction of Male Births Over Time http://voxchina.org [email protected] [email protected] Notes: This table reports the fraction of male births for the first, second, and third child for every three years from 2000 to 2015 based on the universe of confidential birth registry records. Standard errors are reported in parentheses. The male-to-female ratio at birth reached the natural level of 105 boys per 100 girls (or a fraction of male births equal to 51.2%) among third children in 2015, thanks to the baby bonus. As shown in Table 1, the sex ratios among the first and second children were already at the natural sex ratio. The sex ratio among the third child in 2000 was 142 boys per 100 girls (or 58.7% boys) and gradually declined to the natural sex ratio in 2015. I formally investigate through a regression framework how much of this decline in the sex ratio is due to the baby bonus (see Note 7). Table 2 reports the results. Across columns, the estimated coefficients in front of second and third children indicate how much more likely it is that the second and third children are boys relative to the first child. In column 1, the estimated coefficient for cash transfer is negative and statistically significant at the 0.1 significance level. I allow the effect of the baby bonus to differ by birth order in column 2. The effect is concentrated among the higher-order births, especially the third child. The baby bonus compensates for a utility penalty associated with having a daughter. Based on these results, I compute that the sex ratio among third children born in 2015 would have been 114.3 boys per 100 girls. From 2000 to 2015, the sex ratio decreased by 37 boys, and about a quarter of this change is due to the baby bonus. Table 2: The Effect of the Baby Bonus on Sex Ratio http://voxchina.org [email protected] [email protected] Notes: This table reports the estimated effects of cash transfers on the indicator for boys. The first column reports the estimated effects of cash transfers unconditional on birth parity; in the second column, the cash- transfer effects are allowed to differ across birth parity. Each observation corresponds to a birth and the total observations span the universe of births in South Korea from 2000 to 2015. The average number of male children per 100 female children is 105.4 for first children, 105.9 for second children, and 120.9 for third children. Across columns, the same set of fixed effects (i.e., district fixed effects and city-by-month fixed effects) are included; the parental characteristics are controlled for: there are dummy variables for mother's and father's educational attainment level (no schooling, elementary school, middle school, high school, some college or above), age, occupation, and marital status.
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