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Bonus of the leave: the impact of maternity leave extension on children's health in China

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  • Mao, Ailin
  • Fu, Yu
  • Li, Xiaoman

Abstract

Maternity leave is considered an important policy measure to protect working women, yet its intergenerational health effect in developing countries like China has not been formally and comprehensively assessed to guide public health policies in this area. This study aims to examine the impact of maternity leave extensions on children's health outcomes by evaluating the 2012 maternity leave extension policy in China. We develop pooled cross-section data with a total sample pool of 5745 from the China Family Panel Studies. We use a cohort difference-in-differences approach to investigate the impact of maternity leave extension on children's health outcomes in terms of height and weight using Height for Age Z-scores (HAZ) and Weight for Age Z-scores (WAZ). Our results suggest that when mothers enjoy the maternity leave extension, their children's HAZ and WAZ improve 0.122 and 0.075 standard deviations, respectively. In addition, we examine three potential mechanisms by which this association may be mediated by breastfeeding duration, parent-child interaction, and per capita household medical expenditures. Further test illustrates that the beneficial of this extension policy can be strengthened for children with their mothers as primary caregivers in adolescence, reverifying the essential mechanism of parental involvement. Our study finds evidence that maternity leave not only protects children around the period of childbirth but may also contribute to their health in later life. Together with research in international contexts, these findings highlight the need to consider policies and incentives designed to increase women's access to paid maternity leave and address issues of equity.

Suggested Citation

  • Mao, Ailin & Fu, Yu & Li, Xiaoman, 2025. "Bonus of the leave: the impact of maternity leave extension on children's health in China," Social Science & Medicine, Elsevier, vol. 387(C).
  • Handle: RePEc:eee:socmed:v:387:y:2025:i:c:s0277953625010226
    DOI: 10.1016/j.socscimed.2025.118691
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    1. Avendano, Mauricio & Berkman, Lisa F. & Brugiavini, Agar & Pasini, Giacomo, 2015. "The long-run effect of maternity leave benefits on mental health: Evidence from European countries," Social Science & Medicine, Elsevier, vol. 132(C), pages 45-53.
    2. Ruhm, Christopher J., 2000. "Parental leave and child health," Journal of Health Economics, Elsevier, vol. 19(6), pages 931-960, November.
    3. Hajizadeh, Mohammad & Heymann, Jody & Strumpf, Erin & Harper, Sam & Nandi, Arijit, 2015. "Paid maternity leave and childhood vaccination uptake: Longitudinal evidence from 20 low-and-middle-income countries," Social Science & Medicine, Elsevier, vol. 140(C), pages 104-117.
    4. Beuchert, Louise Voldby & Humlum, Maria Knoth & Vejlin, Rune, 2016. "The length of maternity leave and family health," Labour Economics, Elsevier, vol. 43(C), pages 55-71.
    5. Daniel Aaronson & Bhashkar Mazumder, 2011. "The Impact of Rosenwald Schools on Black Achievement," Journal of Political Economy, University of Chicago Press, vol. 119(5), pages 821-888.
    6. Colen, Cynthia G. & Ramey, David M., 2014. "Is breast truly best? Estimating the effects of breastfeeding on long-term child health and wellbeing in the United States using sibling comparisons," Social Science & Medicine, Elsevier, vol. 109(C), pages 55-65.
    7. Rossin, Maya, 2011. "The effects of maternity leave on children's birth and infant health outcomes in the United States," Journal of Health Economics, Elsevier, vol. 30(2), pages 221-239, March.
    8. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    9. Aline Bütikofer & Julie Riise & Meghan M. Skira, 2021. "The Impact of Paid Maternity Leave on Maternal Health," American Economic Journal: Economic Policy, American Economic Association, vol. 13(1), pages 67-105, February.
    10. Katharina Staehelin & Paola Bertea & Elisabeth Stutz, 2007. "Length of maternity leave and health of mother and child – a review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(4), pages 202-209, August.
    11. Michael Baker & Kevin Milligan, 2015. "Maternity leave and children’s cognitive and behavioral development," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(2), pages 373-391, April.
    12. Pinjas Albagli & Tomás Rau, 2019. "The Effects of a Maternity Leave Reform on Children's Abilities and Maternal Outcomes in Chile," The Economic Journal, Royal Economic Society, vol. 129(619), pages 1015-1047.
    13. Lawrence M. Berger & Jennifer Hill & Jane Waldfogel, 2005. "Maternity leave, early maternal employment and child health and development in the US," Economic Journal, Royal Economic Society, vol. 115(501), pages 29-47, February.
    14. Kien Le & My Nguyen, 2022. "The long-run impacts of paid maternity leave on height and educational attainment," Humanities and Social Sciences Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.
    15. Fabel, Marc, 2021. "Maternity leave and children's health outcomes in the long-term," Journal of Health Economics, Elsevier, vol. 76(C).
    16. Esther Duflo, 2001. "Schooling and Labor Market Consequences of School Construction in Indonesia: Evidence from an Unusual Policy Experiment," American Economic Review, American Economic Association, vol. 91(4), pages 795-813, September.
    17. Ahammer, Alexander & Halla, Martin & Schneeweis, Nicole, 2020. "The effect of prenatal maternity leave on short and long-term child outcomes," Journal of Health Economics, Elsevier, vol. 70(C).
    18. Aitken, Zoe & Garrett, Cameryn C. & Hewitt, Belinda & Keogh, Louise & Hocking, Jane S. & Kavanagh, Anne M., 2015. "The maternal health outcomes of paid maternity leave: A systematic review," Social Science & Medicine, Elsevier, vol. 130(C), pages 32-41.
    19. Robert Haveman & Barbara Wolfe, 1995. "The Determinants of Children's Attainments: A Review of Methods and Findings," Journal of Economic Literature, American Economic Association, vol. 33(4), pages 1829-1878, December.
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