IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i10p1567-1573.html
   My bibliography  Save this article

Economic models of the family and the relationship between economic status and health

Author

Listed:
  • Tipper, Adam

Abstract

Empirical evidence strongly suggests that there is a positive relationship between economic status and health, and that married persons are healthier than their single counterparts. There are, however, a number of economic explanations for why economic status is related to health in the family context that are often overlooked in empirical studies. This paper provides a comparative introduction to three main economic approaches to the family in order to understand further why married persons are often observed to be healthier than single persons. The models discussed are the unitary model, the collective labour supply model, and the institutional economics approach. In discussing the different approaches to health formation in a family context, issues pertaining to gender, intra-household inequality, and resource transfers are also explored to highlight the advantages of considering various economic perspectives. Each of these models, it is suggested, provides an alternative view of the mechanisms for relating economic status to health, and may thus affect the interpretation of empirical results.

Suggested Citation

  • Tipper, Adam, 2010. "Economic models of the family and the relationship between economic status and health," Social Science & Medicine, Elsevier, vol. 70(10), pages 1567-1573, May.
  • Handle: RePEc:eee:socmed:v:70:y:2010:i:10:p:1567-1573
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00110-3
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

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

    References listed on IDEAS

    as
    1. Michele J. Siegel, 2006. "Measuring the effect of husband's health on wife's labor supply," Health Economics, John Wiley & Sons, Ltd., vol. 15(6), pages 579-601, June.
    2. Bolin, Kristian & Jacobson, Lena & Lindgren, Bjorn, 2001. "The family as the health producer -- when spouses are Nash-bargainers," Journal of Health Economics, Elsevier, vol. 20(3), pages 349-362, May.
    3. Andrew Clark & Hélène Couprie & Catherine Sofer, 2002. "Household Negotiation and Labor Supply: Evidence from the BHPS," IDEP Working Papers 0201, Institut d'economie publique (IDEP), Marseille, France, revised 24 May 2002.
    4. Haddad, Lawrence & Kanbur, Ravi, 1992. "Intrahousehold inequality and the theory of targeting," European Economic Review, Elsevier, vol. 36(2-3), pages 372-378, April.
    5. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
    6. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    7. Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
    8. Propper, Carol & Jones, Kelvyn & Bolster, Anne & Burgess, Simon & Johnston, Ron & Sarker, Rebecca, 2005. "Local neighbourhood and mental health: Evidence from the UK," Social Science & Medicine, Elsevier, vol. 61(10), pages 2065-2083, November.
    9. Hallberg, D., 2000. "Does Time-Use Data Support the Unitary Model? A Test using Swedish Time-Use Data from 1984 and 1993," Papers 2000:14, Uppsala - Working Paper Series.
    10. Geoffrey Lancaster & Ranjan Ray, 2002. "Tests of Income Pooling on Household Budget Data: The Australian Evidence," Australian Economic Papers, Wiley Blackwell, vol. 41(1), pages 99-114, March.
    11. Oliver E. Williamson, 2000. "The New Institutional Economics: Taking Stock, Looking Ahead," Journal of Economic Literature, American Economic Association, vol. 38(3), pages 595-613, September.
    12. Parsons, Donald O, 1977. "Health, Family Structure, and Labor Supply," American Economic Review, American Economic Association, vol. 67(4), pages 703-712, September.
    13. Bolin, Kristian & Jacobson, Lena & Lindgren, Bjorn, 2002. "Employer investments in employee health: Implications for the family as health producer," Journal of Health Economics, Elsevier, vol. 21(4), pages 563-583, July.
    14. Elizabeth Katz, 1997. "The Intra-Household Economics of Voice and Exit," Feminist Economics, Taylor & Francis Journals, vol. 3(3), pages 25-46.
    15. Laurens Cherchye & Bram De Rock & Frederic Vermeulen, 2009. "Opening the Black Box of Intrahousehold Decision Making: Theory and Nonparametric Empirical Tests of General Collective Consumption Models," Journal of Political Economy, University of Chicago Press, vol. 117(6), pages 1074-1104, December.
    16. Laura Crespo, 2005. "Estimation And Testing Of Household Labour Supply Models: Evidence From Spain," Working Papers. Serie AD 2005-03, Instituto Valenciano de Investigaciones Económicas, S.A. (Ivie).
    17. Pollak, Robert A, 1985. "A Transaction Cost Approach to Families and Households," Journal of Economic Literature, American Economic Association, vol. 23(2), pages 581-608, June.
    18. Gardner, Jonathan & Oswald, Andrew, 2004. "How is mortality affected by money, marriage, and stress?," Journal of Health Economics, Elsevier, vol. 23(6), pages 1181-1207, November.
    19. Benzeval, Michaela & Judge, Ken, 2001. "Income and health: the time dimension," Social Science & Medicine, Elsevier, vol. 52(9), pages 1371-1390, May.
    20. Ahs, Annika Maria Helen & Westerling, Ragnar, 2006. "Health care utilization among persons who are unemployed or outside the labour force," Health Policy, Elsevier, vol. 78(2-3), pages 178-193, October.
    21. Chiappori, Pierre-Andre, 1997. "Introducing Household Production in Collective Models of Labor Supply," Journal of Political Economy, University of Chicago Press, vol. 105(1), pages 191-209, February.
    22. Chiappori, Pierre-Andre, 1992. "Collective Labor Supply and Welfare," Journal of Political Economy, University of Chicago Press, vol. 100(3), pages 437-467, June.
    23. Bourguignon, Francois & Chiappori, Pierre-Andre, 1992. "Collective models of household behavior : An introduction," European Economic Review, Elsevier, vol. 36(2-3), pages 355-364, April.
    24. Jason Dietrich, 2008. "Testing unitary and bargaining models of Chinese household food consumption," Applied Financial Economics, Taylor & Francis Journals, vol. 18(5), pages 397-410.
    25. Broom, Dorothy H. & D'Souza, Rennie M. & Strazdins, Lyndall & Butterworth, Peter & Parslow, Ruth & Rodgers, Bryan, 2006. "The lesser evil: Bad jobs or unemployment? A survey of mid-aged Australians," Social Science & Medicine, Elsevier, vol. 63(3), pages 575-586, August.
    26. Barbara L. Wolfe & Steven C. Hill, 1995. "The Effect of Health on the Work Effort of Single Mothers," Journal of Human Resources, University of Wisconsin Press, vol. 30(1), pages 42-62.
    27. Jacobson, Lena, 2000. "The family as producer of health -- an extended grossman model," Journal of Health Economics, Elsevier, vol. 19(5), pages 611-637, September.
    28. Marika Jalovaara, 2002. "Socioeconomic differentials in divorce risk by duration of marriage," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 7(16), pages 537-564.
    29. Fortin, Bernard & Lacroix, Guy, 1997. "A Test of the Unitary and Collective Models of Household Labour Supply," Economic Journal, Royal Economic Society, vol. 107(443), pages 933-955, July.
    30. 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.
    31. Chiappori, Pierre-Andre & Haddad, Lawrence & Hoddinott, John & Kanbur, Ravi, 1993. "Unitary versus collective models of the household : time to shift theburden of proof?," Policy Research Working Paper Series 1217, The World Bank.
    32. Vegard Iversen & Cecile Jackson & Bereket Kebede & Alistair Munro & Arjan Verschoor, 2006. "What's love got to do with it? An experimental test of household models in east uganda," Artefactual Field Experiments 00071, The Field Experiments Website.
    33. Basu, Anirban & Meltzer, David, 2005. "Implications of spillover effects within the family for medical cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 24(4), pages 751-773, July.
    34. Ehrlich, Isaac & Becker, Gary S, 1972. "Market Insurance, Self-Insurance, and Self-Protection," Journal of Political Economy, University of Chicago Press, vol. 80(4), pages 623-648, July-Aug..
    35. Lixin Cai & Guyonne Kalb, 2006. "Health status and labour force participation: evidence from Australia," Health Economics, John Wiley & Sons, Ltd., vol. 15(3), pages 241-261, March.
    36. Becker, Gary S, 1973. "A Theory of Marriage: Part I," Journal of Political Economy, University of Chicago Press, vol. 81(4), pages 813-846, July-Aug..
    37. Bolin, Kristian & Jacobson, Lena & Lindgren, Bjorn, 2002. "The family as the health producer--when spouses act strategically," Journal of Health Economics, Elsevier, vol. 21(3), pages 475-495, May.
    38. Wilson, Sven E., 2002. "The health capital of families: an investigation of the inter-spousal correlation in health status," Social Science & Medicine, Elsevier, vol. 55(7), pages 1157-1172, October.
    39. Becker, Gary S, 1974. "A Theory of Marriage: Part II," Journal of Political Economy, University of Chicago Press, vol. 82(2), pages 11-26, Part II, .
    40. Gary S. Becker, 1974. "A Theory of Marriage," NBER Chapters, in: Economics of the Family: Marriage, Children, and Human Capital, pages 299-351, National Bureau of Economic Research, Inc.
    41. Ferrie, Jane E. & Shipley, Martin J. & Stansfeld, Stephen A. & Davey Smith, George & Marmot, Michael, 2003. "Future uncertainty and socioeconomic inequalities in health: the Whitehall II study," Social Science & Medicine, Elsevier, vol. 57(4), pages 637-646, August.
    42. Béland, Francois & Birch, Stephen & Stoddart, Greg, 2002. "Unemployment and health: contextual-level influences on the production of health in populations," Social Science & Medicine, Elsevier, vol. 55(11), pages 2033-2052, December.
    Full references (including those not matched with items on IDEAS)

    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. Elena Bárcena-Martín & Maite Blázquez & Ana I. Moro Egido, 2017. "Intra-household allocation of resources and decision-making. How important are in terms of individual well-being?," ThE Papers 17/03, Department of Economic Theory and Economic History of the University of Granada..
    2. Bárcena, Elena & Blázquez, Maite & Moro-Egido, Ana I., 2016. "The socioeconomic gradient in health: The role of intra-household resource allocation," Working Papers in Economic Theory 2016/06, Universidad Autónoma de Madrid (Spain), Department of Economic Analysis (Economic Theory and Economic History).
    3. Donni, Olivier & Molina, José Alberto, 2018. "Household Collective Models: Three Decades of Theoretical Contributions and Empirical Evidence," IZA Discussion Papers 11915, Institute of Labor Economics (IZA).
    4. Francetic, Igor & Meacock, Rachel & Sutton, Matt, 2022. "Understanding Concordance in Health Behaviours among Couples: Evidence from the Bowel Cancer Screening Programme in England," Journal of Economic Behavior & Organization, Elsevier, vol. 201(C), pages 310-345.
    5. Chiuri, Maria Concetta, 2000. "Individual decisions and household demand for consumption and leisure," Research in Economics, Elsevier, vol. 54(3), pages 277-324, September.
    6. Laurens Cherchye & Bram De Rock & Frederic Vermeulen & Selma Walther, 2021. "Where did it go wrong? Marriage and divorce in Malawi," Quantitative Economics, Econometric Society, vol. 12(2), pages 505-545, May.
    7. Kato, Hironori & Matsumoto, Manabu, 2009. "Intra-household interaction in a nuclear family: A utility-maximizing approach," Transportation Research Part B: Methodological, Elsevier, vol. 43(2), pages 191-203, February.
    8. Rubalcava, L. & Thomas, D., 2000. "Family Bargaining and Welfare," Papers 00-10, RAND - Labor and Population Program.
    9. Barham, Vicky & Devlin, Rose Anne & Yang, Jie, 2009. "A theory of rational marriage and divorce," European Economic Review, Elsevier, vol. 53(1), pages 93-106, January.
    10. Zheng Shen & Xiaodong Zheng & Yiwen Tan, 2019. "The Spillover Effects of Spousal Chronic Diseases on Married Couples’ Labour Supply: Evidence from China," IJERPH, MDPI, vol. 16(21), pages 1-18, October.
    11. Grossbard-Shechtman, Shoshana, 2003. "A consumer theory with competitive markets for work in marriage," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 31(6), pages 609-645.
    12. Chiappori, Pierre-André & Donni, Olivier, 2009. "Non-unitary Models of Household Behavior: A Survey of the Literature," IZA Discussion Papers 4603, Institute of Labor Economics (IZA).
    13. Levin, Mark (Левин, Марк) & Matrosova, Ksenia (Матросова, Ксения), 2018. "Development and Research of Economic Behavior of Households in Changing Conditions [Разработка И Исследование Экономического Поведения Домохозяйств В Изменяющихся Условиях]," Working Papers 041825, Russian Presidential Academy of National Economy and Public Administration.
    14. Tseng, Fu-Min & Petrie, Dennis & Leon-Gonzalez, Roberto, 2017. "The impact of spousal bereavement on subjective wellbeing: Evidence from the Taiwanese elderly population," Economics & Human Biology, Elsevier, vol. 26(C), pages 1-12.
    15. Bárcena-Martín, Elena & Blázquez, Maite & Moro-Egido, Ana I., 2020. "The role of income pooling and decision-making responsibilities in material deprivation," Economic Modelling, Elsevier, vol. 87(C), pages 416-428.
    16. Bolin, Kristian & Jacobson, Lena & Lindgren, Bjorn, 2002. "The family as the health producer--when spouses act strategically," Journal of Health Economics, Elsevier, vol. 21(3), pages 475-495, May.
    17. Grossbard, Shoshana, 2023. "Spouses as Home Health Workers and Cooks: Insights for Applied Research," IZA Discussion Papers 16182, Institute of Labor Economics (IZA).
    18. Patricia Apps & Ray Rees, 2007. "Household Models: An Historical Perspective," CESifo Working Paper Series 2172, CESifo.
    19. Eugene Choo & Shannon Seitz & Aloysius Siow, 2008. "The Collective Marriage Matching Model: Identification, Estimation and Testing," Working Papers tecipa-340, University of Toronto, Department of Economics.
    20. Jara-Díaz, Sergio & Rosales-Salas, Jorge, 2017. "Beyond transport time: A review of time use modeling," Transportation Research Part A: Policy and Practice, Elsevier, vol. 97(C), pages 209-230.

    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:socmed:v:70:y:2010:i:10:p:1567-1573. 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/wps/find/journaldescription.cws_home/315/description#description .

    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.