IDEAS home Printed from https://ideas.repec.org/a/eee/chieco/v56y2019ic8.html
   My bibliography  Save this article

Health outcomes, health inequality and Mandarin proficiency in urban China

Author

Listed:
  • Wang, Haining
  • Cheng, Zhiming
  • Smyth, Russell

Abstract

We examine the health returns to proficiency in Mandarin in urban China using longitudinal data from the China Family Panel Studies. We find that greater proficiency in Mandarin improves self-reported health, mental health and capacity to perform activities of daily living. We also examine the relationship between Mandarin proficiency and health inequality and the decomposition results show that differences in Mandarin proficiency account for between 2% and 20% of health inequality in urban China, depending on the health indicator. Our results suggest that promoting ‘standard Mandarin’ can serve as a vehicle to improve health outcomes and reduce health inequality.

Suggested Citation

  • Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2019. "Health outcomes, health inequality and Mandarin proficiency in urban China," China Economic Review, Elsevier, vol. 56(C), pages 1-1.
  • Handle: RePEc:eee:chieco:v:56:y:2019:i:c:8
    DOI: 10.1016/j.chieco.2019.101305
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1043951X19300665
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.chieco.2019.101305?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2016. "Language and consumption," China Economic Review, Elsevier, vol. 40(C), pages 135-151.
    2. Fang, Pengqian & Dong, Siping & Xiao, Jingjing & Liu, Chaojie & Feng, Xianwei & Wang, Yiping, 2010. "Regional inequality in health and its determinants: Evidence from China," Health Policy, Elsevier, vol. 94(1), pages 14-25, January.
    3. Shi, Xuehua & Nuetah, J. Alexander & Xin, Xian, 2010. "Household income mobility in rural China: 1989-2006," Economic Modelling, Elsevier, vol. 27(5), pages 1090-1096, September.
    4. Michael A. Shields & Stephen Wheatley Price, 2002. "The English language fluency and occupational success of ethnic minority immigrant men living in English metropolitan areas," Journal of Population Economics, Springer;European Society for Population Economics, vol. 15(1), pages 137-160.
    5. Giorgio Brunello & Margherita Fort & Nicole Schneeweis & Rudolf Winter‐Ebmer, 2016. "The Causal Effect of Education on Health: What is the Role of Health Behaviors?," Health Economics, John Wiley & Sons, Ltd., vol. 25(3), pages 314-336, March.
    6. Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
    7. Chen, Zhao & Lu, Ming & Xu, Le, 2014. "Returns to dialect," China Economic Review, Elsevier, vol. 30(C), pages 27-43.
    8. Nattavudh Powdthavee, 2010. "How much does money really matter? Estimating the causal effects of income on happiness," Empirical Economics, Springer, vol. 39(1), pages 77-92, August.
    9. Cahit Guven & Asadul Islam, 2015. "Age at Migration, Language Proficiency, and Socioeconomic Outcomes: Evidence From Australia," Demography, Springer;Population Association of America (PAA), vol. 52(2), pages 513-542, April.
    10. Alan Duncan & Astghik Mavisakalyan, 2015. "Russian language skills and employment in the Former Soviet Union," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 23(3), pages 625-656, July.
    11. Ott Toomet, 2011. "Learn English, Not the Local Language! Ethnic Russians in the Baltic States," American Economic Review, American Economic Association, vol. 101(3), pages 526-531, May.
    12. Barry Chiswick & Paul Miller, 2010. "Occupational language requirements and the value of English in the US labor market," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(1), pages 353-372, January.
    13. 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.
    14. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    15. Xuehua Shi & Xiaoyun Liu & Alexander Nuetah & Xian Xin, 2010. "Determinants of Household Income Mobility in Rural China," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 18(2), pages 41-59, March.
    16. Amelie F. Constant & Klaus F. Zimmermann, 2008. "Measuring Ethnic Identity and its Impact on Economic Behavior," Journal of the European Economic Association, MIT Press, vol. 6(2-3), pages 424-433, 04-05.
    17. Humphries, Karin H. & van Doorslaer, Eddy, 2000. "Income-related health inequality in Canada," Social Science & Medicine, Elsevier, vol. 50(5), pages 663-671, March.
    18. Wang, Haining & Smyth, Russell & Cheng, Zhiming, 2017. "The economic returns to proficiency in English in China," China Economic Review, Elsevier, vol. 43(C), pages 91-104.
    19. Barry Chiswick & Paul Miller, 2001. "A model of destination-language acquisition: Application to male immigrants in Canada," Demography, Springer;Population Association of America (PAA), vol. 38(3), pages 391-409, August.
    20. Denise Doiron & Denzil G. Fiebig & Meliyanni Johar & Agne Suziedelyte, 2015. "Does self-assessed health measure health?," Applied Economics, Taylor & Francis Journals, vol. 47(2), pages 180-194, January.
    21. Clarke, Andrew & Isphording, Ingo E., 2015. "Language Barriers and Immigrant Health Production," IZA Discussion Papers 8846, Institute of Labor Economics (IZA).
    22. B. d'Hombres & L. Rocco & M. Suhrcke & M. McKee, 2010. "Does social capital determine health? Evidence from eight transition countries," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 56-74, January.
    23. Albert Saiz & Elena Zoido, 2005. "Listening to What the World Says: Bilingualism and Earnings in the United States," The Review of Economics and Statistics, MIT Press, vol. 87(3), pages 523-538, August.
    24. World Bank, 2016. "World Development Indicators 2016," World Bank Publications - Books, The World Bank Group, number 23969, December.
    25. Richard Fry & B. Lindsay Lowell, 2003. "The Value of Bilingualism in the U.S. Labor Market," ILR Review, Cornell University, ILR School, vol. 57(1), pages 128-140, October.
    26. Hoyt Bleakley & Aimee Chin, 2004. "Language Skills and Earnings: Evidence from Childhood Immigrants," The Review of Economics and Statistics, MIT Press, vol. 86(2), pages 481-496, May.
    27. Au, Nicole & Johnston, David W., 2014. "Self-assessed health: What does it mean and what does it hide?," Social Science & Medicine, Elsevier, vol. 121(C), pages 21-28.
    28. repec:ran:wpaper:774 is not listed on IDEAS
    29. 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, April.
    30. Halleröd, Björn & Gustafsson, Jan-Eric, 2011. "A longitudinal analysis of the relationship between changes in socio-economic status and changes in health," Social Science & Medicine, Elsevier, vol. 72(1), pages 116-123, January.
    31. Victor A. Ginsburgh & Juan Prieto-Rodriguez, 2011. "Returns to Foreign Languages of Native Workers in the European Union," ILR Review, Cornell University, ILR School, vol. 64(3), pages 599-618, April.
    32. Philip Oreopoulos, 2006. "Estimating Average and Local Average Treatment Effects of Education when Compulsory Schooling Laws Really Matter," American Economic Review, American Economic Association, vol. 96(1), pages 152-175, March.
    33. Chiswick, Barry R. & Wang, Zhiling, 2016. "Social Contacts, Dutch Language Proficiency and Immigrant Economic Performance in the Netherlands: A Longitudinal Study," IZA Discussion Papers 9760, Institute of Labor Economics (IZA).
    34. Fischer, Justina AV, 2010. "Accounting for Unobserved Country Heterogeneity in Happiness Research: Country Fixed Effects versus Region Fixed Effects," MPRA Paper 22272, University Library of Munich, Germany.
    35. Borrell, Carme & Muntaner, Carles & Benach, Joan & Artazcoz, Lucía, 2004. "Social class and self-reported health status among men and women: what is the role of work organisation, household material standards and household labour?," Social Science & Medicine, Elsevier, vol. 58(10), pages 1869-1887, May.
    36. Ada Ferrer-i-Carbonell & Paul Frijters, 2004. "How Important is Methodology for the estimates of the determinants of Happiness?," Economic Journal, Royal Economic Society, vol. 114(497), pages 641-659, July.
    37. Yip, Winnie & Subramanian, S.V. & Mitchell, Andrew D. & Lee, Dominic T.S. & Wang, Jian & Kawachi, Ichiro, 2007. "Does social capital enhance health and well-being? Evidence from rural China," Social Science & Medicine, Elsevier, vol. 64(1), pages 35-49, January.
    38. Chiswick, Barry R. & Miller, Paul W., 2014. "International Migration and the Economics of Language," IZA Discussion Papers 7880, Institute of Labor Economics (IZA).
    39. Yang, Dan & Liu, Zimin, 2012. "Does farmer economic organization and agricultural specialization improve rural income? Evidence from China," Economic Modelling, Elsevier, vol. 29(3), pages 990-993.
    40. Bischoff, Alexander & Bovier, Patrick A. & Isah, Rrustemi & Francoise, Gariazzo & Ariel, Eytan & Louis, Loutan, 2003. "Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral," Social Science & Medicine, Elsevier, vol. 57(3), pages 503-512, August.
    41. Lebrun, Lydie A., 2012. "Effects of length of stay and language proficiency on health care experiences among Immigrants in Canada and the United States," Social Science & Medicine, Elsevier, vol. 74(7), pages 1062-1072.
    42. Gao, Wenshu & Smyth, Russell, 2011. "Economic returns to speaking 'standard Mandarin' among migrants in China's urban labour market," Economics of Education Review, Elsevier, vol. 30(2), pages 342-352, April.
    43. Oriol Aspachs-Bracons & Irma Clots-Figueras & Joan Costa-Font & Paolo Masella, 2008. "Compulsory Language Educational Policies and Identity Formation," Journal of the European Economic Association, MIT Press, vol. 6(2-3), pages 434-444, 04-05.
    44. Nobles, Jenna & Weintraub, Miranda Ritterman & Adler, Nancy E., 2013. "Subjective socioeconomic status and health: Relationships reconsidered," Social Science & Medicine, Elsevier, vol. 82(C), pages 58-66.
    45. Card, David, 2001. "Estimating the Return to Schooling: Progress on Some Persistent Econometric Problems," Econometrica, Econometric Society, vol. 69(5), pages 1127-1160, September.
    46. Christian Dustmann & Arthur Van Soest, 2002. "Language and the Earnings of Immigrants," ILR Review, Cornell University, ILR School, vol. 55(3), pages 473-492, April.
    47. Zhou, Jingkui, 2013. "Uncertainty, inequality and consumption preferences in urban China," Economic Modelling, Elsevier, vol. 31(C), pages 308-322.
    48. Strauss, John & Lei, Xiaoyan & Park, Albert & Shen, Yan & Smith, James P. & Yang, Zhe & Zhao, Yaohui, 2010. "Health Outcomes and Socio-Economic Status among the Elderly in China: Evidence from the CHARLS Pilot," IZA Discussion Papers 5152, Institute of Labor Economics (IZA).
    49. Weixiang Luo & Yu Xie, 2014. "Socio-economic disparities in mortality among the elderly in China," Population Studies, Taylor & Francis Journals, vol. 68(3), pages 305-320, November.
    50. Mishra, Vinod & Smyth, Russell, 2015. "Estimating returns to schooling in urban China using conventional and heteroskedasticity-based instruments," Economic Modelling, Elsevier, vol. 47(C), pages 166-173.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cheng, Zhiming, 2021. "Education and consumption: Evidence from migrants in Chinese cities," Journal of Business Research, Elsevier, vol. 127(C), pages 206-215.
    2. Cheng, Zhiming & Tani, Massimiliano & Wang, Haining, 2021. "Energy poverty and entrepreneurship," Energy Economics, Elsevier, vol. 102(C).
    3. Xu, Chen & Liu, Xiao, 2023. "The economic value of language in China: How important is Mandarin proficiency in the Chinese labor market? A bounding approach," Labour Economics, Elsevier, vol. 84(C).
    4. Cheng, Zhiming & Wang, Ben Zhe & Jiang, Zhou & Taksa, Lucy & Tani, Massimiliano, 2020. "English Skills and Early Labour Market Integration: Evidence from Humanitarian Migrants in Australia," GLO Discussion Paper Series 672, Global Labor Organization (GLO).
    5. Cheng, Zhiming & Wang, Ben Zhe & Jiang, Zhou & Taksa, Lucy & Tani, Massimiliano, 2020. "English Skills and Early Labour Market Integration of Humanitarian Migrants," IZA Discussion Papers 13728, Institute of Labor Economics (IZA).
    6. Cheng, Zhiming & Smyth, Russell, 2021. "Education and migrant entrepreneurship in urban China," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 506-529.
    7. Chen, Yuanyuan & Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2023. "Education and Migrant Health in China," Economic Modelling, Elsevier, vol. 121(C).
    8. Rowland, Neil & McVicar, Duncan & Vlachos, Stavros & Jahanshahi, Babak & McGovern, Mark E. & O’Reilly, Dermot, 2024. "Long-term Exposure to Ambient PM2.5 and Population Health: Evidence from Longitudinally-linked Census Data," QBS Working Paper Series 2024/01, Queen's University Belfast, Queen's Business School.
    9. Zhou, Yonghong & Zhu, Rong & Zheng, Xian, 2020. "Second language skills and labor market outcomes: Evidence from the handover of Hong Kong," China Economic Review, Elsevier, vol. 59(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Haining Wang & Zhiming Cheng & Russell Smyth, 2016. "Language, Health Outcomes and Health Inequality," Monash Economics Working Papers 43-16, Monash University, Department of Economics.
    2. Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2016. "Language and consumption," China Economic Review, Elsevier, vol. 40(C), pages 135-151.
    3. Wang, Haining & Smyth, Russell & Cheng, Zhiming, 2017. "The economic returns to proficiency in English in China," China Economic Review, Elsevier, vol. 43(C), pages 91-104.
    4. Jacek Liwiński, 2019. "The wage premium from foreign language skills," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 46(4), pages 691-711, November.
    5. Hahm, Sabrina & Gazzola, Michele, 2022. "The Value of Foreign Language Skills in the German Labor Market," Labour Economics, Elsevier, vol. 76(C).
    6. Antonio Di Paolo & Aysit Tansel, 2015. "Returns to Foreign Language Skills in a Developing Country: The Case of Turkey," Journal of Development Studies, Taylor & Francis Journals, vol. 51(4), pages 407-421, April.
    7. Sorrenti, Giuseppe, 2017. "The Spanish or the German apartment? Study abroad and the acquisition of permanent skills," Economics of Education Review, Elsevier, vol. 60(C), pages 142-158.
    8. Vera A. Adamchik & Thomas J. Hyclak & Piotr Sedlak & Larry W. Taylor, 2019. "Wage Returns to English Proficiency in Poland," Journal of Labor Research, Springer, vol. 40(3), pages 276-295, September.
    9. Stöhr, Tobias, 2015. "The returns to occupational foreign language use: Evidence from Germany," Labour Economics, Elsevier, vol. 32(C), pages 86-98.
    10. Antonio Paolo & Aysit Tansel, 2019. "English skills, labour market status and earnings of Turkish women," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 46(4), pages 669-690, November.
    11. Antonio Di Paolo & Aysit Tansel, 2019. "“English skills, labour market status and earnings of Turkish women”," AQR Working Papers 201901, University of Barcelona, Regional Quantitative Analysis Group, revised Jan 2019.
    12. Antonio Di Paolo & Aysit Tansel, 2015. "Returns to Foreign Language Skills in a Developing Country: The Case of Turkey," Journal of Development Studies, Taylor & Francis Journals, vol. 51(4), pages 407-421, April.
    13. Zhou, Yonghong & Zhu, Rong & Zheng, Xian, 2020. "Second language skills and labor market outcomes: Evidence from the handover of Hong Kong," China Economic Review, Elsevier, vol. 59(C).
    14. Victor Ginsburgh & Shlomo Weber, 2020. "The Economics of Language," Journal of Economic Literature, American Economic Association, vol. 58(2), pages 348-404, June.
    15. Yao, Yuxin, 2017. "Essays on economics of language and family economics," Other publications TiSEM 0093bc8e-e869-4f87-8ff8-8, Tilburg University, School of Economics and Management.
    16. Clarke, Andrew & Isphording, Ingo E., 2015. "Language Barriers and Immigrant Health Production," IZA Discussion Papers 8846, Institute of Labor Economics (IZA).
    17. Marigee Bacolod & Marcos A. Rangel, 2017. "Economic Assimilation and Skill Acquisition: Evidence From the Occupational Sorting of Childhood Immigrants," Demography, Springer;Population Association of America (PAA), vol. 54(2), pages 571-602, April.
    18. Cheng, Zhiming & Wang, Ben Zhe & Jiang, Zhou & Taksa, Lucy & Tani, Massimiliano, 2020. "English Skills and Early Labour Market Integration of Humanitarian Migrants," IZA Discussion Papers 13728, Institute of Labor Economics (IZA).
    19. Dovì, Max-Sebastian, 2019. "Does higher language proficiency decrease the probability of unemployment? Evidence from China," China Economic Review, Elsevier, vol. 54(C), pages 1-11.
    20. Cheng, Zhiming & Wang, Ben Zhe & Jiang, Zhou & Taksa, Lucy & Tani, Massimiliano, 2020. "English Skills and Early Labour Market Integration: Evidence from Humanitarian Migrants in Australia," GLO Discussion Paper Series 672, Global Labor Organization (GLO).

    More about this item

    Keywords

    China; Mandarin proficiency; Health outcome; Health inequality; Human capital;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I24 - Health, Education, and Welfare - - Education - - - Education and Inequality
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:chieco:v:56:y:2019:i:c:8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/chieco .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.