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Household Saving, Health, and Healthcare Utilisation in Japan

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  • Alzuabi, Raslan
  • Brown, Sarah
  • Gray, Daniel
  • Harris, Mark N.
  • Spencer, Christopher

Abstract

The impact of health and healthcare utilisation on household savings and financial portfolios is explored using data from the Japanese Household Panel Survey (JHPS) and he Keio Household Panel Survey (KHPS). Whereas poor physical health is associated with higher savings and larger financial portfolios, poor mental health is found to have the opposite effects. Hospital visits, hospitalisation, and screening are associated with greater savings and larger financial portfolios. We also explore how the share of savings expressed as a proportion of total financial assets is affected by our health measures. We find that portfolio re-balancing effects associated with our health measures are outweighed by pure 'size' effects, in that our health measures affect the total value of a household's financial portfolio and its components (i.e., savings and securities), but not its overall composition.

Suggested Citation

  • Alzuabi, Raslan & Brown, Sarah & Gray, Daniel & Harris, Mark N. & Spencer, Christopher, 2019. "Household Saving, Health, and Healthcare Utilisation in Japan," CEI Working Paper Series 2018-17, Center for Economic Institutions, Institute of Economic Research, Hitotsubashi University.
  • Handle: RePEc:hit:hitcei:2018-17
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    1. Cardak, Buly A. & Wilkins, Roger, 2009. "The determinants of household risky asset holdings: Australian evidence on background risk and other factors," Journal of Banking & Finance, Elsevier, vol. 33(5), pages 850-860, May.
    2. Chernozhukov, Victor & Fernández-Val, Iván & Kowalski, Amanda E., 2015. "Quantile regression with censoring and endogeneity," Journal of Econometrics, Elsevier, vol. 186(1), pages 201-221.
    3. James M. Poterba, 1994. "Public Policies and Household Saving," NBER Books, National Bureau of Economic Research, Inc, number pote94-2.
    4. Deaton, Angus, 1991. "Saving and Liquidity Constraints," Econometrica, Econometric Society, vol. 59(5), pages 1221-1248, September.
    5. Hiroshi Fujiki & Naohisa Hirakata & Etsuro Shioji, 2012. "Aging and Household Stockholdings: Evidence from Japanese Household Survey Data," IMES Discussion Paper Series 12-E-17, Institute for Monetary and Economic Studies, Bank of Japan.
    6. Hayashi, Fumio & Ando, Albert & Ferris, Richard, 1988. "Life cycle and bequest savings A study of Japanese and U.S. households based on data from the 1984 NSFIE and the 1983 survey of consumer finances," Journal of the Japanese and International Economies, Elsevier, vol. 2(4), pages 450-491, December.
    7. R. Anton Braun & Daisuke Ikeda & Douglas H. Joines, 2009. "The Saving Rate In Japan: Why It Has Fallen And Why It Will Remain Low," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 50(1), pages 291-321, February.
    8. Christopher D. Carroll & Andrew A. Samwick, 1998. "How Important Is Precautionary Saving?," The Review of Economics and Statistics, MIT Press, vol. 80(3), pages 410-419, August.
    9. Iwaisako, Tokuo, 2009. "Household portfolios in Japan," Japan and the World Economy, Elsevier, vol. 21(4), pages 373-382, December.
    10. Rosen, H.S.Harvey S. & Wu, Stephen, 2004. "Portfolio choice and health status," Journal of Financial Economics, Elsevier, vol. 72(3), pages 457-484, June.
    11. Martin Browning & Annamaria Lusardi, 1996. "Household Saving: Micro Theories and Micro Facts," Journal of Economic Literature, American Economic Association, vol. 34(4), pages 1797-1855, December.
    12. Vicki L. Bogan & Angela R. Fertig, 2018. "Mental health and retirement savings: Confounding issues with compounding interest," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 404-425, February.
    13. Spaenjers, Christophe & Spira, Sven Michael, 2015. "Subjective life horizon and portfolio choice," Journal of Economic Behavior & Organization, Elsevier, vol. 116(C), pages 94-106.
    14. Hayashi, Fumio & Ito, Takatoshi & Slemrod, Joel, 1988. "Housing finance imperfections, taxation, and private saving: A comparative simulation analysis of the United States and Japan," Journal of the Japanese and International Economies, Elsevier, vol. 2(3), pages 215-238, September.
    15. Kimball, Miles S, 1990. "Precautionary Saving in the Small and in the Large," Econometrica, Econometric Society, vol. 58(1), pages 53-73, January.
    16. Bound, John & Schoenbaum, Michael & Stinebrickner, Todd R. & Waidmann, Timothy, 1999. "The dynamic effects of health on the labor force transitions of older workers," Labour Economics, Elsevier, vol. 6(2), pages 179-202, June.
    17. Guariglia, Alessandra & Rossi, Mariacristina, 2004. "Private medical insurance and saving: evidence from the British Household Panel Survey," Journal of Health Economics, Elsevier, vol. 23(4), pages 761-783, July.
    18. Landis MacKellar & Tatiana Ermolieva & David Horlacher & Leslie Mayhew, 2004. "The Economic Impacts of Population Ageing in Japan," Books, Edward Elgar Publishing, number 3056.
    19. Powell, James L., 1986. "Censored regression quantiles," Journal of Econometrics, Elsevier, vol. 32(1), pages 143-155, June.
    20. Edwards, Ryan D, 2008. "Health Risk and Portfolio Choice," Journal of Business & Economic Statistics, American Statistical Association, vol. 26, pages 472-485.
    21. Horioka, Charles Yuji & Watanabe, Wako, 1997. "Why Do People Save? A Micro-Analysis of Motives for Household Saving in Japan," Economic Journal, Royal Economic Society, vol. 107(442), pages 537-552, May.
    22. Aizawa, Toshiaki & Helble, Matthias, 2015. "Health and Home Ownership: Findings for the Case of Japan," ADBI Working Papers 525, Asian Development Bank Institute.
    23. Arthur Kennickell & Annamaria Lusardi, 2004. "Disentangling the Importance of the Precautionary Saving Mode," NBER Working Papers 10888, National Bureau of Economic Research, Inc.
    24. Yukinobu Kitamura & Taisuke Uchino, 2010. "The Effect of Academic Background on Household Portfolio Selection: Evidence from Japanese Repeated Cross Section Data," Global COE Hi-Stat Discussion Paper Series gd10-149, Institute of Economic Research, Hitotsubashi University.
    25. Noriyuki Takayama & Yukinobu Kitamura, 1994. "Household Saving Behavior in Japan," NBER Chapters, in: International Comparisons of Household Saving, pages 125-168, National Bureau of Economic Research, Inc.
    26. A Lusardi & J Skinner & S Venti, 2001. "Saving puzzles and saving policies in the United States," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 17(1), pages 95-115, Spring.
    27. Vicki L. Bogan & Angela R. Fertig, 2013. "Portfolio Choice and Mental Health," Review of Finance, European Finance Association, vol. 17(3), pages 955-992.
    28. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, April.
    29. Kitamura, Yukinobu & Takayama, Noriyuki & Arita, Fumiko, 2001. "Household savings in Japan revisited," Research in Economics, Elsevier, vol. 55(2), pages 135-153, June.
      • Kitamura, Yukinobu & 北村, 行伸 & キタムラ, ユキノブ & Takayama, Noriyuki & 高山, 憲之 & タカヤマ, ノリユキ & Arita, Fumiko & 有田, 富美子, 2000. "Household Savings in Japan Revisited," Discussion Paper 6, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    30. Maruyama, Shiko & Nakamura, Sayaka, 2015. "The decline in BMI among Japanese women after World War II," Economics & Human Biology, Elsevier, vol. 18(C), pages 125-138.
    31. Chie Hanaoka & Hitoshi Shigeoka & Yasutora Watanabe, 2018. "Do Risk Preferences Change? Evidence from the Great East Japan Earthquake," American Economic Journal: Applied Economics, American Economic Association, vol. 10(2), pages 298-330, April.
    32. James M. Poterba, 1994. "International Comparisons of Household Saving," NBER Books, National Bureau of Economic Research, Inc, number pote94-1.
    33. Haliassos, Michael & Bertaut, Carol C, 1995. "Why Do So Few Hold Stocks?," Economic Journal, Royal Economic Society, vol. 105(432), pages 1110-1129, September.
    34. Yuichiro Ito & Yasutaka Takizuka & Shigeaki Fujiwara, 2017. "Portfolio Selection by Households: An Empirical Analysis Using Dynamic Panel Data Models," Bank of Japan Working Paper Series 17-E-6, Bank of Japan.
    35. James M. Poterba, 1994. "Introduction to "International Comparisons of Household Saving"," NBER Chapters, in: International Comparisons of Household Saving, pages 1-10, National Bureau of Economic Research, Inc.
    36. Poterba, James M. (ed.), 1994. "Public Policies and Household Saving," National Bureau of Economic Research Books, University of Chicago Press, edition 1, number 9780226676180.
    37. Angela C. Lyons & Tansel Yilmazer, 2005. "Health and Financial Strain: Evidence from the Survey of Consumer Finances," Southern Economic Journal, John Wiley & Sons, vol. 71(4), pages 873-890, April.
    38. Fan, Elliott & Zhao, Ruoyun, 2009. "Health status and portfolio choice: Causality or heterogeneity?," Journal of Banking & Finance, Elsevier, vol. 33(6), pages 1079-1088, June.
    39. Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
    40. Hayne E. Leland, 1968. "Saving and Uncertainty: The Precautionary Demand for Saving," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 82(3), pages 465-473.
    41. David Roodman, 2011. "Fitting fully observed recursive mixed-process models with cmp," Stata Journal, StataCorp LP, vol. 11(2), pages 159-206, June.
    42. John Bound, 1991. "Self-Reported Versus Objective Measures of Health in Retirement Models," Journal of Human Resources, University of Wisconsin Press, vol. 26(1), pages 106-138.
    43. Matthias Keese & Hendrik Schmitz, 2014. "Broke, Ill, and Obese: Is There an Effect of Household Debt on Health?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 60(3), pages 525-541, September.
    44. Berkowitz, Michael K. & Qiu, Jiaping, 2006. "A further look at household portfolio choice and health status," Journal of Banking & Finance, Elsevier, vol. 30(4), pages 1201-1217, April.
    45. Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January.
    46. Phatta Kirdruang & Paul Glewwe, 2018. "The impact of universal health coverage on households’ consumption and savings in Thailand," Journal of the Asia Pacific Economy, Taylor & Francis Journals, vol. 23(1), pages 78-98, January.
    47. Michael G. Palumbo, 1999. "Uncertain Medical Expenses and Precautionary Saving Near the End of the Life Cycle," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 66(2), pages 395-421.
    48. Papke, Leslie E & Wooldridge, Jeffrey M, 1996. "Econometric Methods for Fractional Response Variables with an Application to 401(K) Plan Participation Rates," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 11(6), pages 619-632, Nov.-Dec..
    49. Takayama, Noriyuki & Inagaki, Seiichi & Oshio, Takashi, 2012. "The Japanese Longitudinal Survey on Employment and Fertility (LOSEF): Essential Features of the 2011 Internet Version and a Guide to Its Users," CIS Discussion paper series 546, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    50. Takashi Unayama, 2018. "Introduction to Japanese Household Surveys," SpringerBriefs in Economics, Springer, number 978-981-10-7680-0, April.
    51. Hong H. & Chernozhukov V., 2002. "Three-Step Censored Quantile Regression and Extramarital Affairs," Journal of the American Statistical Association, American Statistical Association, vol. 97, pages 872-882, September.
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    Cited by:

    1. Yoko Mimura, 2023. "Save Today for a Happier Tomorrow: Associations Between Happiness and Financial Preparation in Japan," Journal of Happiness Studies, Springer, vol. 24(3), pages 1261-1281, March.

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    More about this item

    Keywords

    Asset Allocation; Censored Quantile Regressions; Fractional Models; Health and Healthcare Utilization; Savings and Financial Assets; Tobit Model;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • C35 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Discrete Regression and Qualitative Choice Models; Discrete Regressors; Proportions
    • D14 - Microeconomics - - Household Behavior - - - Household Saving; Personal Finance
    • G11 - Financial Economics - - General Financial Markets - - - Portfolio Choice; Investment Decisions

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