IDEAS home Printed from https://ideas.repec.org/a/wly/agribz/v39y2023is1p1399-1416.html
   My bibliography  Save this article

School feeding program and urban–rural inequality of child health: Evidence from China

Author

Listed:
  • Jingru Ren
  • Xiaodong Zheng
  • Rodney Smith
  • Xiangming Fang

Abstract

School feeding programs have served as go‐to policies for addressing child malnutrition in both developed and developing countries. While an increasing number of studies have investigated the health consequences of school feeding programs, empirical evidence regarding their effects on children's health inequality remains limited. This study examines the impact of China's Nutrition Improvement Program (NIP)—A program that provides free meals for rural students at the compulsory education stage—on rural children's health status and urban–rural health status differentials. The analysis uses data from the 2004–2015 China Health and Nutrition Survey. Leveraging county‐by‐county rollouts of the program, we employ difference‐in‐differences approaches as our identification strategy. The results show that the NIP significantly improves children's height‐for‐age z‐scores by 0.136 standard deviations. Moreover, we find that the NIP alleviates the inequality of opportunity in health between urban and rural children by 21.6% in pilot counties. These findings are robust to a series of validity checks. The effect is more pronounced among students who have a younger age, and live in low social status families. Our findings suggest that school feeding programs are effective in decreasing child malnutrition levels and reducing urban‐rural inequality in the long run. [EconLit citations: I10, I18, D63].

Suggested Citation

  • Jingru Ren & Xiaodong Zheng & Rodney Smith & Xiangming Fang, 2023. "School feeding program and urban–rural inequality of child health: Evidence from China," Agribusiness, John Wiley & Sons, Ltd., vol. 39(S1), pages 1399-1416, December.
    • Handle: RePEc:wly:agribz:v:39:y:2023:i:s1:p:1399-1416
    DOI: 10.1002/agr.21862
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/agr.21862
    Download Restriction: no
    File URL: https://libkey.io/10.1002/agr.21862?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Harold Alderman & John Hoddinott & Bill Kinsey, 2006. "Long term consequences of early childhood malnutrition," Oxford Economic Papers, Oxford University Press, vol. 58(3), pages 450-474, July.
    2. James Heckman & Flavio Cunha, 2007. "The Technology of Skill Formation," American Economic Review, American Economic Association, vol. 97(2), pages 31-47, May.
    3. Jingxi Wang & Lei Zhou & Shurong Yao, 2022. "The Impact of the Nutrition Improvement Program on Children’s Health in Rural Areas: Evidence from China," Emerging Markets Finance and Trade, Taylor & Francis Journals, vol. 58(1), pages 267-289, January.
    4. Wang, Jingxi & Hernandez, Manuel A. & Deng, Guoying, 2023. "Large-scale school meal programs and student health: Evidence from rural China," China Economic Review, Elsevier, vol. 79(C).
    5. Daniel L. Millimet & Rusty Tchernis & Muna Husain, 2010. "School Nutrition Programs and the Incidence of Childhood Obesity," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    6. Xiaodong Zheng & Xiangming Fang & Derek S. Brown, 2020. "Social Pensions and Child Health in Rural China," Journal of Development Studies, Taylor & Francis Journals, vol. 56(3), pages 545-559, March.
    7. Flavio Cunha & James J. Heckman & Susanne M. Schennach, 2010. "Estimating the Technology of Cognitive and Noncognitive Skill Formation," Econometrica, Econometric Society, vol. 78(3), pages 883-931, May.
    8. FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," LIDAM Discussion Papers CORE 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    9. James J. Heckman & Jora Stixrud & Sergio Urzua, 2006. "The Effects of Cognitive and Noncognitive Abilities on Labor Market Outcomes and Social Behavior," Journal of Labor Economics, University of Chicago Press, vol. 24(3), pages 411-482, July.
    10. James J. Heckman & Chase O. Corbin, 2016. "Capabilities and Skills," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 17(3), pages 342-359, July.
    11. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    12. Roemer, John E., 2012. "On Several Approaches To Equality Of Opportunity," Economics and Philosophy, Cambridge University Press, vol. 28(2), pages 165-200, July.
    13. Wang, Haining & Cheng, Zhiming, 2022. "Kids eat free: School feeding and family spending on education," Journal of Economic Behavior & Organization, Elsevier, vol. 193(C), pages 196-212.
    14. Harold Alderman & Donald Bundy, 2012. "School Feeding Programs and Development: Are We Framing the Question Correctly?," The World Bank Research Observer, World Bank, vol. 27(2), pages 204-221, August.
    15. Anderson, Michael L & Gallagher, Justin & Ritchie, Elizabeth Ramirez, 2018. "School meal quality and academic performance," Department of Agricultural & Resource Economics, UC Berkeley, Working Paper Series qt9w943058, Department of Agricultural & Resource Economics, UC Berkeley.
    16. Donald Bundy & Carmen Burbano & Margaret Grosh & Aulo Gelli & Matthew Jukes & Lesley Drake, 2009. "Rethinking School Feeding Social Safety Nets, Child Development, and the Education Sector," World Bank Publications - Books, The World Bank Group, number 2634, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dercon, Stefan & Sánchez, Alan, 2012. "Undernutrition and Psychosocial Competencies: Evidence from Four Countries," CEPR Discussion Papers 9032, C.E.P.R. Discussion Papers.
    2. Hai‐Anh H. Dang & Trong‐Anh Trinh & Paolo Verme, 2023. "Do refugees with better mental health better integrate? Evidence from the Building a New Life in Australia longitudinal survey," Health Economics, John Wiley & Sons, Ltd., vol. 32(12), pages 2819-2835, December.
    3. Zheng, Xiaodong & Fang, Zuyi & Wang, Yajun & Fang, Xiangming, 2022. "When left-behind children become adults and parents: The long-term human capital consequences of parental absence in China," China Economic Review, Elsevier, vol. 74(C).
    4. Marta Favara & Catherine Porter & Tassew Woldehanna, 2019. "Smarter through social protection? Evaluating the impact of Ethiopia’s safety-net on child cognitive abilities," Oxford Development Studies, Taylor & Francis Journals, vol. 47(1), pages 79-96, January.
    5. María Fernanda Rosales, 2014. "Impact of Early Life Shocks on Human Capital Formation: El Niño Floods in Ecuador," IDB Publications (Working Papers) 87693, Inter-American Development Bank.
    6. Lex Borghans & Angela Lee Duckworth & James J. Heckman & Bas ter Weel, 2008. "The Economics and Psychology of Personality Traits," Journal of Human Resources, University of Wisconsin Press, vol. 43(4).
    7. Lin, Dajun & Lutter, Randall & Ruhm, Christopher J., 2018. "Cognitive performance and labour market outcomes," Labour Economics, Elsevier, vol. 51(C), pages 121-135.
    8. Eric B. Schneider & Kota Ogasawara & Tim J. Cole, 2021. "Health Shocks, Recovery, and the First Thousand Days: The Effect of the Second World War on Height Growth in Japanese Children," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 1075-1105, December.
    9. By Tyas Prevoo & Bas ter Weel, 2015. "The importance of early conscientiousness for socio-economic outcomes: evidence from the British Cohort Study," Oxford Economic Papers, Oxford University Press, vol. 67(4), pages 918-948.
    10. repec:hal:spmain:info:hdl:2441/7gu5r9nb899om9oin7k24kjpgt is not listed on IDEAS
    11. Dahmann, Sarah C., 2017. "How does education improve cognitive skills? Instructional time versus timing of instruction," Labour Economics, Elsevier, vol. 47(C), pages 35-47.
    12. Schultz, T. Paul, 2010. "Population and Health Policies," Handbook of Development Economics, in: Dani Rodrik & Mark Rosenzweig (ed.), Handbook of Development Economics, edition 1, volume 5, chapter 0, pages 4785-4881, Elsevier.
    13. Flèche, Sarah & Lekfuangfu, Warn N. & Clark, Andrew E., 2021. "The long-lasting effects of family and childhood on adult wellbeing: Evidence from British cohort data," Journal of Economic Behavior & Organization, Elsevier, vol. 181(C), pages 290-311.
    14. Zenou, Yves & Boucher, Vincent & Tumen, Semih & Vlassopoulos, Michael & Wahba, Jackline, 2020. "Ethnic Mixing in Early Childhood: Evidence from a Randomized Field Experiment and a Structural Model," CEPR Discussion Papers 15528, C.E.P.R. Discussion Papers.
    15. Breitkopf, Laura & Chowdhury, Shyamal K. & Priyam, Shambhavi & Schildberg-Hörisch, Hannah & Sutter, Matthias, 2020. "Do economic preferences of children predict behavior?," DICE Discussion Papers 342, Heinrich Heine University Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    16. Berger, Eva M. & Fehr, Ernst & Hermes, Henning & Schunk, Daniel & Winkel, Kirsten, 2020. "The Impact of Working Memory Training on Children's Cognitive and Noncognitive Skills," IZA Discussion Papers 13338, Institute of Labor Economics (IZA).
    17. Sarrias, Mauricio & Blanco, Alejandra, 2022. "Bodyweight and human capital development: Assessing the impact of obesity on socioemotional skills during childhood in Chile," Economics & Human Biology, Elsevier, vol. 47(C).
    18. Minchul Yum, 2023. "Parental Time Investment And Intergenerational Mobility," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 64(1), pages 187-223, February.
    19. Calderón, María Cecilia & Hoddinott, John, 2011. "The Inter-Generational Transmission of Cognitive Abilities in Guatemala," IDB Publications (Working Papers) 3105, Inter-American Development Bank.
    20. Pablo Lavado & Nelson Oviedo & Hernán Ruffo, 2016. "Destruction of Cognitive and Noncognitive Skills in Adulthood," Working Papers 16-07, Centro de Investigación, Universidad del Pacífico.
    21. Humburg, M., 2014. "Personality and field of study choice," ROA Research Memorandum 001, Maastricht University, Research Centre for Education and the Labour Market (ROA).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:agribz:v:39:y:2023:i:s1:p:1399-1416. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1520-6297 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.