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Do the Chinese "Keep up with the Jones"?: Implications of peer effects, growing economic disparities and relative deprivation on health outcomes among older adults in China

  • Ling, Davina C.
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    What are the health effects of unequal economic growth? What are the health consequences of 'keeping up with the Jones'? Many developed countries (e.g., US and Japan) have experienced significant income growth between 1950s and 2000s but population survey shows that on average the population is not growing more satisfied with life. Theories that attempt to respond to these findings hypothesize that as income grows, people may spend more on conspicuous consumption because they compare themselves with others in their peer groups and care about their position in socio-economic distributions relative to others. Indeed, public health studies have found a relationship between income inequality and adult health outcomes in developed countries. Specifically, there seems to be a correlation between social hierarchy and mortality, as well as a correlation between social hierarchy and morbidity. China is a prime study site due to its growing spatial inequalities in the past decade. Though China has been committed to economic reform, different regions and cities have encountered very disparate rates of development and growth. In this paper, we utilize a set of panel data collected in China (China Health and Nutrition Survey 1989-2004) to examine the effects of peer groups, relative deprivation, and income disparities on individual health outcomes such as the probability of high waist circumference, body mass index categories, probability of hypertension, nutritional intake as well as health behavior such as smoking. We use a combination of multi-level mixed effects modeling as well as factor analysis to examine these effects and find significant and differential effects of income quartiles, peer groups, relative deprivation, and Gini coefficient on health.

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    Article provided by Elsevier in its journal China Economic Review.

    Volume (Year): 20 (2009)
    Issue (Month): 1 (March)
    Pages: 65-81

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    Handle: RePEc:eee:chieco:v:20:y:2009:i:1:p:65-81
    Contact details of provider: Web page: http://www.elsevier.com/locate/chieco

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    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
    3. Beydoun, May A. & Popkin, Barry M., 2005. "The impact of socio-economic factors on functional status decline among community-dwelling older adults in China," Social Science & Medicine, Elsevier, vol. 60(9), pages 2045-2057, May.
    4. McCarthy, F. Desmond & Kangbin Zheng, 1996. "Population aging and pension systems : reform options for China," Policy Research Working Paper Series 1607, The World Bank.
    5. Wu, Ximing & Perloff, Jeffrey M, 2004. "China's income distribution over time: reasons for rising inequality," CUDARE Working Paper Series 0977, University of California at Berkeley, Department of Agricultural and Resource Economics and Policy.
    6. Jones, Derek C. & Li, Cheng & Owen, Ann L., 2003. "Growth and regional inequality in China during the reform era," China Economic Review, Elsevier, vol. 14(2), pages 186-200.
    7. Brian Finch, 2003. "Early origins of the gradient: the relationship between socioeconomic status and infant mortality in the United States," Demography, Springer, vol. 40(4), pages 675-699, November.
    8. Hey, John D & Lambert, Peter J, 1980. "Relative Deprivation and the Gini Coefficient: Comment," The Quarterly Journal of Economics, MIT Press, vol. 95(3), pages 567-73, November.
    9. Duangkamon Chotikapanich & D. S. Prasada Rao & Kam Ki Tang, 2007. "Estimating Income Inequality In China Using Grouped Data And The Generalized Beta Distribution," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 53(1), pages 127-147, 03.
    10. Jeffrey Wilson, 2007. "Peer Effects and Cigarette Use Among College Students," Atlantic Economic Journal, International Atlantic Economic Society, vol. 35(2), pages 233-247, June.
    11. Angus Deaton, 2001. "Relative deprivation, inequality, and mortality," Working Papers 275, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    12. Alejandro Gaviria & Steven Raphael, 2001. "School-Based Peer Effects And Juvenile Behavior," The Review of Economics and Statistics, MIT Press, vol. 83(2), pages 257-268, May.
    13. James A. Dorn, 2004. "Pension Reform in China: A Question of Property Rights," Cato Journal, Cato Journal, Cato Institute, vol. 23(3), pages 433-446, Winter.
    14. Harris, Jeffrey E. & González López-Valcárcel, Beatriz, 2008. "Asymmetric peer effects in the analysis of cigarette smoking among young people in the United States, 1992-1999," Journal of Health Economics, Elsevier, vol. 27(2), pages 249-264, March.
    15. Wildman, John, 2003. "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time," Journal of Health Economics, Elsevier, vol. 22(2), pages 295-312, March.
    16. Lundborg, Petter, 2006. "Having the wrong friends? Peer effects in adolescent substance use," Journal of Health Economics, Elsevier, vol. 25(2), pages 214-233, March.
    17. repec:cto:journl:v:21:y:2002:i:3:p:395-414 is not listed on IDEAS
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