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The Health Inequality of Children in China: A Regression-Based Decomposition Analysis

Author

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  • Yongqing Dong

    (Tianjin University
    Tianjin University)

  • Quheng Deng

    (Chinese Academy of Social Sciences)

  • Shaoping Li

    (Huzhou University)

Abstract

The health inequality of children is particularly important due to its far-reaching impact. Many empirical studies have shown that the lack of health-related human capital accumulation during childhood has many adverse effects. However, the health inequality of children seems to be less discussed in China. In this paper, we investigate the status and contributing factors of health inequality of children in China. The dataset used in this paper is called Rural-Urban Migration in China 2008 (RUMiC 2008), which was initiated by the Australian National University alongside a few other institutions. Using the data, firstly, we calculate the concentration index for stunting and underweight to track their status among children. Then, we decompose the concentration index using a regression equation method. The results show that household per capita income is the most important contributional factor to the concentration index of stunting for rural children. The next most important factor is the education of the household head. As expected, household per capita income is not an important contributional factor toward the concentration index of stunting in the urban sample. Its most important contributional factor is the education of the household head. For both rural and urban children, household per capita income is the most important contributional factor for the concentration index of underweight. Well-designed policies to increase the household per capita income and the education of the household heads may help to reduce the health inequality of their children.

Suggested Citation

  • Yongqing Dong & Quheng Deng & Shaoping Li, 2022. "The Health Inequality of Children in China: A Regression-Based Decomposition Analysis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 137-159, February.
    • Handle: RePEc:spr:chinre:v:15:y:2022:i:1:d:10.1007_s12187-021-09854-9
    DOI: 10.1007/s12187-021-09854-9
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    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    3. Vincenzo Carrieri & Andrew M. Jones, 2018. "Inequality of opportunity in health: A decomposition‐based approach," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 1981-1995, December.
    4. Van Ourti, Tom & van Doorslaer, Eddy & Koolman, Xander, 2009. "The effect of income growth and inequality on health inequality: Theory and empirical evidence from the European Panel," Journal of Health Economics, Elsevier, vol. 28(3), pages 525-539, May.
    5. Angus Deaton, 2008. "Income, Health, and Well-Being around the World: Evidence from the Gallup World Poll," Journal of Economic Perspectives, American Economic Association, vol. 22(2), pages 53-72, Spring.
    6. David E. Sahn & Stephen D. Younger, 2009. "Measuring intra‐household health inequality: explorations using the body mass index," Health Economics, John Wiley & Sons, Ltd., vol. 18(S1), pages 13-36, April.
    7. Chen, Zhuo & Eastwood, David B. & Yen, Steven T., 2007. "A decade's story of childhood malnutrition inequality in China: Where you live does matter," China Economic Review, Elsevier, vol. 18(2), pages 139-154.
    8. Liu, Hong & Fang, Hai & Zhao, Zhong, 2013. "Urban–rural disparities of child health and nutritional status in China from 1989 to 2006," Economics & Human Biology, Elsevier, vol. 11(3), pages 294-309.
    9. Dong, Yongqing & Luo, Renfu & Zhang, Linxiu & Liu, Chengfang & Bai, Yunli, 2019. "Intergenerational transmission of education: The case of rural China," China Economic Review, Elsevier, vol. 53(C), pages 311-323.
    10. Chuliang Luo & Terry Sicular & Shi Li, 2017. "Overview: Incomes and Inequality in China, 2007-2013," University of Western Ontario, Centre for Human Capital and Productivity (CHCP) Working Papers 201713, University of Western Ontario, Centre for Human Capital and Productivity (CHCP).
    11. Kakwani, Nanak C, 1977. "Applications of Lorenz Curves in Economic Analysis," Econometrica, Econometric Society, vol. 45(3), pages 719-727, April.
    12. Bhagowalia, Priya & Chen, Susan E. & Masters, William A., 2011. "Effects and determinants of mild underweight among preschool children across countries and over time," Economics & Human Biology, Elsevier, vol. 9(1), pages 66-77, 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. Abhijit Banerjee & Angus Deaton & Esther Duflo, 2004. "Wealth, Health, and Health Services in Rural Rajasthan," American Economic Review, American Economic Association, vol. 94(2), pages 326-330, May.
    15. Adam Wagstaff & Eddy van Doorslaer, 2004. "Overall versus socioeconomic health inequality: a measurement framework and two empirical illustrations," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 297-301, March.
    16. Lee, Jounghee & Houser, Robert F. & Must, Aviva & de Fulladolsa, Patricia Palma & Bermudez, Odilia I., 2012. "Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in guatemala," Economics & Human Biology, Elsevier, vol. 10(3), pages 232-241.
    17. Cassandra Robertson & Rourke O’Brien, 2018. "Health Endowment at Birth and Variation in Intergenerational Economic Mobility: Evidence From U.S. County Birth Cohorts," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 249-269, February.
    18. Schultz, T. Paul, 2005. "Productive Benefits of Health: Evidence from Low-Income Countries," Center Discussion Papers 28532, Yale University, Economic Growth Center.
    19. Linxiu Zhang & Hongmei Yi & Renfu Luo & Changfang Liu & Scott Rozelle, 2013. "The human capital roots of the middle income trap: the case of China," Agricultural Economics, International Association of Agricultural Economists, vol. 44(s1), pages 151-162, November.
    20. 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.
    21. Yuyu Chen & Hongbin Li & Lingsheng Meng, 2013. "Prenatal Sex Selection and Missing Girls in China: Evidence from the Diffusion of Diagnostic Ultrasound," Journal of Human Resources, University of Wisconsin Press, vol. 48(1), pages 36-70.
    22. Xin Meng & Chikako Yamauchi, 2017. "Children of Migrants: The Cumulative Impact of Parental Migration on Children’s Education and Health Outcomes in China," Demography, Springer;Population Association of America (PAA), vol. 54(5), pages 1677-1714, October.
    23. Tobin, James, 1970. "On Limiting the Domain of Inequality," Journal of Law and Economics, University of Chicago Press, vol. 13(2), pages 263-277, October.
    24. Pradhan, Menno & Sahn, David E. & Younger, Stephen D., 2003. "Decomposing world health inequality," Journal of Health Economics, Elsevier, vol. 22(2), pages 271-293, March.
    25. Li,Shi & Sato,Hiroshi & Sicular,Terry (ed.), 2013. "Rising Inequality in China," Cambridge Books, Cambridge University Press, number 9781107002913.
    26. Allanson, Paul & Petrie, Dennis, 2013. "Longitudinal methods to investigate the role of health determinants in the dynamics of income-related health inequality," Journal of Health Economics, Elsevier, vol. 32(5), pages 922-937.
    27. Amartya Sen, 2002. "Why health equity?," Health Economics, John Wiley & Sons, Ltd., vol. 11(8), pages 659-666, December.
    28. Ho Lun Wong & Yaojiang Shi & Renfu Luo & Linxiu Zhang & Scott Rozelle, 2014. "Improving the Health and Education of Elementary Schoolchildren in Rural China: Iron Supplementation Versus Nutritional Training for Parents," Journal of Development Studies, Taylor & Francis Journals, vol. 50(4), pages 502-519, April.
    29. Mehtap Akgüç & Corrado Giulietti & Klaus Zimmermann, 2014. "The RUMiC longitudinal survey: fostering research on labor markets in China," IZA Journal of Labor & Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 3(1), pages 1-14, December.
    30. Wildman, John, 2003. "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time," Journal of Health Economics, Elsevier, vol. 22(2), pages 295-312, March.
    31. JØrgen Lauridsen & Terkel Christiansen & Jens Gundgaard & Unto Häkkinen & Harri Sintonen, 2007. "Decomposition of health inequality by determinants and dimensions," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 97-102, January.
    32. Peter Glick & David E. Sahn, 1998. "Health and productivity in a heterogeneous urban labour market," Applied Economics, Taylor & Francis Journals, vol. 30(2), pages 203-216, February.
    33. Shiyu Bo, 2018. "Son preference, children’s gender and parents’ time allocation: evidence from China," Applied Economics, Taylor & Francis Journals, vol. 50(45), pages 4830-4846, September.
    34. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    35. Frank J. Elgar & Britt McKinnon & Torbjørn Torsheim & Christina Warrer Schnohr & Joanna Mazur & Franco Cavallo & Candace Currie, 2016. "Patterns of Socioeconomic Inequality in Adolescent Health Differ According to the Measure of Socioeconomic Position," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1169-1180, July.
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