IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v34y2025i9p1518-1536.html
   My bibliography  Save this article

Children's Education and Parental Healthcare Utilization: The Roles of Knowledge Transfer and Financial Support

Author

Listed:
  • Lei Lei
  • Lingyan Hu
  • Arthur van Soest
  • Yi Zhang

Abstract

Healthcare utilization among older people in developing countries is typically far below the level considered adequate in developed countries. This study investigates the effect of children's education on parental healthcare utilization in China. We exploit the change in children's education induced by the Compulsory Education Law (CEL) reform around 1986. We find that children's education reduces parents' outpatient care utilization, but increases their inpatient care utilization, self‐treatment use, and dental care. These effects can partly be explained by knowledge transfer leading to an increasing knowledge of quality and price differentials between different treatments and awareness of chronic diseases—Indeed we also find that parents with higher‐educated children are more likely to accurately report chronic diseases. Moreover, parents receive more monetary transfers from children and have more economic resources to afford health services if their children are better educated. In line with these mechanisms, we also find that children's education improves older parents' perceived chances to survive the next 10 years.

Suggested Citation

  • Lei Lei & Lingyan Hu & Arthur van Soest & Yi Zhang, 2025. "Children's Education and Parental Healthcare Utilization: The Roles of Knowledge Transfer and Financial Support," Health Economics, John Wiley & Sons, Ltd., vol. 34(9), pages 1518-1536, September.
  • Handle: RePEc:wly:hlthec:v:34:y:2025:i:9:p:1518-1536
    DOI: 10.1002/hec.4975
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4975
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4975?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. 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.
    2. Weitzman, Abigail, 2017. "The effects of women's education on maternal health: Evidence from Peru," Social Science & Medicine, Elsevier, vol. 180(C), pages 1-9.
    3. Lundborg, Petter & Majlesi, Kaveh, 2018. "Intergenerational transmission of human capital: Is it a one-way street?," Journal of Health Economics, Elsevier, vol. 57(C), pages 206-220.
    4. De Neve, Jan-Walter & Harling, Guy, 2017. "Offspring schooling associated with increased parental survival in rural KwaZulu-Natal, South Africa," Social Science & Medicine, Elsevier, vol. 176(C), pages 149-157.
    5. Jenny Torssander, 2013. "From Child to Parent? The Significance of Children’s Education for Their Parents’ Longevity," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 637-659, April.
    6. Elisabeth Artmann & Hessel Oosterbeek & Bas van der Klaauw, 2022. "Do Doctors Improve the Health Care of Their Parents? Evidence from Admission Lotteries," American Economic Journal: Applied Economics, American Economic Association, vol. 14(3), pages 164-184, July.
    7. Fang Cai & John Giles & Philip O'Keefe & Dewen Wang, 2012. "The Elderly and Old Age Support in Rural China : Challenges and Prospects," World Bank Publications - Books, The World Bank Group, number 2249, April.
    8. Ma, Mingming, 2019. "Does children's education matter for parents’ health and cognition? Evidence from China," Journal of Health Economics, Elsevier, vol. 66(C), pages 222-240.
    9. Liebersohn, Jack, 2024. "How does competition affect retail banking? Quasi-experimental evidence from bank mergers," Journal of Financial Economics, Elsevier, vol. 154(C).
    10. Jason M. Fletcher & David E. Frisvold, 2009. "Higher Education and Health Investments: Does More Schooling Affect Preventive Health Care Use?," Journal of Human Capital, University of Chicago Press, vol. 3(2), pages 144-176.
    11. Cui, Ying & Liu, Hong & Zhao, Liqiu, 2019. "Mother's education and child development: Evidence from the compulsory school reform in China," Journal of Comparative Economics, Elsevier, vol. 47(3), pages 669-692.
    12. Feng, Jin & Song, Hong & Wang, Zhen, 2020. "The elderly's response to a patient cost-sharing policy in health insurance: Evidence from China," Journal of Economic Behavior & Organization, Elsevier, vol. 169(C), pages 189-207.
    13. repec:wbk:wbpubs:6007 is not listed on IDEAS
    14. Bai, Yu & Yang, Ning & Wang, Lei & Zhang, Siqi, 2022. "The impacts of maternal migration on the cognitive development of preschool-aged children left behind in rural China," World Development, Elsevier, vol. 158(C).
    15. Kemptner, Daniel & Jürges, Hendrik & Reinhold, Steffen, 2011. "Changes in compulsory schooling and the causal effect of education on health: Evidence from Germany," Journal of Health Economics, Elsevier, vol. 30(2), pages 340-354, March.
    16. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    17. Huichao Du & Yun Xiao & Liqiu Zhao, 2021. "Education and gender role attitudes," Journal of Population Economics, Springer;European Society for Population Economics, vol. 34(2), pages 475-513, April.
    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. Ma, Mingming, 2019. "Does children's education matter for parents’ health and cognition? Evidence from China," Journal of Health Economics, Elsevier, vol. 66(C), pages 222-240.
    2. Cornelissen, Thomas & Dang, Thang, 2022. "The multigenerational impacts of educational expansion: Evidence from Vietnam," Labour Economics, Elsevier, vol. 78(C).
    3. Li, Yaoyue & Wang, Guixin & Li, Guofeng, 2021. "Educational attainment of offspring and obesity among older adults in China," Social Science & Medicine, Elsevier, vol. 286(C).
    4. Lei, Lei & Yu, Dandan & Zhou, Yang, 2023. "Better educated children, better Internet-connected elderly parents," Research Policy, Elsevier, vol. 52(4).
    5. Cui, Ying & Liu, Hong & Zhao, Liqiu, 2021. "Protective effect of adult children's education on parental survival in China: Gender differences and underlying mechanisms," Social Science & Medicine, Elsevier, vol. 277(C).
    6. Yanna Ma & Zhanli Ma & Moqin Yang, 2022. "Does Adult Children’s Education Increase Parents’ Longevity in China?," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    7. Nan Jiang, 2019. "Adult Children’s Education and Later-Life Health of Parents in China: The Intergenerational Effects of Human Capital Investment," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 145(1), pages 257-278, August.
    8. Ning Wei & Lülin Zhou & Wenhao Huang, 2022. "Does an upward intergenerational educational spillover effect exist? The effect of children’s education on Chinese parents’ health," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 69-89, March.
    9. Bingzheng Chen & Peiyun Deng & Xiaodong Fan, 2022. "Effect of compulsory education on retirement financial outcomes: evidence from China," Scandinavian Journal of Economics, Wiley Blackwell, vol. 124(4), pages 958-989, October.
    10. Yahirun, Jenjira J. & Sheehan, Connor M. & Hayward, Mark D., 2017. "Adult children's education and changes to parents' physical health in Mexico," Social Science & Medicine, Elsevier, vol. 181(C), pages 93-101.
    11. Gan, Hongwu & Lin, Chuan & Zhou, Yang & Zhuo, Zhiyi, 2025. "Adult children's education and elderly parents' energy poverty: Evidence from China," Energy Policy, Elsevier, vol. 202(C).
    12. Chen, Jiwei & Guo, Jiangying, 2022. "The effect of female education on fertility: Evidence from China’s compulsory schooling reform," Economics of Education Review, Elsevier, vol. 88(C).
    13. Muhammad Fikru Rizal & Nicole Black & David W. Johnston & Rohan Sweeney, 2023. "Long‐term health effects of a school construction program," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1670-1688, August.
    14. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    15. Jiang, Nan & Kaushal, Neeraj, 2020. "How children's education affects caregiving: Evidence from parent’s last years of life," Economics & Human Biology, Elsevier, vol. 38(C).
    16. De Neve, Jan-Walter & Fink, Günther, 2018. "Children’s education and parental old age survival – Quasi-experimental evidence on the intergenerational effects of human capital investment," Journal of Health Economics, Elsevier, vol. 58(C), pages 76-89.
    17. Zhang, Zheyuan & Zhao, Zhong, 2023. "Women's education and fertility in China," China Economic Review, Elsevier, vol. 78(C).
    18. Li, Yanan & Sunder, Naveen, 2024. "Distributional effects of education on mental health," Labour Economics, Elsevier, vol. 88(C).
    19. Thang Dang & Mika Haapanen & Tuomo Suhonen, 2024. "The Causal Effects of Education on Family Health: Evidence from Expanding Access to Higher Education," Working Papers 347, Työn ja talouden tutkimus LABORE, The Labour Institute for Economic Research LABORE.
    20. Youlu Zhang & Li Zhang & Fulian Li & Liqian Deng & Jiaoli Cai & Linyue Yu, 2022. "Offspring Education and Parents’ Health Inequality in China: Evidence from Spillovers of Education Reform," IJERPH, MDPI, vol. 19(4), pages 1-26, February.

    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:hlthec:v:34:y:2025:i:9:p:1518-1536. 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://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.