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Long-term impacts of school nutrition: Evidence from China’s school meal reform

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  • Fang, Guanfu
  • Zhu, Ying

Abstract

Child malnutrition remains a major public health concern, especially in many developing countries. This paper examines the long-term effects of a school meal program on individuals’ cognitive and health outcomes in rural China. Exploiting the staggered implementation of the Student Nutrition Improvement Program (SNIP), we find that early exposure to the SNIP (ages 6–15) significantly improved children’s cognitive and health outcomes in the long run. These effects are not observed in urban residents who experienced similar socioeconomic changes in the same county. Empirical tests suggest that short-term improvements in children’s nutrient intakes and mothers’ labor market performance were likely to be potential mechanisms. Moreover, the effects of early exposure to the SNIP are stronger among children from low-socioeconomic status families. Our results suggest that the school nutrition program could be an important investment in children’s long-run human capital. This may be relevant for many developing countries today that attempt to provide or have provided subsidized school meals.

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  • Fang, Guanfu & Zhu, Ying, 2022. "Long-term impacts of school nutrition: Evidence from China’s school meal reform," World Development, Elsevier, vol. 153(C).
  • Handle: RePEc:eee:wdevel:v:153:y:2022:i:c:s0305750x22000444
    DOI: 10.1016/j.worlddev.2022.105854
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    as
    1. Yoav Benjamini & Abba M. Krieger & Daniel Yekutieli, 2006. "Adaptive linear step-up procedures that control the false discovery rate," Biometrika, Biometrika Trust, vol. 93(3), pages 491-507, September.
    2. Berlinski, Samuel & Galiani, Sebastian, 2007. "The effect of a large expansion of pre-primary school facilities on preschool attendance and maternal employment," Labour Economics, Elsevier, vol. 14(3), pages 665-680, June.
    3. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    4. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    5. Gordon B. Dahl & Lance Lochner, 2012. "The Impact of Family Income on Child Achievement: Evidence from the Earned Income Tax Credit," American Economic Review, American Economic Association, vol. 102(5), pages 1927-1956, August.
    6. Bütikofer, Aline & Mølland, Eirin & Salvanes, Kjell G., 2018. "Childhood nutrition and labor market outcomes: Evidence from a school breakfast program," Journal of Public Economics, Elsevier, vol. 168(C), pages 62-80.
    7. Scott A. Imberman & Adriana D. Kugler, 2014. "The Effect of Providing Breakfast in Class on Student Performance," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 33(3), pages 669-699, June.
    8. Daniel L. Millimet & Rusty Tchernis & Muna Husain, 2010. "School Nutrition Programs and the Incidence of Childhood Obesity," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    9. Zhao, Weimin, 2019. "Does health insurance promote people's consumption? New evidence from China," China Economic Review, Elsevier, vol. 53(C), pages 65-86.
    10. Belot, Michèle & James, Jonathan, 2011. "Healthy school meals and educational outcomes," Journal of Health Economics, Elsevier, vol. 30(3), pages 489-504, May.
    11. Peter Hinrichs, 2010. "The effects of the National School Lunch Program on education and health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 29(3), pages 479-505.
    12. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    13. Bharadwaj, Prashant & Johnsen, Julian V. & Løken, Katrine V., 2014. "Smoking bans, maternal smoking and birth outcomes," Journal of Public Economics, Elsevier, vol. 115(C), pages 72-93.
    14. Frisvold, David E., 2015. "Nutrition and cognitive achievement: An evaluation of the School Breakfast Program," Journal of Public Economics, Elsevier, vol. 124(C), pages 91-104.
    15. McEwan, Patrick J., 2013. "The impact of Chile's school feeding program on education outcomes," Economics of Education Review, Elsevier, vol. 32(C), pages 122-139.
    16. Adam Isen & Maya Rossin-Slater & W. Reed Walker, 2017. "Every Breath You Take—Every Dollar You’ll Make: The Long-Term Consequences of the Clean Air Act of 1970," Journal of Political Economy, University of Chicago Press, vol. 125(3), pages 848-902.
    17. Chakraborty, Tanika & Jayaraman, Rajshri, 2019. "School feeding and learning achievement: Evidence from India's midday meal program," Journal of Development Economics, Elsevier, vol. 139(C), pages 249-265.
    18. Cheng, Lingguo & Liu, Hong & Zhang, Ye & Zhao, Zhong, 2018. "The health implications of social pensions: Evidence from China's new rural pension scheme," Journal of Comparative Economics, Elsevier, vol. 46(1), pages 53-77.
    19. Brantly Callaway & Andrew Goodman-Bacon & Pedro H. C. Sant'Anna, 2021. "Difference-in-Differences with a Continuous Treatment," Papers 2107.02637, arXiv.org, revised Jan 2024.
    20. Sarah Baird & Joan Hamory Hicks & Michael Kremer & Edward Miguel, 2016. "Worms at Work: Long-run Impacts of a Child Health Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1637-1680.
    21. Song, Yang & Zhou, Guangsu, 2019. "Inequality of opportunity and household education expenditures: Evidence from panel data in China," China Economic Review, Elsevier, vol. 55(C), pages 85-98.
    22. Yi Chen & Ziying Fan & Xiaomin Gu & Li-An Zhou, 2020. "Arrival of Young Talent: The Send-Down Movement and Rural Education in China," American Economic Review, American Economic Association, vol. 110(11), pages 3393-3430, November.
    23. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    24. Jayanta Bhattacharya & Janet Currie & Steven J. Haider, 2006. "Breakfast of Champions?: The School Breakfast Program and the Nutrition of Children and Families," Journal of Human Resources, University of Wisconsin Press, vol. 41(3).
    25. J. Peter Nilsson, 2017. "Alcohol Availability, Prenatal Conditions, and Long-Term Economic Outcomes," Journal of Political Economy, University of Chicago Press, vol. 125(4), pages 1149-1207.
    26. Philip M. Gleason & Carol W. Suitor, 2003. "Eating at School: How the National School Lunch Program Affects Children's Diets," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 85(4), pages 1047-1061.
    27. Figlio, David N. & Winicki, Joshua, 2005. "Food for thought: the effects of school accountability plans on school nutrition," Journal of Public Economics, Elsevier, vol. 89(2-3), pages 381-394, February.
    28. Wei Huang & Chuanchuan Zhang, 2021. "The Power of Social Pensions: Evidence from China's New Rural Pension Scheme," American Economic Journal: Applied Economics, American Economic Association, vol. 13(2), pages 179-205, April.
    29. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    30. Harold Alderman & Donald Bundy, 2012. "School Feeding Programs and Development: Are We Framing the Question Correctly?," The World Bank Research Observer, World Bank, vol. 27(2), pages 204-221, August.
    31. Anderson, Michael L & Gallagher, Justin & Ritchie, Elizabeth Ramirez, 2018. "School meal quality and academic performance," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt9w943058, Department of Agricultural & Resource Economics, UC Berkeley.
    32. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    33. Rajshri Jayaraman & Dora Simroth, 2015. "The Impact of School Lunches on Primary School Enrollment: Evidence from India's Midday Meal Scheme," Scandinavian Journal of Economics, Wiley Blackwell, vol. 117(4), pages 1176-1203, October.
    34. Leos-Urbel, Jacob & Schwartz, Amy Ellen & Weinstein, Meryle & Corcoran, Sean, 2013. "Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomes," Economics of Education Review, Elsevier, vol. 36(C), pages 88-107.
    35. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    36. Hans Grönqvist & J. Peter Nilsson & Per-Olof Robling, 2020. "Understanding How Low Levels of Early Lead Exposure Affect Children’s Life Trajectories," Journal of Political Economy, University of Chicago Press, vol. 128(9), pages 3376-3433.
    37. Gundersen, Craig & Kreider, Brent & Pepper, John, 2012. "The impact of the National School Lunch Program on child health: A nonparametric bounds analysis," Journal of Econometrics, Elsevier, vol. 166(1), pages 79-91.
    38. Diane Whitmore Schanzenbach, 2009. "Do School Lunches Contribute to Childhood Obesity?," Journal of Human Resources, University of Wisconsin Press, vol. 44(3).
    39. Almond, Douglas & Currie, Janet, 2011. "Human Capital Development before Age Five," Handbook of Labor Economics, in: O. Ashenfelter & D. Card (ed.), Handbook of Labor Economics, edition 1, volume 4, chapter 15, pages 1315-1486, Elsevier.
    40. Anderson, Michael L. & Gallagher, Justin & Ramirez Ritchie, Elizabeth, 2018. "School meal quality and academic performance," Journal of Public Economics, Elsevier, vol. 168(C), pages 81-93.
    41. Afridi, Farzana, 2010. "Child welfare programs and child nutrition: Evidence from a mandated school meal program in India," Journal of Development Economics, Elsevier, vol. 92(2), pages 152-165, July.
    42. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    43. Golley, Jane & Kong, Sherry Tao, 2018. "Inequality of opportunity in China's educational outcomes," China Economic Review, Elsevier, vol. 51(C), pages 116-128.
    44. Xiao, Yun & Li, Li & Zhao, Liqiu, 2017. "Education on the cheap: The long-run effects of a free compulsory education reform in rural china," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 544-562.
    45. Hilary Hoynes & Diane Whitmore Schanzenbach & Douglas Almond, 2016. "Long-Run Impacts of Childhood Access to the Safety Net," American Economic Review, American Economic Association, vol. 106(4), pages 903-934, April.
    46. Raj Chetty & Nathaniel Hendren & Lawrence F. Katz, 2016. "The Effects of Exposure to Better Neighborhoods on Children: New Evidence from the Moving to Opportunity Experiment," American Economic Review, American Economic Association, vol. 106(4), pages 855-902, April.
    47. Prashant Bharadwaj & Katrine Vellesen L?ken & Christopher Neilson, 2013. "Early Life Health Interventions and Academic Achievement," American Economic Review, American Economic Association, vol. 103(5), pages 1862-1891, August.
    48. Ye, Bing & Zhao, Yucong, 2018. "Women hold up half the sky? Gender identity and the wife's labor market performance in China," China Economic Review, Elsevier, vol. 47(C), pages 116-141.
    49. Chen, Yu & Shi, Shaobin & Tang, Yugang, 2019. "Valuing the urban hukou in China: Evidence from a regression discontinuity design for housing prices," Journal of Development Economics, Elsevier, vol. 141(C).
    50. Yusuf Emre Akgunduz & Janneke Plantenga, 2018. "Child Care Prices And Maternal Employment: A Meta†Analysis," Journal of Economic Surveys, Wiley Blackwell, vol. 32(1), pages 118-133, February.
    51. Cascio, Elizabeth U. & Haider, Steven J. & Nielsen, Helena Skyt, 2015. "The Effectiveness of Policies that Promote Labor Force Participation of Women with Children: A Collection of National Studies," IZA Discussion Papers 9297, Institute of Labor Economics (IZA).
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    More about this item

    Keywords

    School meal; Cognitive ability; Health status; Mechanism;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

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