The hidden cost of moving up: Type 2 diabetes and the escape from persistent poverty in the American South 19 JUN 2013

The paper tests the thrifty phenotype hypothesis, according to which nonharmonious growth trajectories are costly for adult health.


The American surge in the prevalence of type 2 diabetes is concentrated in the South, a region characterized by a long history of poverty followed by rapid economic growth beginning in the 1960s. Civil rights legislation further accelerated income growth for African-Americans in the region. The paper investigates the hypothesis by using per capita income at the state level as a proxy for net nutritional conditions. Read more