Trading height for education in the marriage market.

OBJECTIVES: Several empirical studies point out the relevance of individuals' physical attributes-such as height, weight, beauty-in the labor market. In the same way, physical characteristics may affect lifetime prospects through their impact on the selection of a partner in the marriage market. We analyzed to what extent an individual's height and weight (arguably affecting physical attractiveness, as documented in many studies) are related to lifetime economic outcomes through the marriage market, investigating whether individual height and weight affect the probability of marrying with a "high-quality partner," measuring quality as the partner's educational attainment or as the partner's prospective labor income. METHODS: Using a large Italian dataset of married (and cohabiting) couples-the 2005 Italian Health Conditions Survey which provides information on health conditions, individual characteristics, and socioeconomic variables-we estimated separate OLS and Ordered Probit regressions for females and males. Since weight might be endogenously determined, to avoid any estimation bias we also estimated a reduced form equation in which predetermined height affects directly and indirectly (through BMI) physical attractiveness and, as a consequence, the choice of a partner with a given educational attainment. RESULTS: Our findings suggest that height is a desirable trait in mating selection affecting the partner's socioeconomic characteristics: we found that taller individuals tended to mate with more educated partners, controlling for their own educational level-to take into account the tendency for assortative mating for education-and for other personal traits such as age, geographical residence, city size, and the presence of health problems. On the other hand, we showed that individuals with higher BMI were married to partners with lower levels of education. The results also provide evidence of non-linearity in the relationship between height and educational attainment of the partner. These findings are confirmed for both males and females, but being taller seems to be more relevant for males, while being thinner is more important for females. We have also found that taller and thinner females and males tend to be married with partners earning higher labor incomes. These findings were robust to a number of checks. CONCLUSIONS: Our findings confirm that the physical characteristics that an individual brings to the marriage market influences the outcome in this market: physical attractiveness is exchanged in the marriage market for a higher educational attainment and the ability to earn a higher labor income.

Health care utilization by immigrants in Italy.

Healthcare utilization studies show how well documented disparities between migrants and non-migrants. Reducing such disparities is a major goal in European countries. However, healthcare utilization among Italian immigrants is under-studied. The objective of this study is to explore differences in healthcare use between immigrant and native Italians. Cross-sectional study using the latest available (2004/2005) Italian Health Conditions Survey. We estimated separate hurdle binomial negative regression models for GP, specialist, and telephone consultations and a logit model for emergency room (ER) use. We used logistic regression and zero-truncated negative binomial regression to model the zero (contact decision) and count processes (frequency decisions) respectively. Adjusting for risk factors, immigrants are significantly less likely to use healthcare services with 2.4 and 2.7 % lower utilization probability for specialist and telephone consultations, respectively. First- and second-generation immigrants' probability for specialist and telephone contact is significantly lower than natives'. Immigrants, ceteris paribus, have a much higher probability of using ERs than natives (0.7 %). First-generation immigrants show a higher probability of visiting ERs (1 %). GP visits show no significant difference. In conclusion Italian immigrants are much less likely to use specialist healthcare and medical telephone consultations than natives but more likely to use ERs. Hence, we report an over-use of ERs and under-utilization of preventive care among immigrants. We recommend improved health policies for immigrants: promotion of better information dissemination among them, simplification of organizational procedures, better communications between providers and immigrants, and an increased supply of health services for the most disadvantaged populations.