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Offspring Education and Parents’ Health Inequality in China: Evidence from Spillovers of Education Reform

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  • Youlu Zhang

    (School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China)

  • Li Zhang

    (School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China)

  • Fulian Li

    (School of Economics and Management, Shandong Agricultural University, Tai’an 271018, China)

  • Liqian Deng

    (School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China)

  • Jiaoli Cai

    (School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China)

  • Linyue Yu

    (School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China)

Abstract

In the context of a rapidly aging population, improving the parents’ health outcomes, especially in parents with poorer health, is essential for narrowing elderly health inequality. Using data from the China Health and Retirement Longitudinal Study, we took the university enrollment expansion policy as the instrumental variable and employed the two-stage least square (2SLS) and instrumental variable quantile regression (IVQR) approaches to explore the spillovers of offspring education on the elderly parents’ frailty index. The results show that one additional year of offspring educational attainment was associated with a 0.017 or 4.66% decline in the parents’ frailty index. These spillovers are stronger where parents are cohabiting with their children than when separating (more than 2 times higher). Moreover, there is substantial heterogeneity that is determined by the gender of parents. The spillover on mothers is greater than that on fathers. Further analysis of a cohort of parents with different frailty indexes reveals that the upward spillovers of offspring education on parents’ health are non-linear and non-averaged. The spillovers may diminish as parents own health improves. These spillovers suppress the “Matthew Effect”, which can lead to the further widening of health inequality.

Suggested Citation

  • Youlu Zhang & Li Zhang & Fulian Li & Liqian Deng & Jiaoli Cai & Linyue Yu, 2022. "Offspring Education and Parents’ Health Inequality in China: Evidence from Spillovers of Education Reform," IJERPH, MDPI, vol. 19(4), pages 1-26, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2006-:d:746798
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    as
    1. De Neve, Jan-Walter & Fink, Günther, 2018. "Children’s education and parental old age survival – Quasi-experimental evidence on the intergenerational effects of human capital investment," Journal of Health Economics, Elsevier, vol. 58(C), pages 76-89.
    2. Xiaoyan Lei & Yuqing Hu & John J. McArdle & James P. Smith & Yaohui Zhao, 2012. "Gender Differences in Cognition among Older Adults in China," Journal of Human Resources, University of Wisconsin Press, vol. 47(4), pages 951-971.
    3. Wenshu Gao & Russell Smyth, 2015. "Education expansion and returns to schooling in urban China, 2001–2010: evidence from three waves of the China Urban Labor Survey," Journal of the Asia Pacific Economy, Taylor & Francis Journals, vol. 20(2), pages 178-201, April.
    4. Alberto Abadie & Joshua Angrist & Guido Imbens, 2002. "Instrumental Variables Estimates of the Effect of Subsidized Training on the Quantiles of Trainee Earnings," Econometrica, Econometric Society, vol. 70(1), pages 91-117, January.
    5. Esther Friedman & Robert Mare, 2014. "The Schooling of Offspring and the Survival of Parents," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1271-1293, August.
    6. Chen, Yuyu & Li, Hongbin, 2009. "Mother's education and child health: Is there a nurturing effect?," Journal of Health Economics, Elsevier, vol. 28(2), pages 413-426, March.
    7. Lundborg, Petter & Majlesi, Kaveh, 2018. "Intergenerational transmission of human capital: Is it a one-way street?," Journal of Health Economics, Elsevier, vol. 57(C), pages 206-220.
    8. De Neve, Jan-Walter & Harling, Guy, 2017. "Offspring schooling associated with increased parental survival in rural KwaZulu-Natal, South Africa," Social Science & Medicine, Elsevier, vol. 176(C), pages 149-157.
    9. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    10. Ismael Mourifié & Yuanyuan Wan, 2017. "Testing Local Average Treatment Effect Assumptions," The Review of Economics and Statistics, MIT Press, vol. 99(2), pages 305-313, May.
    11. Tianshu Chu & Qiang Wen, 2019. "Does College Education Promote Entrepreneurship in China?," Journal of Labor Research, Springer, vol. 40(4), pages 463-486, December.
    12. Merril Silverstein & Zhen Cong & Shuzhuo Li, 2006. "Intergenerational Transfers and Living Arrangements of Older People in Rural China: Consequences for Psychological Well-Being," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 256-266.
    13. Grossman, Michael, 2004. "The demand for health, 30 years later: a very personal retrospective and prospective reflection," Journal of Health Economics, Elsevier, vol. 23(4), pages 629-636, July.
    14. Lucila Berniell & Dolores de la Mata & Nieves Valdés, 2013. "Spillovers Of Health Education At School On Parents' Physical Activity," Health Economics, John Wiley & Sons, Ltd., vol. 22(9), pages 1004-1020, September.
    15. Lee, Yeonjin, 2018. "Adult children's educational attainment and the cognitive trajectories of older parents in South Korea," Social Science & Medicine, Elsevier, vol. 209(C), pages 76-85.
    16. Robin Lumsdaine & Stephanie Vermeer, 2015. "Retirement Timing of Women and the Role of Care Responsibilities for Grandchildren," Demography, Springer;Population Association of America (PAA), vol. 52(2), pages 433-454, April.
    17. Ma, Mingming, 2019. "Does children's education matter for parents’ health and cognition? Evidence from China," Journal of Health Economics, Elsevier, vol. 66(C), pages 222-240.
    18. Chioun Lee, 2018. "Adult Children’s Education and Physiological Dysregulation Among Older Parents," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(6), pages 1143-1154.
    19. Berenike Thoma & Nikkil Sudharsanan & Omar Karlsson & William Joe & S.V. Subramanian & Jan-Walter De Neve, 2021. "Children’s education and parental old-age health: Evidence from a population-based, nationally representative study in India," Population Studies, Taylor & Francis Journals, vol. 75(1), pages 51-66, January.
    20. Michael D. Hurd & Kathleen McGarry, 2002. "The Predictive Validity of Subjective Probabilities of Survival," Economic Journal, Royal Economic Society, vol. 112(482), pages 966-985, October.
    21. Jingyue Zhang & Shicun Xu & Nan Lu, 2019. "Community-Based Cognitive Social Capital and Self-Rated Health among Older Chinese Adults: The Moderating Effects of Education," IJERPH, MDPI, vol. 16(15), pages 1-11, July.
    22. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    23. Mien-Yun Kuo & Ji-Liang Shiu, 2016. "A dynamic quantitative evaluation of higher education return: evidence from Taiwan education expansion," Journal of the Asia Pacific Economy, Taylor & Francis Journals, vol. 21(2), pages 276-300, April.
    24. Chernozhukov, Victor & Hansen, Christian, 2008. "Instrumental variable quantile regression: A robust inference approach," Journal of Econometrics, Elsevier, vol. 142(1), pages 379-398, January.
    25. Zachary Zimmer & Albert I. Hermalin & Hui-Sheng Lin, 2002. "Whose Education Counts? The Added Impact of Adult-Child Education on Physical Functioning of Older Taiwanese," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 57(1), pages 23-32.
    26. Ming-Hsuan Lee, 2012. "The One-Child Policy and Gender Equality in Education in China: Evidence from Household Data," Journal of Family and Economic Issues, Springer, vol. 33(1), pages 41-52, March.
    27. Li, Lydia W. & Zhang, Jiaan & Liang, Jersey, 2009. "Health among the oldest-old in China: Which living arrangements make a difference?," Social Science & Medicine, Elsevier, vol. 68(2), pages 220-227, January.
    28. Behrman, Jere R. & Xiong, Yanyan & Zhang, Junsen, 2015. "Cross-sectional schooling-health associations misrepresented causal schooling effects on adult health and health-related behaviors: Evidence from the Chinese Adults Twins Survey," Social Science & Medicine, Elsevier, vol. 127(C), pages 190-197.
    29. Tannistha Samanta & Feinian Chen & Reeve Vanneman, 2015. "Living Arrangements and Health of Older Adults in India," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(6), pages 937-947.
    30. Zachary Zimmer & Linda Martin & Mary Ofstedal & Yi-Li Chuang, 2007. "Education of adult children and mortality of their elderly parents in Taiwan," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 289-305, May.
    31. 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.
    32. Janet Currie & Enrico Moretti, 2003. "Mother's Education and the Intergenerational Transmission of Human Capital: Evidence from College Openings," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(4), pages 1495-1532.
    33. 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.
    34. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    35. Gu, Danan & Zhang, Zhenmei & Zeng, Yi, 2009. "Access to healthcare services makes a difference in healthy longevity among older Chinese adults," Social Science & Medicine, Elsevier, vol. 68(2), pages 210-219, January.
    36. Nan Jiang, 2019. "Adult Children’s Education and Later-Life Health of Parents in China: The Intergenerational Effects of Human Capital Investment," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 145(1), pages 257-278, August.
    37. Post, Thomas & Hanewald, Katja, 2013. "Longevity risk, subjective survival expectations, and individual saving behavior," Journal of Economic Behavior & Organization, Elsevier, vol. 86(C), pages 200-220.
    38. Karen L. Fingerman & Yen-Pi Cheng & Kira Birditt & Steven Zarit, 2012. "Only as Happy as the Least Happy Child: Multiple Grown Children's Problems and Successes and Middle-aged Parents' Well-being," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(2), pages 184-193.
    39. Ilyana Kuziemko, 2014. "Human Capital Spillovers in Families: Do Parents Learn from or Lean on Their Children?," Journal of Labor Economics, University of Chicago Press, vol. 32(4), pages 755-786.
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