IDEAS home Printed from https://ideas.repec.org/a/eee/chieco/v37y2016icp126-139.html
   My bibliography  Save this article

The impact of rural–urban migration on the health of the left-behind parents

Author

Listed:
  • AO, Xiang
  • JIANG, Dawei
  • ZHAO, Zhong

Abstract

Since the reform and opening up in 1978, China has begun a period of rapid industrialization and urbanization. Along with an increasing number of rural people migrating to urban area for jobs, there are a considerable number of elderly parents left behind in the rural area. The impact of migration of the adult children on the health of their left-behind parents is ambiguous. On the one hand, the additional income from the children's jobs can allow their parents to afford better health care and nutrition; on the other hand, the migration necessarily reduces the amount of time the children have to take care of their parents. This paper uses the Rural Urban Migration in China data to empirically investigate the effect of adult children's migration on the health of the left-behind parents. Based on a linear probability model with instrumental variable correction, we find that having one additional adult child migrated to an urban area increases the probability of the left-behind elderly parents being in poor health condition by about 8%. Furthermore, parents having only one child, from low-income households, or aged above 60year are affected more. Our results point out that the parents with only one child is the most vulnerable group and highlight the importance of establishing a formal care system for the rural elderly to complement the traditional family care in rural China.

Suggested Citation

  • AO, Xiang & JIANG, Dawei & ZHAO, Zhong, 2016. "The impact of rural–urban migration on the health of the left-behind parents," China Economic Review, Elsevier, vol. 37(C), pages 126-139.
    • Handle: RePEc:eee:chieco:v:37:y:2016:i:c:p:126-139
    DOI: 10.1016/j.chieco.2015.09.007
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1043951X15001194
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.chieco.2015.09.007?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    1. Francisca M. Antman, 2013. "The impact of migration on family left behind," Chapters, in: Amelie F. Constant & Klaus F. Zimmermann (ed.), International Handbook on the Economics of Migration, chapter 16, pages 293-308, Edward Elgar Publishing.
    2. Randall Kuhn, 2001. "The Impact of Nuclear Family and Individual Migration on The Elderly in Rural Bangladesh A Qualitative Analysis," Working Papers DRU-2577, RAND Corporation.
    3. Francisca M. Antman, 2010. "Adult Child Migration and the Health of Elderly Parents Left behind in Mexico," American Economic Review, American Economic Association, vol. 100(2), pages 205-208, May.
    4. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    5. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    6. Zhao, Yaohui, 1999. "Labor Migration and Earnings Differences: The Case of Rural China," Economic Development and Cultural Change, University of Chicago Press, vol. 47(4), pages 767-782, July.
    7. Francisca M. Antman, 2012. "Elderly Care and Intrafamily Resource Allocation when Children Migrate," Journal of Human Resources, University of Wisconsin Press, vol. 47(2), pages 331-363.
    8. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
    9. Stark, Oded & Bloom, David E, 1985. "The New Economics of Labor Migration," American Economic Review, American Economic Association, vol. 75(2), pages 173-178, May.
    10. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
    11. Antoni Calvó-Armengol & Matthew O. Jackson, 2004. "The Effects of Social Networks on Employment and Inequality," American Economic Review, American Economic Association, vol. 94(3), pages 426-454, June.
    12. Akay, Alpaslan & Bargain, Olivier & Zimmermann, Klaus F., 2012. "Relative concerns of rural-to-urban migrants in China," Journal of Economic Behavior & Organization, Elsevier, vol. 81(2), pages 421-441.
    13. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    14. Zhao, Qiran & Yu, Xiaohua & Wang, Xiaobing & Glauben, Thomas, 2014. "The impact of parental migration on children's school performance in rural China," China Economic Review, Elsevier, vol. 31(C), pages 43-54.
    15. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    16. Connelly, Rachel & Maurer-Fazio, Margaret, 2015. "Left Behind, At Risk, and Vulnerable Elders in Rural China: What the RUMIC Data Reveal about the Extent, Causes, and Consequences of Being Left Behind," IZA Discussion Papers 9213, Institute of Labor Economics (IZA).
    17. Randall Kuhn, 2001. "The Impact of Nuclear Family and Individual Migration on the Elderly in Rural Bangladesh: A Qualitative Analysis," Working Papers 01-11, RAND Corporation.
    18. Fang Cai & John Giles & Philip O'Keefe & Dewen Wang, 2012. "The Elderly and Old Age Support in Rural China : Challenges and Prospects," World Bank Publications - Books, The World Bank Group, number 2249, December.
    19. Randall Kuhn & Bethany Everett & Rachel Silvey, 2011. "The Effects of Children’s Migration on Elderly Kin’s Health: A Counterfactual Approach," Demography, Springer;Population Association of America (PAA), vol. 48(1), pages 183-209, February.
    20. Lingguo Cheng & Hong Liu & Ye Zhang & Zhong Zhao, 2018. "The heterogeneous impact of pension income on elderly living arrangements: evidence from China’s new rural pension scheme," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(1), pages 155-192, January.
    21. Ren Mu & Alan Brauw, 2015. "Migration and young child nutrition: evidence from rural China," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(3), pages 631-657, July.
    22. repec:wbk:wbpubs:6007 is not listed on IDEAS
    23. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    24. Kaivan Munshi, 2003. "Networks in the Modern Economy: Mexican Migrants in the U. S. Labor Market," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(2), pages 549-599.
    25. Mansuri, Ghazala, 2006. "Migration, school attainment, and child labor : evidence from rural Pakistan," Policy Research Working Paper Series 3945, The World Bank.
    26. Zhang, Hongliang & Behrman, Jere R. & Fan, C. Simon & Wei, Xiangdong & Zhang, Junsen, 2014. "Does parental absence reduce cognitive achievements? Evidence from rural China," Journal of Development Economics, Elsevier, vol. 111(C), pages 181-195.
    27. John Giles & Ren Mu, 2007. "Elderly parent health and the migration decisions of adult children: Evidence from rural China," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 265-288, May.
    28. Leah Vanwey, 2004. "Altruistic and contractual remittances between male and female migrants and households in rural Thailand," Demography, Springer;Population Association of America (PAA), vol. 41(4), pages 739-756, November.
    29. Mehtap Akgüç & Corrado Giulietti & Klaus Zimmermann, 2014. "The RUMiC longitudinal survey: fostering research on labor markets in China," IZA Journal of Labor & Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 3(1), pages 1-14, December.
    30. Tobias Stöhr, 2015. "Siblings’ interaction in migration decisions: who provides for the elderly left behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(3), pages 593-629, July.
    31. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    32. David M. Cutler & Elizabeth Richardson, 1997. "Measuring the Health of the U.S. Population," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 28(1997 Micr), pages 217-282.
    33. Minhui Zhou & Rachel Murphy & Ran Tao, 2014. "Effects of Parents' Migration on the Education of Children Left Behind in Rural China," Population and Development Review, The Population Council, Inc., vol. 40(2), pages 273-292, June.
    34. Amelie F. Constant & Klaus F. Zimmermann (ed.), 2013. "International Handbook on the Economics of Migration," Books, Edward Elgar Publishing, number 4026.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tianxiang Li & Beibei Wu & Fujin Yi & Bin Wang & Tomas Baležentis, 2020. "What Happens to the Health of Elderly Parents When Adult Child Migration Splits Households? Evidence from Rural China," IJERPH, MDPI, vol. 17(5), pages 1-14, March.
    2. Yosuke Inoue & Annie Green Howard & Bo Qin & Aki Yazawa & Andrew Stickley & Penny Gordon-Larsen, 2019. "The association between family members’ migration and cognitive function among people left behind in China," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-11, September.
    3. Su, Yaqin & Tesfazion, Petros & Zhao, Zhong, 2018. "Where are the migrants from? Inter- vs. intra-provincial rural-urban migration in China," China Economic Review, Elsevier, vol. 47(C), pages 142-155.
    4. Zheng, Xiaodong & Fang, Zuyi & Wang, Yajun & Fang, Xiangming, 2022. "When left-behind children become adults and parents: The long-term human capital consequences of parental absence in China," China Economic Review, Elsevier, vol. 74(C).
    5. John Knight & Bianjing Ma & Ramani Gunatilaka, 2020. "The puzzle of falling happiness despite rising income in rural China: ten hypotheses," Economics Series Working Papers 899, University of Oxford, Department of Economics.
    6. Yaolin Liu & Enxiang Cai & Ying Jing & Jie Gong & Zhengyu Wang, 2018. "Analyzing the Decoupling between Rural-to-Urban Migrants and Urban Land Expansion in Hubei Province, China," Sustainability, MDPI, vol. 10(2), pages 1-15, January.
    7. Lanfang Deng & Haizheng Li & Zhiqiang Liu, 2023. "The impact of family co-residence and childcare on children’s cognitive skills," Applied Economics, Taylor & Francis Journals, vol. 55(26), pages 3008-3025, June.
    8. Xiong, Xianfang & Deng, Lanfang & Li, Hongyi, 2020. "Is winning at the start important: Early childhood family cognitive stimulation and child development," Children and Youth Services Review, Elsevier, vol. 118(C).
    9. Juliane Scheffel & Yiwei Zhang, 2019. "How does internal migration affect the emotional health of elderly parents left-behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 953-980, July.
    10. Connelly, Rachel & Maurer-Fazio, Margaret, 2016. "Left behind, at-risk, and vulnerable elders in rural China," China Economic Review, Elsevier, vol. 37(C), pages 140-153.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Böhme, Marcus H. & Persian, Ruth & Stöhr, Tobias, 2015. "Alone but better off? Adult child migration and health of elderly parents in Moldova," Journal of Health Economics, Elsevier, vol. 39(C), pages 211-227.
    2. Sylvie Démurger & Hui Xu, 2015. "Left-behind children and return migration in China," IZA Journal of Migration and Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 4(1), pages 1-21, December.
    3. Chuanmin Zhao & Xi Qu, 2022. "Social networks and internal migration in China: A spatial autoregressive model," Review of Development Economics, Wiley Blackwell, vol. 26(2), pages 1132-1163, May.
    4. Sha Cao & Dingde Xu & Yi Liu & Shaoquan Liu, 2019. "The Impact of Rural Labor Migration on Elderly Health from the Perspective of Gender Structure: A Case Study in Western China," Sustainability, MDPI, vol. 11(20), pages 1-18, October.
    5. Huang, Bihong & Lian, Yujun & Li, Wensu, 2016. "How far is Chinese left-behind parents' health left behind?," China Economic Review, Elsevier, vol. 37(C), pages 15-26.
    6. Connelly, Rachel & Maurer-Fazio, Margaret, 2016. "Left behind, at-risk, and vulnerable elders in rural China," China Economic Review, Elsevier, vol. 37(C), pages 140-153.
    7. Bai, Yu & Yang, Ning & Wang, Lei & Zhang, Siqi, 2022. "The impacts of maternal migration on the cognitive development of preschool-aged children left behind in rural China," World Development, Elsevier, vol. 158(C).
    8. Nikolova, Milena & Roman, Monica & Zimmermann, Klaus F., 2017. "Left behind but doing good? Civic engagement in two post-socialist countries," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 658-684.
    9. Liu, Chang & Eriksson, Tor & Yi, Fujin, 2021. "Offspring migration and nutritional status of left-behind older adults in rural China," Economics & Human Biology, Elsevier, vol. 41(C).
    10. Li, Qiang & Liu, Gordon & Zang, Wenbin, 2015. "The health of left-behind children in rural China," China Economic Review, Elsevier, vol. 36(C), pages 367-376.
    11. Sarah Bridges & Lefan Liu, 2022. "The impact of child migration on the health and well‐being of parents left behind," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(6), pages 1145-1164, August.
    12. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    13. Démurger, Sylvie & Wang, Xiaoqian, 2016. "Remittances and expenditure patterns of the left behinds in rural China," China Economic Review, Elsevier, vol. 37(C), pages 177-190.
    14. Yi, Fujin & Liu, Chang & Xu, Zhigang, 2019. "Identifying the effects of migration on parental health: Evidence from left-behind elders in China," China Economic Review, Elsevier, vol. 54(C), pages 218-236.
    15. Tobias Stöhr, 2015. "Siblings’ interaction in migration decisions: who provides for the elderly left behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(3), pages 593-629, July.
    16. Lanfang Deng & Haizheng Li & Zhiqiang Liu, 2023. "The impact of family co-residence and childcare on children’s cognitive skills," Applied Economics, Taylor & Francis Journals, vol. 55(26), pages 3008-3025, June.
    17. Qian Song, 2017. "Aging, and separation from children: The health implications of adult migration for elderly parents in rural China," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 37(55), pages 1761-1792.
    18. Dang Hai-Anh H. & Huang Yang & Selod Harris, 2020. "Children Left Behind in China: The Role of School Fees," IZA Journal of Development and Migration, Sciendo & Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 11(1), pages 1-29, January.
    19. Juliane Scheffel & Yiwei Zhang, 2019. "How does internal migration affect the emotional health of elderly parents left-behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 953-980, July.
    20. Wahba, Jackline & Wang, Chuhong, 2019. "Sons or Daughters? The Impact of Children's Migration on the Health and Well-Being of Parents Left Behind," IZA Discussion Papers 12370, Institute of Labor Economics (IZA).

    More about this item

    Keywords

    Left-behind parents; Health; Rural–urban migration; China;
    All these keywords.

    JEL classification:

    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:chieco:v:37:y:2016:i:c:p:126-139. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/chieco .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.