Mario Martinez-Jimenez

I am a Visiting Postdoctoral Scholar at Stanford University in the Department of Health Policy, Stanford School of Medicine for the academic year 2025-2026. I am an Imperial Research Fellow in the Department of Economics & Public Policy at Imperial Business School.

You can download my CV here, reach me at mmarjim3@stanford.edu, and read my Job Market Paper here.

Research fields: health, labor, and child development.

My research fields span health economics and labor economics. I study how health and labor-market shocks, healthcare access, and public policies shape well-being, family decisions, and economic outcomes over the life course, with particular attention to early-life health, mental health, fertility, and the intergenerational transmission of disadvantage.

Referees:

Job Market Paper

When Careers Stall: The Effects of Temporary Employment on Fertility and Neonatal Health

with Judit Vall Castello

We study the causal effect of temporary employment on fertility and neonatal health by exploiting exogenous variation in the availability of temporary contracts induced by the 1984 Spanish labor market reform as a quasi-natural experimental setting. This reform resulted in a significant liberalization of fixed-term contracts, leading to an increase in job insecurity and a reduction in the career prospects of low-skilled workers entering the labor market under this regime. Using administrative and survey data, we estimate a within-cohort difference-in-difference regression discontinuity design model. We find that low-skilled mothers affected by the reform have fewer children, which translates into lower completed fertility, while the timing of their first birth remains unaffected. We find modest but significant rises in preterm birth and low birth weight exclusively among mothers aged 30 and above. Two mechanisms appear to drive these results: affected mothers are less likely to hold permanent employment in the long run, and they fall short of their desired fertility. To quantify policy implications, we develop and calibrate a life-cycle structural model of fertility and labor-market dynamics, disciplined by the reduced-form causal estimates and by additional moment targets, including desired fertility, religiosity, and gender norms, matched across skill groups. We use the calibrated model to run counterfactual policy experiments that assess the fertility, labor-market, and welfare effects of (i) the 2021 Spanish labor reform and (ii) a single-contract regime. Our study provides the first causal evidence that temporary employment affects long-term fertility decisions, showing that job insecurity depresses completed fertility in developed countries with historically rigid labor markets.

🏆 Winner of the International Health Economics Association (iHEA) Early Career Researcher Best Paper Award.

🎤 NBER Conference on Fertility and Declining Population Growth in High-Income Countries, ASHEcon, EALE, and IHEA.

Working Papers

How do economic shocks impact upon the effect of retirement on mental health?

with Bruce Hollingsworth and Eugenio Zucchelli (Submitted)

Abstract

Economic crises are common, but their timing is uncertain. This paper examines whether the mental health and well-being effects of retirement change in the presence of major economic shocks. Using a range of causal empirical methodologies, with a particular focus on a fixed-effects instrumental variables approach, we analyse longitudinal data from the English Longitudinal Study of Ageing (ELSA) covering a representative sample of over 50-year-old individuals in England. We exploit regional variations in unemployment rates following the economic crisis in the short term (2004-2013) and the longer term (2004-2019). The findings show that moving into retirement while living in a region and year particularly hit by the crisis significantly decreases the probability of reporting a new depression or anxiety diagnosis by 4.9 percentage points, mostly driven by white-collar and men retirees. We show that financial security, healthy lifestyles, and the ability to early retirement help maintain the mental health benefits of retirement during economic crises. These findings suggest that policies enhancing financial security and resilience and promoting healthy lifestyle initiatives could bolster retirees' resilience and support healthy ageing.

🎤 Presented at: EALE, HESG, LoLaHESG, PHE Public Health Research and Science Conference, and Health Economics at Lancaster seminars.

The Role of Early Life Conditions on the Development of Child's Adaptive Behaviour Skills

with Edith Aguirre (Submitted)

Abstract

This paper examines how early-life factors, including perinatal and neonatal conditions, shape children's communicative, physical, and socio-emotional skills by age three in the United Kingdom. These three domains are measured by adaptive behavior scales, widely used in the UK to assess early developmental delays and support clinical diagnosis. Using data on 4,335 children from the Understanding Society: Pregnancy and Early Childhood (PEACH) dataset between 2011 and 2023, we study how infant health at birth and breastfeeding are associated with the development of adaptive behavior skills at age 3. We rely on selection on observables models, including rich-controlled OLS, propensity score matching, and correlated random-effects models, drawing on detailed child, maternal, and household covariates measured from birth through age three. We find that poorer perinatal health is associated with slower physical development, whereas breastfeeding is linked to enhanced communication and socio-emotional development. Heterogeneity analyses indicate more pronounced perinatal-health effects for boys and non-firstborn children. We further implement a parametric mediation analysis and show that maternal engagement explains around 15% of the total benefits of breastfeeding for adaptive behavior, but does not positively mediate the relationship between adverse perinatal health and skill development. Our findings underscore the importance of public health policies that target support for children born in poorer perinatal health, helping to reduce early-life inequalities and promote more equitable child development.

🎤 Presented at: ASHEcon, IHEA, II Rome Health Economic Workshop, and the School of Public Health at Imperial College London.

Publications

Economics

Health Policy / Health Services Research

Work in Progress

Who Gets the Shot? Determinants of Childhood Vaccination among Medicaid Beneficiaries.

with Petra Persson (Stanford University) & Maya Rossin-Slater (Stanford University).

Abstract

Abstract forthcoming.

When Care Is Far from Home: Access to Neonatal Care and Maternal Mental Health.

with Genna Campain (Stanford University), Helen Kissel (Simon Fraser University) & Maya Rossin-Slater (Stanford University).

Abstract

Abstract forthcoming.

After the Gunfire: Local School-Shooting Exposure and Youth Mental-Health Care in U.S. Primary Care.

with Chris Lowenstein (University of Missouri) & David Rehkopf (Stanford University).

Abstract

School shootings may create mental-health care needs well beyond physical injuries, yet their effects on routine health-system demand remain poorly measured. We link patient-level American Family Cohort primary-care electronic health records for 2021–2024 to events in the Center for Homeland Defense and Security K–12 School Shooting Database. A stacked event study compares children living 0–5 miles from each shooting school with children 10–15 miles away. Among 28 severe shootings in the balanced sample, the near–far differential in any mental-health care event rises by about 2.7–2.8 percentage points in each of the first three full post-shooting quarters. Pooling the eight post-shooting quarters yields an estimated differential of 3.98 points relative to a 10.54% pre-shooting control mean. The response appears in diagnoses (1.38 points), broad mental-health procedures (3.41 points), and suicidal or ideation notes (0.99 points), while medication use and overall primary-care contact change little. This composition points to clinical recognition, assessment, and documentation rather than a generalized increase in utilization. Estimates remain positive across age groups and event-deletion checks, although alternative distance comparisons and more equal event weighting yield smaller magnitudes. The results reveal an undermeasured spillover into primary care and imply that post-shooting planning and welfare analysis should account for mental-health capacity required beyond direct casualties and the affected school.

Can Climate Anxiety Disrupt Young Lives? Evidence from Climate Strikes on Young Adults’ Well-Being and Economic Attachment.

with Laure de Preux (Imperial Business School).

Abstract

This paper asks whether climate concern and public climate mobilisation affect young adults' well-being and economic attachment. It combines European Social Survey repeated cross-sections with geocoded Fridays for Future (FFF) actions. Descriptive associations link climate worry and awareness to education, work, NEET status, and functioning, but do not establish causality. The quasi-experimental analysis uses five global mobilisations from 2019–2023 and a stacked difference-in-difference-in-differences design: it compares post-event changes within 50 miles of an action with changes beyond 100 miles for ages 18–40, net of the same geographic change for ages 41–50. Google Trends confirms movement-specific attention. A 16-outlet Factiva event-window panel supplies an independent conventional-news validation: the FFF/climate-strike share rises after the identifying mobilisation in France, Spain, and Italy, with a pooled country-fixed-effect rate ratio of 4.10. Across the four-week window, FFF proximity produces no statistically detectable average change in the primary well-being and economic-attachment indices. The economic estimate rules out a decline of 0.20 standard deviations; the well-being estimate is less precise and not robustly adverse across specifications. Climate worry and political interest show no average response. A narrow-window rise in worry is unusual relative to pre-event pseudo-cutoffs, but differential pre-event movement prevents a clean causal interpretation. The evidence does not support a systematic short-run deterioration in well-being or economic attachment.

Fragile Beginnings: Neonatal Health Risk and Educational Achievement.

with Orla Doyle (University College Dublin).

Abstract

Neonatal units care for clinically vulnerable newborns, including infants born premature or at low birthweight. Yet little is known about whether neonatal attendance signals later educational needs. We use data on 8,406 nine-year-olds from Growing Up in Ireland to study reading tests and parent- and teacher-reported difficulties. After adjusting for observed birth and family characteristics and applying the survey weight, children with a history of neonatal care scored about 0.05 standard deviations lower on two reading measures. Neither reading estimate was statistically different from zero, although the confidence intervals also allowed modest disadvantages. Parents reported a 2.8-percentage-point higher rate of learning difficulties; this estimate was also not statistically different from zero, while teachers reported no difference. Caregiver-reported dyspraxia was more common in one follow-up analysis, but direct tests and teacher reports did not show a similar pattern. Adjustments for missing outcomes and plausible reporting error did not change the main interpretation. Neonatal attendance overlapped with, but was not equivalent to, low birthweight or prematurity. The low-birthweight analysis revealed an important design constraint: nearly four in five low-birthweight children attended neonatal care, so the cohort cannot support a separate attendance comparison within this high-risk group. Overall, the findings support using neonatal attendance as a practical early-life marker to help identify children who may benefit from sustained developmental and educational follow-up. The study therefore shows that neonatal attendance can complement birthweight and prematurity when targeting follow-up, while the effects of admission and treatment require designs with stronger clinical data and exogenous variation.

Schooling and Gender Norms.

Solo-authored.

Abstract

Does schooling make gender norms more egalitarian? This paper combines seven rounds of the European Social Survey with country- and cohort-specific compulsory-schooling reforms. The design compares cohorts within country and survey round, allows country-specific cohort trends, and uses three complementary outcome families: repeated employment questions, a randomized vignette that changes only whether a working parent is a mother or a father, and contemporary parity and policy measures. One additional year of schooling increases an egalitarian employment index by 2.3 percentage points and rejection of men's priority for scarce jobs by 3.3 points. Both effects are statistically significant, and every round-specific estimate is positive. Respondents penalize a mother who works full time while caring for a young child by 20 points. Schooling reduces this penalty by 2.3 points per year, with the clearest evidence in the later survey round. Schooling also improves views of equal participation in work and leadership, although this result is sensitive to cohort trends. It does not consistently change preferences over public childcare or equality policy. Education shifts beliefs about women's participation more reliably than beliefs about how care should be organized or financed.