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Urbanization and the spread of diseases of affluence in China

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Author Info
Van de Poel, E
O'Donnell, O
van Doorslaer, E

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Abstract

A new methodology is used to quantify, track and explain the distribution of obesity and hypertension across areas differentiated by their degree of urbanicity. We construct an index of urbanicity from longitudinal data on community characteristics from the China Health and Nutrition Survey and compute a rank-based measure of inequality in disease risk factors by degree of urbanicity. Prevalence rates almost doubled over the period 1991-2004 and the risk factors became less concentrated in more urbanized areas. Decomposition analysis shows that urbanicity-related inequalities are mostly attributable to differences in community level characteristics and to disparities in incomes and in the physical and farming activity of individuals.

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Publisher Info
Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 08/25.

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Date of creation: Oct 2008
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Handle: RePEc:yor:hectdg:08/25

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Keywords: China; urbanization; health inequalities; obesity; hypertension; decomposition;

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  1. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January. [Downloadable!] (restricted)
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  2. Gordon G. Liu & Xiaodong Wu & Chaoyang Peng & Alex Z. Fu, 2003. "Urbanization And Health Care In Rural China," Contemporary Economic Policy, Western Economic Association International, vol. 21(1), pages 11-24, 01. [Downloadable!] (restricted)
  3. Liu, Gordon G. & Dow, William H. & Fu, Alex Z. & Akin, John & Lance, Peter, 2008. "Income productivity in China: On the role of health," Journal of Health Economics, Elsevier, vol. 27(1), pages 27-44, January. [Downloadable!] (restricted)
  4. Terry Sicular & Yue Ximing & Björn Gustafsson & Li Shi, 2007. "The Urban-Rural Income Gap And Inequality In China," Review of Income and Wealth, Blackwell Publishing, vol. 53(1), pages 93-126, 03. [Downloadable!] (restricted)
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  5. Sahn, David E. & Stifel, David C., 2000. "Poverty Comparisons Over Time and Across Countries in Africa," World Development, Elsevier, vol. 28(12), pages 2123-2155, December. [Downloadable!] (restricted)
  6. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income-related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647. [Downloadable!]
  7. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May. [Downloadable!] (restricted)
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  8. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432. [Downloadable!]
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