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Peer effects on childhood and adolescent obesity in China

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  • Nie, Peng
  • Sousa-Poza, Alfonso
  • He, Xiaobo

Abstract

Using data from the China Health and Nutrition Survey (CHNS), this study analyzes peer effects on obesity in a sample of 3- to 18-year-old children and adolescents in China. Even after a rich set of covariates and unobserved individual heterogeneity are controlled for, it is evident that such peer effects do indeed exist. These effects are stronger in rural areas, among individuals at the upper end of the BMI distribution, and especially among females. All else being equal, female adolescents whose peers have a higher BMI are less likely to consider themselves overweight, suggesting that peer effects may be working through changed societal bodyweight norms.

Suggested Citation

  • Nie, Peng & Sousa-Poza, Alfonso & He, Xiaobo, 2015. "Peer effects on childhood and adolescent obesity in China," China Economic Review, Elsevier, vol. 35(C), pages 47-69.
  • Handle: RePEc:eee:chieco:v:35:y:2015:i:c:p:47-69
    DOI: 10.1016/j.chieco.2015.06.002
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    1. Weili Ding & Steven F. Lehrer, 2007. "Do Peers Affect Student Achievement in China's Secondary Schools?," The Review of Economics and Statistics, MIT Press, vol. 89(2), pages 300-312, May.
    2. Mir M. Ali & Aliaksandr Amialchuk & Francesco Renna, 2011. "Social Network and Weight Misperception among Adolescents," Southern Economic Journal, John Wiley & Sons, vol. 77(4), pages 827-842, April.
    3. David G. Blanchflower & Andrew J. Oswald & Bert Van Landeghem, 2009. "Imitative Obesity and Relative Utility," Journal of the European Economic Association, MIT Press, vol. 7(2-3), pages 528-538, 04-05.
    4. Chen, Zhuo & Meltzer, David, 2008. "Beefing up with the Chans: Evidence for the effects of relative income and income inequality on health from the China Health and Nutrition Survey," Social Science & Medicine, Elsevier, vol. 66(11), pages 2206-2217, June.
    5. Zhao Chen & Shiqing Jiang & Ming Lu & Hiroshi Sato, 2008. "How do Heterogeneous Social Interactions affect the Peer Effect in Rural-Urban Migration?:Empirical Evidence from China," LICOS Discussion Papers 22408, LICOS - Centre for Institutions and Economic Performance, KU Leuven.
    6. Iris Claus & Les Oxley & Ming Lu & Guanghua Wan, 2014. "Urbanization And Urban Systems In The People'S Republic Of China: Research Findings And Policy Recommendations," Journal of Economic Surveys, Wiley Blackwell, vol. 28(4), pages 671-685, September.
    7. Cohen-Cole, Ethan & Fletcher, Jason M., 2008. "Is obesity contagious? Social networks vs. environmental factors in the obesity epidemic," Journal of Health Economics, Elsevier, vol. 27(5), pages 1382-1387, September.
    8. 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.
    9. Trogdon, Justin G. & Nonnemaker, James & Pais, Joanne, 2008. "Peer effects in adolescent overweight," Journal of Health Economics, Elsevier, vol. 27(5), pages 1388-1399, September.
    10. Mary A. Burke & Frank Heiland, 2007. "Social Dynamics Of Obesity," Economic Inquiry, Western Economic Association International, vol. 45(3), pages 571-591, July.
    11. Halliday, Timothy J. & Kwak, Sally, 2009. "Weight gain in adolescents and their peers," Economics & Human Biology, Elsevier, vol. 7(2), pages 181-190, July.
    12. Muzhe Yang & Rui Huang, 2013. "Asymmetric Association between Exposure to Obesity and Weight Gain among Adolescents," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 40(1), pages 96-118, December.
    13. Loh, Chung-Ping A. & Li, Qiang, 2013. "Peer effects in adolescent bodyweight: Evidence from rural China," Social Science & Medicine, Elsevier, vol. 86(C), pages 35-44.
    14. Cawley, John (ed.), 2011. "The Oxford Handbook of the Social Science of Obesity," OUP Catalogue, Oxford University Press, number 9780199736362, Decembrie.
    15. Gwozdz, Wencke & Sousa-Poza, Alfonso & Reisch, Lucia A. & Bammann, Karin & Eiben, Gabriele & Kourides, Yiannis & Kovács, Éva & Lauria, Fabio & Konstabel, Kenn & Santaliestra-Pasias, Alba M. & Vyncke, , 2015. "Peer effects on obesity in a sample of European children," Economics & Human Biology, Elsevier, vol. 18(C), pages 139-152.
    16. Toni Mora & Joan Gil, 2013. "Peer Effects In Adolescent Bmi: Evidence From Spain," Health Economics, John Wiley & Sons, Ltd., vol. 22(5), pages 501-516, May.
    17. Carman, Katherine Grace & Zhang, Lei, 2012. "Classroom peer effects and academic achievement: Evidence from a Chinese middle school," China Economic Review, Elsevier, vol. 23(2), pages 223-237.
    18. Fowler, J.H. & Christakis, N.A., 2008. "Estimating peer effects on health in social networks: A response to Cohen-Cole and Fletcher; and Trogdon, Nonnemaker, and Pais," Journal of Health Economics, Elsevier, vol. 27(5), pages 1400-1405, September.
    19. Olga Yakusheva & Kandice A. Kapinos & Daniel Eisenberg, 2014. "Estimating Heterogeneous and Hierarchical Peer Effects on Body Weight Using Roommate Assignments as a Natural Experiment," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 234-261.
    20. Angrist, Joshua D., 2014. "The perils of peer effects," Labour Economics, Elsevier, vol. 30(C), pages 98-108.
    21. Christopher F Baum, 2006. "An Introduction to Modern Econometrics using Stata," Stata Press books, StataCorp LP, number imeus, March.
    22. Charles F. Manski, 1993. "Identification of Endogenous Social Effects: The Reflection Problem," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 60(3), pages 531-542.
    23. Mir M. Ali & Aliaksandr Amialchuk & Song Gao & Frank Heiland, 2012. "Adolescent weight gain and social networks: is there a contagion effect?," Applied Economics, Taylor & Francis Journals, vol. 44(23), pages 2969-2983, August.
    24. Jebaraj Asirvatham & Rodolfo M. Nayga, Jr. & Michael R. Thomsen, 2014. "Peer-Effects in Obesity among Public Elementary School Children: A Grade-Level Analysis," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 36(3), pages 438-459.
    25. Kelder, S.H. & Perry, C.L. & Klepp, K.-I. & Lytle, L.L., 1994. "Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1121-1126.
    26. Asirvatham, Jebaraj & Nayga, Rodolfo M., Jr. & Thomsen, Michael R., 2012. "Peer-Effects In Obesity Among Public School Children: A Grade-Level Analysis," 2012 AAEA/EAAE Food Environment Symposium 122732, Agricultural and Applied Economics Association.
    27. Vincenzo Verardi & Nicolas Debarsy, 2012. "Robinson's square root of N consistent semiparametric regression estimator in Stata," Stata Journal, StataCorp LP, vol. 12(4), pages 726-735, December.
    28. Yakusheva, Olga & Kapinos, Kandice & Weiss, Marianne, 2011. "Peer effects and the Freshman 15: Evidence from a natural experiment," Economics & Human Biology, Elsevier, vol. 9(2), pages 119-132, March.
    29. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    30. Han, Li & Li, Tao, 2009. "The gender difference of peer influence in higher education," Economics of Education Review, Elsevier, vol. 28(1), pages 129-134, February.
    31. Kato, Takao & Shu, Pian, 2009. "Peer Effects, Social Networks, and Intergroup Competition in the Workplace," Working Papers 09-12, University of Aarhus, Aarhus School of Business, Department of Economics.
    32. Renna, Francesco & Grafova, Irina B. & Thakur, Nidhi, 2008. "The effect of friends on adolescent body weight," Economics & Human Biology, Elsevier, vol. 6(3), pages 377-387, December.
    33. Li, Qiang & Zang, Wenbin & An, Lian, 2013. "Peer effects and school dropout in rural China," China Economic Review, Elsevier, vol. 27(C), pages 238-248.
    34. Asirvatham, Jebaraj & Nayga, Rodolfo M. Jr. & Thomsen, Michael R., 2013. "Peer-Effects on Childhood Obesity," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 150417, Agricultural and Applied Economics Association.
    35. Guo, Xuguang & Mroz, Thomas A & Popkin, Barry M & Zhai, Fengying, 2000. "Structural Change in the Impact of Income on Food Consumption in China, 1989-1993," Economic Development and Cultural Change, University of Chicago Press, vol. 48(4), pages 737-760, July.
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    1. Gwozdz, Wencke & Sousa-Poza, Alfonso & Reisch, Lucia A. & Bammann, Karin & Eiben, Gabriele & Kourides, Yiannis & Kovács, Éva & Lauria, Fabio & Konstabel, Kenn & Santaliestra-Pasias, Alba M. & Vyncke, , 2015. "Peer effects on obesity in a sample of European children," Economics & Human Biology, Elsevier, vol. 18(C), pages 139-152.
    2. Breitkopf, Laura & Chowdhury, Shyamal K. & Priyam, Shambhavi & Schildberg-Hörisch, Hannah & Sutter, Matthias, 2020. "Do economic preferences of children predict behavior?," DICE Discussion Papers 342, Heinrich Heine University Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    3. Nie, Peng & Ding, Lanlin & Sousa-Poza, Alfonso, 2019. "Decomposing adult obesity trends in China (1991–2011)," Economics & Human Biology, Elsevier, vol. 34(C), pages 5-15.
    4. Yu, Xiaolin & Wan, Kai & Du, Qunyang, 2023. "Can carbon market policies achieve a “point-to-surface” effect?—Quasi-experimental evidence from China," Energy Policy, Elsevier, vol. 183(C).
    5. Ana Balsa & Carlos Díaz, 2018. "Social interactions in health behaviors and conditions," Documentos de Trabajo/Working Papers 1802, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    6. Chenyang Wang & Zhiping Zhen & Nan Zhao & Chenlin Zhao, 2021. "Associations between Fast-Food Restaurants Surrounding Kindergartens and Childhood Obesity: Evidence from China," IJERPH, MDPI, vol. 18(17), pages 1-15, September.
    7. Tao Zhang, 2022. "Measuring following behaviour in gift giving by utility function: statistical model and empirical evidence from China," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-12, December.
    8. Nie, Peng & Ding, Lanlin & Sousa-Poza, Alfonso, 2019. "Obesity inequality and the changing shape of the bodyweight distribution in China," China Economic Review, Elsevier, vol. 58(C).
    9. Crudu, Federico & Neri, Laura & Tiezzi, Silvia, 2021. "Family ties and child obesity in Italy," Economics & Human Biology, Elsevier, vol. 40(C).
    10. Nie, Peng & Wang, Lu & Sousa-Poza, Alfonso, 2020. "Peer Effects and Fertility Preferences in China: Evidence from the China Labor-Force Dynamics Survey," IZA Discussion Papers 13448, Institute of Labor Economics (IZA).
    11. BARONE, Adriana & NESE, Annamaria, 2014. "Body Weight and Academic Performance: Gender and Peer Effects," CELPE Discussion Papers 129, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.
    12. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    13. Zeng, Qiyan & Yu, Xiaohua & Bao, Te, 2020. "Memory utility, food consumption and obesity," China Economic Review, Elsevier, vol. 62(C).
    14. Crudu, Federico & Neri, Laura & Tiezzi, Silvia, 2018. "Family Ties and Children Obesity in Italy," MPRA Paper 90360, University Library of Munich, Germany, revised 15 Oct 2018.
    15. Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2018. "Do migrant students affect local students’ academic achievements in urban China?," Economics of Education Review, Elsevier, vol. 63(C), pages 64-77.
    16. Ariel H. Fambeu, 2019. "Peer Effect and Environmental Responsibility of Enterprises in a Sub-Saharan African Country," Economics Bulletin, AccessEcon, vol. 39(2), pages 1084-1094.

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    More about this item

    Keywords

    Peer effects; Children and adolescents; BMI; China;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General

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