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Policy-related determinants of child nutritional status in China: The effect of only-child status and access to healthcare

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  • Bredenkamp, Caryn

Abstract

This paper examines the determinants of child nutritional status in China, focusing specifically on those determinants related to health system reform and only-child status. Data are drawn from four waves of the China Health and Nutrition Survey (1991-2000). The empirical relationship between nutritional status, on the one hand, and income, access to quality healthcare and being an only-child, on the other hand, is investigated using ordinary least squares (OLS), random effects (RE), fixed effects (FE) and instrumental variables (IV) models. In the preferred model - a fixed effects model where income is instrumented - we find that being an only-child increases height-for-age z-scores by 0.12 of a standard deviation. By contrast, measures of access to quality healthcare are not found to be significantly associated with improved nutritional status.

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  • Bredenkamp, Caryn, 2009. "Policy-related determinants of child nutritional status in China: The effect of only-child status and access to healthcare," Social Science & Medicine, Elsevier, vol. 69(10), pages 1531-1538, November.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:10:p:1531-1538
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    1. Becker, Gary S & Tomes, Nigel, 1976. "Child Endowments and the Quantity and Quality of Children," Journal of Political Economy, University of Chicago Press, vol. 84(4), pages 143-162, August.
    2. Hsiao, William C. L., 1995. "The Chinese health care system: Lessons for other nations," Social Science & Medicine, Elsevier, vol. 41(8), pages 1047-1055, October.
    3. Doherty, Jim P. & Norton, Edward C. & Veney, James E., 2001. "China's one-child policy: the economic choices and consequences faced by pregnant women," Social Science & Medicine, Elsevier, vol. 52(5), pages 745-761, March.
    4. Henderson, Gail & Akin, John & Zhiming, Li & Shuigao, Jin & Haijiang, Ma & Keyou, Ge, 1994. "Equity and the utilization of health services: Report of an eight-province survey in China," Social Science & Medicine, Elsevier, vol. 39(5), pages 687-699, September.
    5. Barbara Entwisle & Feinian Chen, 2002. "Work Patterns Following a Birth in Urban and Rural China: A Longitudinal Study," European Journal of Population, Springer;European Association for Population Studies, vol. 18(2), pages 99-119, June.
    6. Liu, Xingzhu & Mills, Anne, 2002. "Financing reforms of public health services in China: lessons for other nations," Social Science & Medicine, Elsevier, vol. 54(11), pages 1691-1698, June.
    7. Currie, Janet, 2000. "Child health in developed countries," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 19, pages 1053-1090, Elsevier.
    8. Behrman, Jere R. & Deolalikar, Anil B., 1988. "Health and nutrition," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 1, chapter 14, pages 631-711, Elsevier.
    9. Gary S. Becker & H. Gregg Lewis, 1974. "Interaction between Quantity and Quality of Children," NBER Chapters, in: Economics of the Family: Marriage, Children, and Human Capital, pages 81-90, National Bureau of Economic Research, Inc.
    10. Christiaensen, Luc & Alderman, Harold, 2004. "Child Malnutrition in Ethiopia: Can Maternal Knowledge Augment the Role of Income?," Economic Development and Cultural Change, University of Chicago Press, vol. 52(2), pages 287-312, January.
    11. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI).
    12. Akin, John S. & Dow, William H. & Lance, Peter M., 2004. "Did the distribution of health insurance in China continue to grow less equitable in the nineties? Results from a longitudinal survey," Social Science & Medicine, Elsevier, vol. 58(2), pages 293-304, January.
    13. Paul Schultz, 1976. "Determinants of Fertility: a Micro-economic Model of Choice," International Economic Association Series, in: Ansley J. Coale (ed.), Economic Factors in Population Growth, chapter 4, pages 89-135, Palgrave Macmillan.
    14. Rosenzweig, Mark R & Wolpin, Kenneth I, 1986. "Evaluating the Effects of Optimally Distributed Public Programs: ChildHealth and Family Planning Interventions," American Economic Review, American Economic Association, vol. 76(3), pages 470-482, June.
    15. Handa, Sudhanshu, 1999. "Maternal Education and Child Height," Economic Development and Cultural Change, University of Chicago Press, vol. 47(2), pages 421-439, January.
    16. Duncan Thomas & John Strauss & Maria-Helena Henriques, 1991. "How Does Mother's Education Affect Child Height?," Journal of Human Resources, University of Wisconsin Press, vol. 26(2), pages 183-211.
    17. Behrman, Jere R. & Skoufias, Emmanuel, 2004. "Correlates and determinants of child anthropometrics in Latin America: background and overview of the symposium," Economics & Human Biology, Elsevier, vol. 2(3), pages 335-351, December.
    18. Glewwe, Paul & Koch, Stefanie & Bui Linh Nguyen, 2002. "Child nutrition, economic growth, and the provision of health care services in Vietnam in the 1990s," Policy Research Working Paper Series 2776, The World Bank.
    19. Strauss, John & Thomas, Duncan, 1995. "Human resources: Empirical modeling of household and family decisions," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 34, pages 1883-2023, Elsevier.
    20. Henderson, Gail & Shuigao, Jin & Akin, John & Zhiming, Li & Jianmin, Wang & Haijiang, Ma & Yunan, He & Xiping, Zhang & Ying, Chang & Keyou, Ge, 1995. "Distribution of medical insurance in China," Social Science & Medicine, Elsevier, vol. 41(8), pages 1119-1130, October.
    21. Lawrence Haddad & Harold Alderman & Simon Appleton & Lina Song & Yisehac Yohannes, 2003. "Reducing Child Malnutrition: How Far Does Income Growth Take Us?," The World Bank Economic Review, World Bank, vol. 17(1), pages 107-131, June.
    22. Strauss, J. & Thomas, D., 1995. "Empirical Modeling of Household and Family Decisions," Papers 95-12, RAND - Reprint Series.
    23. Anson, Ofra, 2004. "Utilization of maternal care in rural HeBei Province, the People's Republic of China: individual and structural characteristics," Health Policy, Elsevier, vol. 70(2), pages 197-206, November.
    24. Paul Glewwe, 1999. "Why Does Mother's Schooling Raise Child Health in Developing Countries? Evidence from Morocco," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 124-159.
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    8. Wu, Yichao, 2019. "What is known about children's undernutrition and health levels in China – An empirical analysis from 1991 to 2009," Children and Youth Services Review, Elsevier, vol. 96(C), pages 372-380.

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