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The Impact Mechanism of Household Financial Debt on Physical Health in China

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  • Jiru Song

    (School of Statistics, Shandong University of Finance and Economics, Jinan 250002, China)

  • Mingzheng Hu

    (China Center for Health Development Studies, Peking University, Beijing 100191, China)

  • Shaojie Li

    (China Center for Health Development Studies, Peking University, Beijing 100191, China)

  • Xin Ye

    (Institute for Global Public Policy, LSE-Fudan Research Centre for Global Public Policy, Fudan University, Shanghai 200433, China)

Abstract

In recent years, Chinese household financial debt has been growing rapidly due to the expansion of mortgage lending. This study aims to examine the impact mechanism of Chinese household financial debt on physical health. Using the 2010–2018 China Household Tracking Survey (CFPS) panel data, we developed fixed effects models to explore the effect of household financial debt on individuals’ psychical health, and we also used an instrumental variable to address endogeneity. The findings suggest that there is a negative effect of household financial debt on physical health and these findings still hold after a series of robustness tests. In addition, household financial debt can affect individuals’ physical health through mediating variables, such as healthcare behaviors and mental health, and the effects are more significant for those who are middle-aged, married, and with low-income levels. The findings of this paper are important for developing countries to clarify the relationship between household financial debt and population health, and to develop appropriate health intervention policies for highly indebted households.

Suggested Citation

  • Jiru Song & Mingzheng Hu & Shaojie Li & Xin Ye, 2023. "The Impact Mechanism of Household Financial Debt on Physical Health in China," IJERPH, MDPI, vol. 20(5), pages 1-13, March.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4643-:d:1088825
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    1. Alok Bhargava & Dean T. Jamison & Lawrence J. Lau & Christopher J. L. Murray, 2006. "Modeling the effects of health on economic growth," World Scientific Book Chapters, in: Econometrics, Statistics And Computational Approaches In Food And Health Sciences, chapter 20, pages 269-286, World Scientific Publishing Co. Pte. Ltd..
    2. Ms. Elena Loukoianova & Yu Ching Wong & Ioana Hussiada, 2019. "Household Debt, Consumption, and Monetary Policy in Australia," IMF Working Papers 2019/076, International Monetary Fund.
    3. Noy, Ilan & Nualsri, Aekkanush, 2011. "Fiscal storms: public spending and revenues in the aftermath of natural disasters," Environment and Development Economics, Cambridge University Press, vol. 16(1), pages 113-128, February.
    4. Matteo Iacoviello, 2008. "Household Debt and Income Inequality, 1963–2003," Journal of Money, Credit and Banking, Blackwell Publishing, vol. 40(5), pages 929-965, August.
    5. Wei, Huaying & Guo, Rui & Sun, Honghao & Wang, Nan, 2021. "Household leverage and education expenditure: the role of household investment," Finance Research Letters, Elsevier, vol. 38(C).
    6. Cookson, J. Anthony & Gilje, Erik P. & Heimer, Rawley Z., 2022. "Shale shocked: Cash windfalls and household debt repayment," Journal of Financial Economics, Elsevier, vol. 146(3), pages 905-931.
    7. Hale Balseven & Can Tansel Tugcu, 2017. "Analyzing the Effects of Fiscal Policy on Income Distribution: A Comparison between Developed and Developing Countries," International Journal of Economics and Financial Issues, Econjournals, vol. 7(2), pages 377-383.
    8. Zhang, Dongyang & Guo, Rui, 2020. "The consumption response to household leverage in China: The role of investment at household level," International Review of Financial Analysis, Elsevier, vol. 71(C).
    9. Xinjie Shi, 2022. "Moving out but not for the better: Health consequences of interprovincial rural‐urban migration in China," Health Economics, John Wiley & Sons, Ltd., vol. 31(4), pages 555-573, April.
    10. Ohrnberger, Julius & Fichera, Eleonora & Sutton, Matt, 2017. "The relationship between physical and mental health: A mediation analysis," Social Science & Medicine, Elsevier, vol. 195(C), pages 42-49.
    11. Frank, Richard G. & McGuire, Thomas G., 2000. "Economics and mental health," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 16, pages 893-954, Elsevier.
    12. Guy Debelle, 2004. "Macroeconomic implications of rising household debt," BIS Working Papers 153, Bank for International Settlements.
    13. Zhifeng Liu & Xueyi Zhong & Tingting Zhang & Wenquan Li, 2020. "Household debt and happiness: evidence from the China Household Finance Survey," Applied Economics Letters, Taylor & Francis Journals, vol. 27(3), pages 199-205, February.
    14. Maria Sagrario Floro & John Messier, 2011. "Is there a link between quality of employment and indebtedness? the case of urban low-income households in Ecuador," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 35(3), pages 499-526.
    15. David N. Well, 2007. "Accounting for the Effect Of Health on Economic Growth," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1265-1306.
    16. Jiang, Wei & Lu, Yi & Xie, Huihua, 2020. "Education and mental health: Evidence and mechanisms," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 407-437.
    17. Zhiming Yang & Zhen Wang & Xiao-Chen Yuan & Yu Qi & Yunquan Zhang & Weiqing Wang & Fanglin He & Jing Li, 2022. "Does income inequality aggravate the impacts of air pollution on physical health? Evidence from China," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(2), pages 2120-2144, February.
    18. Ao, Chon-Kit & Dong, Yilin & Kuo, Pei-Fen, 2021. "Industrialization, indoor and ambient air quality, and elderly mental health," China Economic Review, Elsevier, vol. 69(C).
    19. Xu, Yuanwei & Wang, Feicheng, 2022. "The health consequence of rising housing prices in China," Journal of Economic Behavior & Organization, Elsevier, vol. 200(C), pages 114-137.
    20. Karen A. Zurlo & WonAh Yoon & Hyungsoo Kim, 2014. "Unsecured Consumer Debt and Mental Health Outcomes in Middle-Aged and Older Americans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(3), pages 461-469.
    21. Hojman, Daniel A. & Miranda, Álvaro & Ruiz-Tagle, Jaime, 2016. "Debt trajectories and mental health," Social Science & Medicine, Elsevier, vol. 167(C), pages 54-62.
    22. Jason Roderick Donaldson & Giorgia Piacentino & Anjan Thakor, 2019. "Household Debt Overhang and Unemployment," Journal of Finance, American Finance Association, vol. 74(3), pages 1473-1502, June.
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