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Family income and child health in China

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  • Goode, Alison
  • Mavromaras, Kostas
  • zhu, Rong

Abstract

We examine the effect of family income on child health using data from the China Health and Nutrition Survey. We find a significant child health/family income gradient for the overall sample of Chinese children. Our preferred specification shows that the income gradient increases with child age until the age of 12. We find that parental health consciousness, household sanitation conditions and nutrition intake are the channels through which family income affects child health. After controlling for these transmission channels, the gradient strengthens with child age until the age of 17. We find that children from poorer families in China are not only more likely to experience several types of chronic illnesses, but also less likely to address effectively some health conditions. The income gradient is found to be very heterogeneous, with greater effect on children with poorer health, girls and children in rural China.

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  • Goode, Alison & Mavromaras, Kostas & zhu, Rong, 2014. "Family income and child health in China," China Economic Review, Elsevier, vol. 29(C), pages 152-165.
  • Handle: RePEc:eee:chieco:v:29:y:2014:i:c:p:152-165
    DOI: 10.1016/j.chieco.2014.04.007
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    as
    1. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    2. Harold Alderman & John Hoddinott & Bill Kinsey, 2006. "Long term consequences of early childhood malnutrition," Oxford Economic Papers, Oxford University Press, vol. 58(3), pages 450-474, July.
    3. Case, Anne & Lee, Diana & Paxson, Christina, 2008. "The income gradient in children's health: A comment on Currie, Shields and Wheatley Price," Journal of Health Economics, Elsevier, vol. 27(3), pages 801-807, May.
    4. repec:hal:pseose:halshs-00876618 is not listed on IDEAS
    5. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    6. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
    7. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    8. 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.
    9. 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.
    10. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    11. Haoming Liu, 2014. "The quality–quantity trade-off: evidence from the relaxation of China’s one-child policy," Journal of Population Economics, Springer;European Society for Population Economics, vol. 27(2), pages 565-602, April.
    12. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    13. James P. Smith, 2007. "The Impact of Socioeconomic Status on Health over the Life-Course," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
    14. Chen, Edith & Martin, Andrew D. & Matthews, Karen A., 2006. "Socioeconomic status and health: Do gradients differ within childhood and adolescence?," Social Science & Medicine, Elsevier, vol. 62(9), pages 2161-2170, May.
    15. Yang, Juhua, 2007. "China's one-child policy and overweight children in the 1990s," Social Science & Medicine, Elsevier, vol. 64(10), pages 2043-2057, May.
    16. de Brauw, Alan & Mu, Ren, 2012. "Unattended but not undernourished: young children left behind in rural China:," IFPRI discussion papers 1191, International Food Policy Research Institute (IFPRI).
    17. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    18. Smith, James P, 1998. "Socioeconomic Status and Health," American Economic Review, American Economic Association, vol. 88(2), pages 192-196, May.
    19. Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2009. "Child health and the income gradient: Evidence from Australia," Journal of Health Economics, Elsevier, vol. 28(4), pages 805-817, July.
    20. 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.
    21. Simon Condliffe & Charles R. Link, 2008. "The Relationship between Economic Status and Child Health: Evidence from the United States," American Economic Review, American Economic Association, vol. 98(4), pages 1605-1618, September.
    22. Monica Das Gupta & Jiang Zhenghua & Li Bohua & Xie Zhenming & Woojin Chung & Bae Hwa-Ok, 2003. "Why is Son preference so persistent in East and South Asia? a cross-country study of China, India and the Republic of Korea," Journal of Development Studies, Taylor & Francis Journals, vol. 40(2), pages 153-187.
    23. Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
    24. de Brauw, Alan & Mu, Ren, 2011. "Migration and the overweight and underweight status of children in rural China," Food Policy, Elsevier, vol. 36(1), pages 88-100, February.
    25. Wagstaff, Adam, 2007. "The economic consequences of health shocks: Evidence from Vietnam," Journal of Health Economics, Elsevier, vol. 26(1), pages 82-100, January.
    26. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    27. Card, David, 2001. "Estimating the Return to Schooling: Progress on Some Persistent Econometric Problems," Econometrica, Econometric Society, vol. 69(5), pages 1127-1160, September.
    28. Glewwe, Paul & Jacoby, Hanan G. & King, Elizabeth M., 2001. "Early childhood nutrition and academic achievement: a longitudinal analysis," Journal of Public Economics, Elsevier, vol. 81(3), pages 345-368, September.
    29. Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
    30. Ouyang, Yusi & Pinstrup-Andersen, Per, 2012. "Health Inequality between Ethnic Minority and Han Populations in China," World Development, Elsevier, vol. 40(7), pages 1452-1468.
    31. Murasko, Jason E., 2008. "An evaluation of the age-profile in the relationship between household income and the health of children in the United States," Journal of Health Economics, Elsevier, vol. 27(6), pages 1489-1502, December.
    32. Mu, Ren & Zhang, Xiaobo, 2011. "Why does the Great Chinese Famine affect the male and female survivors differently? Mortality selection versus son preference," Economics & Human Biology, Elsevier, vol. 9(1), pages 92-105, January.
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    11. Li, H. & Wang, X. & Ren, Y., 2018. "Family Income and Health: Evidence from Food Consumption in China," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277074, International Association of Agricultural Economists.
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    More about this item

    Keywords

    Child health; Income gradient; China;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

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