Interrelationships among health, the environment, and social inequality in India

This dissertation examines the interrelationships among health, the environment, and social inequality in India. The first chapter examines the health and human capital consequences of expansions in coal-powered electricity generation in the developing world. Using variation in coal plant capacity within place across cohorts in India, a large coal consumer, I find that children born exposed to a median-sized coal plant are 0.1 standard deviations shorter than unexposed children. Supporting air pollution as a channel, effects are larger among children living closer to coal plants. Changes in coal capacity do not predict changes in other local socio-economic factors, demographics, employment, or infrastructure. Effects are similar by socioeconomic status, but richer households live closer to coal plants. The second chapter, published in the Proceedings of the National Academy of Sciences and co-authored with Payal Hathi and Aashish Gupta, investigates life expectancy differentials along lines of caste, religion, and indigenous identity in India, home to some of the largest populations of marginalized social groups in the world. Using a large, high-quality survey that measured mortality, social group, and economic status, we are the first to estimate and decompose life expectancy differences between higher-caste Hindus, comprising Other Backward Classes and high-caste Hindus, and three of India's most disadvantaged social groups: Adivasis, Dalits, and Muslims. Relative to higher-caste Hindus, Adivasi life expectancy is more than four years lower, Dalit life expectancy is more than three years lower, and Muslim life expectancy is about one year lower. Economic status explains less than half of these gaps. The differences between the life expectancy of higher-caste Hindus and the life expectancies of Adivasis and Dalits are comparable to the Black-White gap in the US in absolute magnitude. The differences are larger in relative terms because overall life expectancy in India is lower. Our findings extend the literature on fundamental causes of global health disparities. Methodologically, we contribute to the literature on mortality estimation and demographic decomposition using survey data from low- and middle-income contexts. The third chapter, published in World Development and co-authored with Aashish Gupta and Nazar Khalid, studies why households are slow to adopt clean cooking fuels in rural north India. Exposure to air pollution from cooking with solid fuels has important consequences for public health. This paper focuses on rural north India, where despite robust economic growth and government subsidies, the vast majority of households mainly use solid fuels. Using new qualitative and quantitative data collected in the context of a policy environment that dramatically expanded ownership of liquid petroleum gas (LPG), we find that patriarchal gender norms and attitudes encourage the use of solid fuels in this region. North Indian society confers low status to women, promotes women’s seclusion, and constrains women’s engagement in economic activities outside of the home. These beliefs encourage women to preserve gas, promote women's work that facilitates the use of solid fuels, and hinder communication between the cook and the decision-maker regarding LPG refills. When rural north Indian households use gas, it is frequently to facilitate the adherence to norms of seclusion that prevent women from leaving the home to collect solid fuels. In addition to expanding access and improving economic conditions, future research and policy interventions should pay careful attention to the gender norms and attitudes that discourage the use of gas.Economic