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Sex ratios and mental health: Evidence from China

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  • Zhang, Kezhong
  • He, Fan
  • Ma, Yuanyuan

Abstract

While sex ratios (i.e., relative numbers of men and women) have been linked to various economic and social outcomes, how sex ratios affect mental health is underexplored. Using nationally representative data from the China Family Panel studies (CFPS) and Population Census, we evaluate the impact of sex ratios on mental health among Chinese men and explore potential mechanisms. Employing the instrumental variables (IV) approach where the One-Child Policy’s mandated fertility limits and implementation are used as exogenous variations in local sex ratios, we find that higher local sex ratios increase depressive symptoms and probability of depression among Chinese men. The impact is stronger for men with lower levels of education and living in rural areas. Analyses of potential mechanisms show that higher sex ratios increase the likelihood of marriage delay and unemployment for men, and prolong working hours for the employed men. The findings are of direct relevance to the health and population policy in China.

Suggested Citation

  • Zhang, Kezhong & He, Fan & Ma, Yuanyuan, 2021. "Sex ratios and mental health: Evidence from China," Economics & Human Biology, Elsevier, vol. 42(C).
  • Handle: RePEc:eee:ehbiol:v:42:y:2021:i:c:s1570677x21000381
    DOI: 10.1016/j.ehb.2021.101014
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    as
    1. Hanming Fang & Quanlin Gu & Wei Xiong & Li-An Zhou, 2016. "Demystifying the Chinese Housing Boom," NBER Macroeconomics Annual, University of Chicago Press, vol. 30(1), pages 105-166.
    2. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    3. Gary S. Becker, 1981. "A Treatise on the Family," NBER Books, National Bureau of Economic Research, Inc, number beck81-1, March.
    4. Avner Ahituv & Robert Lerman, 2007. "How do marital status, work effort, and wage rates interact?," Demography, Springer;Population Association of America (PAA), vol. 44(3), pages 623-647, August.
    5. Kieron James Barclay, 2013. "Sex ratios at sexual maturity and longevity," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(31), pages 837-864.
    6. Masanori Kuroki, 2014. "The Effect Of Sex Ratios On Suicide," Health Economics, John Wiley & Sons, Ltd., vol. 23(12), pages 1502-1510, December.
    7. Briody, Jonathan & Doyle, Orla & Kelleher, Cecily, 2020. "The effect of local unemployment on health: A longitudinal study of Irish mothers 2001-2011," Economics & Human Biology, Elsevier, vol. 37(C).
    8. Elizabeth Brainerd, 2017. "The Lasting Effect of Sex Ratio Imbalance on Marriage and Family: Evidence from World War II in Russia," The Review of Economics and Statistics, MIT Press, vol. 99(2), pages 229-242, May.
    9. Chen, Xi & Wang, Tianyu & Busch, Susan H., 2019. "Does money relieve depression? Evidence from social pension expansions in China," Social Science & Medicine, Elsevier, vol. 220(C), pages 411-420.
    10. Wei, Shang-Jin & Zhang, Xiaobo & Liu, Yin, 2017. "Home ownership as status competition: Some theory and evidence," Journal of Development Economics, Elsevier, vol. 127(C), pages 169-186.
    11. De Haas, Ralph & Baranov, Victoria & Grosjean, Pauline, 2020. "Male-biased Sex Ratios and Masculinity Norms: Evidence from Australia's Colonial Past," CEPR Discussion Papers 14493, C.E.P.R. Discussion Papers.
    12. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    13. Nancy Qian, 2008. "Missing Women and the Price of Tea in China: The Effect of Sex-Specific Earnings on Sex Imbalance," The Quarterly Journal of Economics, Oxford University Press, vol. 123(3), pages 1251-1285.
    14. Josh Angrist, 2002. "How Do Sex Ratios Affect Marriage and Labor Markets? Evidence from America's Second Generation," The Quarterly Journal of Economics, Oxford University Press, vol. 117(3), pages 997-1038.
    15. Shang-Jin Wei & Xiaobo Zhang, 2011. "The Competitive Saving Motive: Evidence from Rising Sex Ratios and Savings Rates in China," Journal of Political Economy, University of Chicago Press, vol. 119(3), pages 511-564.
    16. Daniel Goodkind, 2011. "Child Underreporting, Fertility, and Sex Ratio Imbalance in China," Demography, Springer;Population Association of America (PAA), vol. 48(1), pages 291-316, February.
    17. Chang, Simon & Kan, Kamhon & Zhang, Xiaobo, 2020. "Too Many Men, Too Short Lives: The Effect of the Male-Biased Sex Ratio on Mortality," IZA Discussion Papers 13162, Institute of Labor Economics (IZA).
    18. Xin Meng & Sen Xue, 2020. "Social networks and mental health outcomes: Chinese rural–urban migrant experience," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(1), pages 155-195, January.
    19. Martha S. Hill, 1972. "The Wage Effects of Marital Status and Children," Journal of Human Resources, University of Wisconsin Press, vol. 7(4), pages 579-594.
    20. Kronenberg, Christoph & Boehnke, Jan R., 2019. "How did the 2008-11 financial crisis affect work-related common mental distress? Evidence from 393 workplaces in Great Britain," Economics & Human Biology, Elsevier, vol. 33(C), pages 193-200.
    21. Wang, Qing & Tapia Granados, José A., 2019. "Economic growth and mental health in 21st century China," Social Science & Medicine, Elsevier, vol. 220(C), pages 387-395.
    22. Zang, Emma & Zheng, Hui, 2018. "Does the sex ratio at sexual maturity affect men's later-life mortality risks? Evidence from historical China," Social Science & Medicine, Elsevier, vol. 202(C), pages 61-69.
    23. Wei Huang, 2015. "One-Child Policy, Marriage Distortion, and Welfare Loss," Working Papers id:7801, eSocialSciences.
    24. Ran Abramitzky & Adeline Delavande & Luis Vasconcelos, 2011. "Marrying Up: The Role of Sex Ratio in Assortative Matching," American Economic Journal: Applied Economics, American Economic Association, vol. 3(3), pages 124-157, July.
    25. Cuesta, Maite Blázquez & Budría, Santiago, 2015. "Income deprivation and mental well-being: The role of non-cognitive skills," Economics & Human Biology, Elsevier, vol. 17(C), pages 16-28.
    26. Lei Jin & Felix Elwert & Jeremy Freese & Nicholas Christakis, 2010. "Preliminary evidence regarding the hypothesis that the sex ratio at sexual maturity may affect longevity in men," Demography, Springer;Population Association of America (PAA), vol. 47(3), pages 579-586, August.
    27. Gardner, Jonathan & Oswald, Andrew, 2004. "How is mortality affected by money, marriage, and stress?," Journal of Health Economics, Elsevier, vol. 23(6), pages 1181-1207, November.
    28. Cui, Ying & Liu, Hong & Zhao, Liqiu, 2019. "Mother's education and child development: Evidence from the compulsory school reform in China," Journal of Comparative Economics, Elsevier, vol. 47(3), pages 669-692.
    29. Chang, Simon & Zhang, Xiaobo, 2015. "Mating competition and entrepreneurship," Journal of Economic Behavior & Organization, Elsevier, vol. 116(C), pages 292-309.
    30. Zhang, Xin & Zhang, Xiaobo & Chen, Xi, 2017. "Happiness in the air: How does a dirty sky affect mental health and subjective well-being?," Journal of Environmental Economics and Management, Elsevier, vol. 85(C), pages 81-94.
    31. Shang-Jin Wei & Xiaobo Zhang, 2011. "Sex Ratios, Entrepreneurship, and Economic Growth in the People's Republic of China," NBER Working Papers 16800, National Bureau of Economic Research, Inc.
    32. Gong, Jie & Lu, Yi & Xie, Huihua, 2020. "The average and distributional effects of teenage adversity on long-term health," Journal of Health Economics, Elsevier, vol. 71(C).
    33. Pierre-Andre Chiappori & Bernard Fortin & Guy Lacroix, 2002. "Marriage Market, Divorce Legislation, and Household Labor Supply," Journal of Political Economy, University of Chicago Press, vol. 110(1), pages 37-72, February.
    34. Zhou, Xu Dong & Wang, Xiao Lei & Li, Lu & Hesketh, Therese, 2011. "The very high sex ratio in rural China: Impact on the psychosocial wellbeing of unmarried men," Social Science & Medicine, Elsevier, vol. 73(9), pages 1422-1427.
    35. Liu, Gordon G. & Xue, Xindong & Yu, Chenxi & Wang, Yafeng, 2016. "How does social capital matter to the health status of older adults? Evidence from the China Health and Retirement Longitudinal Survey," Economics & Human Biology, Elsevier, vol. 22(C), pages 177-189.
    36. Chen, Qihui & Chen, Yu & Zhao, Qiran, 2020. "Impacts of boarding on primary school students’ mental health outcomes – Instrumental-Variable evidence from rural northwestern China," Economics & Human Biology, Elsevier, vol. 39(C).
    37. Tefft, Nathan, 2011. "Insights on unemployment, unemployment insurance, and mental health," Journal of Health Economics, Elsevier, vol. 30(2), pages 258-264, March.
    38. Qin, Xuezheng & Wang, Suyin & Hsieh, Chee-Ruey, 2018. "The prevalence of depression and depressive symptoms among adults in China: Estimation based on a National Household Survey," China Economic Review, Elsevier, vol. 51(C), pages 271-282.
    39. Lena Edlund & Hongbin Li & Junjian Yi & Junsen Zhang, 2013. "Sex Ratios and Crime: Evidence from China," The Review of Economics and Statistics, MIT Press, vol. 95(5), pages 1520-1534, December.
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    More about this item

    Keywords

    Sex ratios; Mental health; Instrumental variables; China;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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