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Low-income and overweight in China: Evidence from a life-course utility model

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  • Ren, Yanjun
  • Castro Campos, Bente
  • Loy, Jens-Peter
  • Brosig, Stephan

Abstract

Previous literature has demonstrated that low-income people are more likely to settle for poor health choices in developed countries. By using income as a budget constraint and signal for future wellbeing in a life-course utility model, we examine the association amongst income and overweight. The data used for this study are from the China Health and Nutrition Survey (CHNS). Estimations are conducted for overweight initiation, cessation, and participation mirroring a decision to begin and a past decision to not terminate. Our findings propose that body weight and the likelihood of overweight commencement rise with additional income but at a diminishing degree, representing a concave relation; while the likelihood of overweight discontinuance declines with additional income but at an accelerating degree, suggesting a convex relation. We presume that, as opposed to developed countries, low-income people are less inclined to be overweight in China, a country in transition. This could be explained by an income constraint for unhealthy foodstuff. Nevertheless, it will switch when income surpasses the critical threshold of the concave or inverted U-shape curve indicating that low-income people appear to receive not as much utility from future health. Specifically, this adjustment seems to occur earlier for females and inhabitants of urban areas.

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  • Ren, Yanjun & Castro Campos, Bente & Loy, Jens-Peter & Brosig, Stephan, 2019. "Low-income and overweight in China: Evidence from a life-course utility model," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 18(8), pages 1753-1767.
  • Handle: RePEc:zbw:espost:202528
    DOI: 10.1016/S2095-3119(19)62691-2
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    1. Hruschka, Daniel J. & Brewis, Alexandra A., 2013. "Absolute wealth and world region strongly predict overweight among women (ages 18–49) in 360 populations across 36 developing countries," Economics & Human Biology, Elsevier, vol. 11(3), pages 337-344.
    2. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    3. Popkin, Barry M., 1999. "Urbanization, Lifestyle Changes and the Nutrition Transition," World Development, Elsevier, vol. 27(11), pages 1905-1916, November.
    4. Pampel, Fred C. & Denney, Justin T. & Krueger, Patrick M., 2012. "Obesity, SES, and economic development: A test of the reversal hypothesis," Social Science & Medicine, Elsevier, vol. 74(7), pages 1073-1081.
    5. Apouey, Bénédicte & Geoffard, Pierre-Yves, 2013. "Family income and child health in the UK," Journal of Health Economics, Elsevier, vol. 32(4), pages 715-727.
    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. Goode, Alison & Mavromaras, Kostas & zhu, Rong, 2014. "Family income and child health in China," China Economic Review, Elsevier, vol. 29(C), pages 152-165.
    8. Toni Mora & Joan Gil & Antoni Sicras-Mainar, 2015. "The influence of obesity and overweight on medical costs: a panel data perspective," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 161-173, March.
    9. Du, Shufa & Mroz, Tom A. & Zhai, Fengying & Popkin, Barry M., 2004. "Rapid income growth adversely affects diet quality in China--particularly for the poor!," Social Science & Medicine, Elsevier, vol. 59(7), pages 1505-1515, October.
    10. James Binkley, 2010. "Low Income And Poor Health Choices:The Example Of Smoking," Working Papers 10-3, Purdue University, College of Agriculture, Department of Agricultural Economics.
    11. Michaela Benzeval & Jayne Taylor & Ken Judge, 2000. "Evidence on the relationship between income and poor health: is the government doing enough?," Fiscal Studies, Institute for Fiscal Studies, vol. 21(3), pages 375-399, September.
    12. Fernald, Lia C.H., 2007. "Socio-economic status and body mass index in low-income Mexican adults," Social Science & Medicine, Elsevier, vol. 64(10), pages 2030-2042, May.
    13. Steffen Reinhold & Hendrik Jürges, 2012. "Parental income and child health in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 21(5), pages 562-579, May.
    14. Doan, Dung, 2014. "Does income growth improve diet diversity in China?," 2014 Conference (58th), February 4-7, 2014, Port Macquarie, Australia 165836, Australian Agricultural and Resource Economics Society.
    15. Tafreschi, Darjusch, 2015. "The income body weight gradients in the developing economy of China," Economics & Human Biology, Elsevier, vol. 16(C), pages 115-134.
    16. Adam Drewnowski & Nicole Darmon, 2005. "Food choices and diet costs: an economic analysis," Post-Print hal-03759740, HAL.
    17. Barry Popkin & Shu Wen Ng, 2007. "The nutrition transition in high‐ and low‐income countries: what are the policy lessons?," Agricultural Economics, International Association of Agricultural Economists, vol. 37(s1), pages 199-211, December.
    18. Stewart, Hayden & Blisard, Noel & Jolliffe, Dean, 2003. "Do Income Constraints Inhibit Spending on Fruits and Vegetables Among Low-Income Households?," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 28(3), pages 1-16, December.
    19. Liu, Haiyan & Wahl, Thomas I. & Seale, James L. & Bai, Junfei, 2015. "Household composition, income, and food-away-from-home expenditure in urban China," Food Policy, Elsevier, vol. 51(C), pages 97-103.
    20. Jolliffe, Dean, 2011. "Overweight and poor? On the relationship between income and the body mass index," Economics & Human Biology, Elsevier, vol. 9(4), pages 342-355.
    21. Ball, Kylie & Crawford, David, 2005. "Socioeconomic status and weight change in adults: a review," Social Science & Medicine, Elsevier, vol. 60(9), pages 1987-2010, May.
    22. Kuo S. Huang & Fred Gale, 2009. "Food demand in China: income, quality, and nutrient effects," China Agricultural Economic Review, Emerald Group Publishing Limited, vol. 1(4), pages 395-409, August.
    23. James Binkley, 2010. "Low Income and Poor Health Choices: The Example of Smoking," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 92(4), pages 972-984.
    24. Don Kenkel & Dean R. Lillard & Feng Liu, 2009. "An analysis of life‐course smoking behavior in China," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages 147-156, July.
    25. Xie, Shiqing & Mo, Taiping, 2014. "The impact of education on health in China," China Economic Review, Elsevier, vol. 29(C), pages 1-18.
    26. Loureiro, Maria L. & Nayga, Rodolfo Jr, 2006. "Obesity, weight loss, and physician's advice," Social Science & Medicine, Elsevier, vol. 62(10), pages 2458-2468, May.
    27. Fichera, Eleonora & Savage, David, 2015. "Income and Health in Tanzania. An Instrumental Variable Approach," World Development, Elsevier, vol. 66(C), pages 500-515.
    28. A. Konnopka & M. Bödemann & H.-H. König, 2011. "Health burden and costs of obesity and overweight in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 345-352, August.
    29. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    30. Eva Deuchert & Sofie Cabus & Darjusch Tafreschi, 2014. "A Short Note On Economic Development And Socioeconomic Inequality In Female Body Weight," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 861-869, July.
    31. Ren, Yanjun & Li, Hui & Wang, Xiaobing, 2019. "Family income and nutrition-related health: Evidence from food consumption in China," Social Science & Medicine, Elsevier, vol. 232(C), pages 58-76.
    32. Ogundari, Kolawole & Abdulai, Awudu, 2013. "Examining the heterogeneity in calorie–income elasticities: A meta-analysis," Food Policy, Elsevier, vol. 40(C), pages 119-128.
    33. Kuchler, Fred & Stewart, Hayden, 2008. "Price Trends Are Similar for Fruits, Vegetables, and Snack Foods," Economic Research Report 56447, United States Department of Agriculture, Economic Research Service.
    34. Doan, Dung, 2014. "Does income growth improve diet diversity in China?," 2014 Conference (58th), February 4-7, 2014, Port Macquarie, Australia 165833, Australian Agricultural and Resource Economics Society.
    35. Yanjun Ren & Yanjie Zhang & Jens-Peter Loy & Thomas Glauben, 2018. "Food consumption among income classes and its response to changes in income distribution in rural China," China Agricultural Economic Review, Emerald Group Publishing Limited, vol. 10(3), pages 406-424, July.
    36. Tian, Xu & Yu, Xiaohua, 2015. "Using semiparametric models to study nutrition improvement and dietary change with different indices: The case of China," Food Policy, Elsevier, vol. 53(C), pages 67-81.
    37. Curtis, Kynda R. & McCluskey, Jill J. & Wahl, Thomas I., 2007. "Consumer preferences for western-style convenience foods in China," China Economic Review, Elsevier, vol. 18(1), pages 1-14.
    38. Binkley, James K., 2010. "Low Income And Poor Health Choices: The Example Of Smoking," Working papers 58419, Purdue University, Department of Agricultural Economics.
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    Cited by:

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    3. Liu, Jian & Ren, Yanjun & Glauben, Thomas, 2021. "The effect of income inequality on nutritional outcomes: Evidence from rural China," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 22(3), pages 125-143.
    4. Ren, Yanjun & Castro Campos, Bente & Peng, Yanling & Glauben, Thomas, 2021. "Nutrition transition with accelerating urbanization? Empirical evidence from rural China," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 13(3).

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