Social Determinants of Child Health in Colombia: Can Community Education Moderate the Effect of Family Characteristics?
AbstractContextual effects on child health have been investigated extensively in previous research. However, few studies have considered the interplay between community characteristics and individual-level variables. This study examines the influence of community education and family socioeconomic characteristics on child health (as measured by height and weight-for-age Z-scores), as well as their interactions. We adapted the Commission on Social Determinants of Health (CSDH) framework to the context of child health. Using data from the 2010 Colombian Demographic and Health Survey (DHS), weighted multilevel models are fitted since the data are not self-weighting. The results show a positive impact of the level of education of other women in the community on child health, even after controlling for individual and family socioeconomic characteristics. Different pathways through which community education can substitute for the effect of family characteristics on child nutrition are found. The interaction terms highlight the importance of community education as a moderator of the impact of the mother’s own education and autonomy, on child health. In addition, the results reveal differences between height and weight-for-age indicators in their responsiveness to individual and contextual factors. Our findings suggest that community intervention programmes may have differential effects on child health. Therefore, their identification can contribute to a better targeting of child care policies.
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Bibliographic InfoPaper provided by Xarxa de Referència en Economia Aplicada (XREAP) in its series Working Papers with number XREAP2013-02.
Length: 42 pages
Date of creation: Mar 2013
Date of revision: Mar 2013
Contact details of provider:
Postal: Espai de Recerca en Economia, Facultat de Ciències Econòmiques i Empresarials, Universitat de Barcelona, c/ Tinent Coronel Valenzuela, 1-11, 08034 Barcelona
Web page: http://www.pcb.ub.edu/xreap
More information through EDIRC
Child health; community education; maternal education; cross-level interactions; Colombia;
This paper has been announced in the following NEP Reports:
- NEP-ALL-2013-03-16 (All new papers)
- NEP-HEA-2013-03-16 (Health Economics)
- NEP-LAM-2013-03-16 (Central & South America)
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- 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.
- Stanislav Kolenikov & Gustavo Angeles, 2009. "Socioeconomic Status Measurement With Discrete Proxy Variables: Is Principal Component Analysis A Reliable Answer?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 55(1), pages 128-165, 03.
- Barrera, Albino, 1990. "The role of maternal schooling and its interaction with public health programs in child health production," Journal of Development Economics, Elsevier, vol. 32(1), pages 69-91, January.
- Marta Arespa, 2011. "Macroeconomics of extensive margins: a simple model," Working Papers XREAP2011-19, Xarxa de Referència en Economia Aplicada (XREAP), revised Nov 2011.
- Ulf Olsson, 1979. "Maximum likelihood estimation of the polychoric correlation coefficient," Psychometrika, Springer, vol. 44(4), pages 443-460, December.
- Tello, Claudia & Ramos, Raul & Artís, Manuel, 2012.
"Changes in Wage Structure in Mexico Going Beyond the Mean: An Analysis of Differences in Distribution, 1987-2008,"
IZA Discussion Papers
6576, Institute for the Study of Labor (IZA).
- Claudia Tello & Raul Ramos & Manuel Artís, 2012. "“Changes in Wage Structure in Mexico Going Beyond the Mean: An Analysis of Differences in Distribution, 1987-2008”," AQR Working Papers 201211, University of Barcelona, Regional Quantitative Analysis Group, revised Mar 2013.
- Claudia Tello & Raul Ramos & Manuel Artís, 2013. "“Changes in Wage Structure in Mexico Going Beyond the Mean: An Analysis of Differences in Distribution, 1987-2008”," IREA Working Papers 201224, University of Barcelona, Research Institute of Applied Economics, revised Mar 2013.
- Claudia Tello & Raul Ramos & Manuel Artís, 2012. "Changes in wage structure in Mexico going beyond the mean: An analysis of differences in distribution, 1987-2008," Working Papers XREAP2012-07, Xarxa de Referència en Economia Aplicada (XREAP), revised May 2012.
- Alderman, Harold & Hentschel, Jesko & Sabates, Ricardo, 2001.
"With the help of one's neighbors - externalities in the production of nutrition in Peru,"
Policy Research Working Paper Series
2627, The World Bank.
- Alderman, Harold & Hentschel, Jesko & Sabates, Ricardo, 2003. "With the help of one's neighbors: externalities in the production of nutrition in Peru," Social Science & Medicine, Elsevier, vol. 56(10), pages 2019-2031, May.
- Monasa Aslam & Geeta Kingdon, 2010.
"Parental Education and Child Health - Understanding the Pathways of Impact in Pakistan,"
Economics Series Working Papers
CSAE WPS/2010-16, University of Oxford, Department of Economics.
- Aslam, Monazza & Kingdon, Geeta Gandhi, 2012. "Parental Education and Child Health—Understanding the Pathways of Impact in Pakistan," World Development, Elsevier, vol. 40(10), pages 2014-2032.
- Monazza Aslam & Geeta Kingdon, 2010. "Parental Education and Child Health - Understanding the Pathways of Impact in Pakistan," CSAE Working Paper Series 2010-16, Centre for the Study of African Economies, University of Oxford.
- Karina Acosta O., 2012. "La desnutrición en los primeros años de vida: Un análisis regional para Colombia," DOCUMENTOS DE TRABAJO SOBRE ECONOMÃA REGIONAL 009297, BANCO DE LA REPÚBLICA - ECONOMÍA REGIONAL.
- Marta Arespa, 2011. "A New Open Economy Macroeconomic Model with Endogenous Portfolio Diversifi cation and Firms Entry," Working Papers XREAP2011-15, Xarxa de Referència en Economia Aplicada (XREAP), revised Oct 2011.
- Sonalde Desai & Soumya Alva, 1998. "Maternal education and child health: Is there a strong causal relationship?," Demography, Springer, vol. 35(1), pages 71-81, February.
- J. A. Hausman, 1976.
"Specification Tests in Econometrics,"
185, Massachusetts Institute of Technology (MIT), Department of Economics.
- Hatt, Laurel E. & Waters, Hugh R., 2006. "Determinants of child morbidity in Latin America: A pooled analysis of interactions between parental education and economic status," Social Science & Medicine, Elsevier, vol. 62(2), pages 375-386, January.
- Sophia Rabe-Hesketh & Anders Skrondal, 2006.
"Multilevel modelling of complex survey data,"
Journal of the Royal Statistical Society Series A,
Royal Statistical Society, vol. 169(4), pages 805-827.
- Varela-Irimia, Xosé-Luís, 2011.
"Age effects, unobserved characteristics and hedonic price indexes: The Spanish car market in the 1990's,"
2072/169683, Universitat Rovira i Virgili, Department of Economics.
- Xosé-Luís Varela-Irimia, 2011. "Age effects, unobserved characteristics and hedonic price indexes: The Spanish car market in the 1990?s," Working Papers XREAP2011-11, Xarxa de Referència en Economia Aplicada (XREAP), revised Aug 2011.
- Parashar, Sangeeta, 2005. "Moving beyond the mother-child dyad: Women's education, child immunization, and the importance of context in rural India," Social Science & Medicine, Elsevier, vol. 61(5), pages 989-1000, September.
- Vicente Royuela, 2012. "What about people in European Regional Science?," Working Papers XREAP2012-12, Xarxa de Referència en Economia Aplicada (XREAP), revised May 2012.
- Boyle, Michael H. & Racine, Yvonne & Georgiades, Katholiki & Snelling, Dana & Hong, Sungjin & Omariba, Walter & Hurley, Patricia & Rao-Melacini, Purnima, 2006. "The influence of economic development level, household wealth and maternal education on child health in the developing world," Social Science & Medicine, Elsevier, vol. 63(8), pages 2242-2254, October.
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