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Income inequality and health in China: A panel data analysis

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  • Bakkeli, Nan Zou

Abstract

During the last decades, the level of income inequality in China has increased dramatically. Despite rapid economic growth and improved living conditions, the health performance in China has dropped compared to the period before the economic reform. The “Wilkinson hypothesis” suggests that increased income inequality in a society is correlated to worse health performance. China is a particular interesting case due to the rapid socioeconomic change in the country. This study uses the China Health and Nutrition Survey (CHNS) to address the question of whether income inequality has an impact on individuals' risks of having health problems in China. Unlike previous studies with health measures such as self-reported health or mortality rate, our study uses physical functions to measure individual health. By analysing panel data using county/city-level dummies and year fixed-effects, we found that income inequality does not have a significant impact on individuals' risks of having health problems. This result is robust when changing between different indicators for income inequality.

Suggested Citation

  • Bakkeli, Nan Zou, 2016. "Income inequality and health in China: A panel data analysis," Social Science & Medicine, Elsevier, vol. 157(C), pages 39-47.
    • Handle: RePEc:eee:socmed:v:157:y:2016:i:c:p:39-47
    DOI: 10.1016/j.socscimed.2016.03.041
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    1. Øystein Kravdal, 2008. "Does income inequality really influence individual mortality?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 18(7), pages 205-232.
    2. Wilkinson, R.G., 1997. "Comment: income, inequality, and social cohesion," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1504-1506.
    3. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    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. Gustafsson,Björn A. & Shi,Li & Sicular,Terry (ed.), 2008. "Inequality and Public Policy in China," Cambridge Books, Cambridge University Press, number 9780521870450, Enero-Abr.
    6. Butler, J S, 1987. "Measurement Error in Self-reported Health Variables," The Review of Economics and Statistics, MIT Press, vol. 69(4), pages 644-650, November.
    7. Judge, Ken & Mulligan, Jo-Ann & Benzeval, Michaela, 0. "Income inequality and population health," Social Science & Medicine, Elsevier, vol. 46(4-5), pages 567-579, February.
    8. Gustafsson, Bjorn & Shi, Li, 2002. "Income inequality within and across counties in rural China 1988 and 1995," Journal of Development Economics, Elsevier, vol. 69(1), pages 179-204, October.
    9. Angus Deaton, 2001. "Relative Deprivation, Inequality, and Mortality," NBER Working Papers 8099, National Bureau of Economic Research, Inc.
    10. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    11. Hong Wang & Licheng Zhang & Heng-fu Zou, 2012. "Regional Disparity in Health and Health Care in China," CEMA Working Papers 541, China Economics and Management Academy, Central University of Finance and Economics.
    12. repec:pri:cheawb:deaton_relative_deprivation is not listed on IDEAS
    13. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2011. "Robust Inference With Multiway Clustering," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 29(2), pages 238-249, April.
    14. Zhongwei Zhao, 2006. "Income Inequality, Unequal Health Care Access, and Mortality in China," Population and Development Review, The Population Council, Inc., vol. 32(3), pages 461-483, September.
    15. Goode, Alison & Mavromaras, Kostas & zhu, Rong, 2014. "Family income and child health in China," China Economic Review, Elsevier, vol. 29(C), pages 152-165.
    16. Marcel Kerkhofs & Maarten Lindeboom, 1995. "Subjective health measures and state dependent reporting errors," Health Economics, John Wiley & Sons, Ltd., vol. 4(3), pages 221-235, May.
    17. repec:pri:cheawb:deaton_relative_deprivation.pdf is not listed on IDEAS
    18. 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.
    19. 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.
    20. Horrace, William C. & Oaxaca, Ronald L., 2006. "Results on the bias and inconsistency of ordinary least squares for the linear probability model," Economics Letters, Elsevier, vol. 90(3), pages 321-327, March.
    21. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    22. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    23. Ren Mu, 2014. "Regional Disparities In Self‐Reported Health: Evidence From Chinese Older Adults," Health Economics, John Wiley & Sons, Ltd., vol. 23(5), pages 529-549, May.
    24. Zachary Zimmer & Toshiko Kaneda & Laura Spess, 2007. "An Examination of Urban Versus Rural Mortality in China Using Community and Individual Data," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(5), pages 349-357.
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    15. Swapnanil SenGupta, 2024. "Human Capital Impacts of Income Inequality: An Extensive Empirical Analysis from the African Continent," SAGE Open, , vol. 14(2), pages 21582440241, May.
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    18. Hrushikesh Mallick & Mantu Kumar Mahalik & Hemachandra Padhan, 2020. "Does globalization exacerbate income inequality in two largest emerging economies? The role of FDI and remittances inflows," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 67(4), pages 443-480, December.
    19. Ren, Yanjun & Li, Hui & Wang, Xiaobing, 2019. "Family income and nutrition-related health: Evidence from food consumption in China," Social Science & Medicine, Elsevier, vol. 232(C), pages 58-76.
    20. Luo, Weixiang & Xie, Yu, 2020. "Economic growth, income inequality and life expectancy in China," Social Science & Medicine, Elsevier, vol. 256(C).
    21. Wang, Jinning & Couch, Kenneth A., 2024. "An empirical investigation of health dynamics of elders in China," The Journal of the Economics of Ageing, Elsevier, vol. 29(C).
    22. Hong Zou & Qianqian Xiong & Hongwei Xu, 2020. "Does Subjective Social Status Predict Self-Rated Health in Chinese Adults and Why?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(2), pages 443-471, November.

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