Is the Child Health / Family Income Gradient Universal? Evidence from England
In an influential study Case et al. (2002) documented a positive relationship between family income and child health in the US, with the slope of the gradient being larger for older than younger children. In this paper we explore the child health income gradient in England, which has a comprehensive publicly-funded National Health Service (NHS) founded on the twin principles of health care being free at the point of delivery and equality of access for the whole population. Our analysis is based on a sample of over 13,000 children (and their parents) drawn from the Health Survey for England. In accordance with Case et al. (2002), we find consistent and robust evidence of a significant family income gradient in child health using the subjective general health status measure. However, in England the size of the gradient is considerably smaller than that found for the US and we find no evidence that its slope increases with child age. We also provide new evidence that nutrition and family lifestyle choices have an important role in determining child health and that child health outcomes are highly correlated within the family. In addition, we find no evidence of an income gradient for objective indicators of child health, derived from nurse measurements and blood test results. Together our evidence is consistent with the hypothesis that the NHS has a protective effect on the health of children in England.
|Date of creation:||Oct 2004|
|Date of revision:|
|Publication status:||published in: Journal of Health Economics, 2007, 26 (2), 213-232|
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- Janet Currie, 2004. "Viewpoint: Child research comes of age," Canadian Journal of Economics, Canadian Economics Association, vol. 37(3), pages 509-527, August.
- Janet Currie & Rosemary Hyson, 1999.
"Is the Impact of Health Shocks Cushioned by Socioeconomic Status? The Case of Low Birthweight,"
NBER Working Papers
6999, National Bureau of Economic Research, Inc.
- Rosemary Hyson & Janet Currie, 1999. "Is the Impact of Health Shocks Cushioned by Socioeconomic Status? The Case of Low Birthweight," American Economic Review, American Economic Association, vol. 89(2), pages 245-250, May.
- James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
- Deaton, Angus S & Paxson, Christina H, 1998.
"Aging and Inequality in Income and Health,"
American Economic Review,
American Economic Association, vol. 88(2), pages 248-53, May.
- Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
- Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
- Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
- Anne Case & Darren Lubotsky & Christina Paxson, 2001.
"Economic Status and Health in Childhood: The Origins of the Gradient,"
NBER Working Papers
8344, National Bureau of Economic Research, Inc.
- Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
- Propper, Carol, 2000. "The demand for private health care in the UK," Journal of Health Economics, Elsevier, vol. 19(6), pages 855-876, November.
- Meer, Jonathan & Miller, Douglas L. & Rosen, Harvey S., 2003.
"Exploring the health-wealth nexus,"
Journal of Health Economics,
Elsevier, vol. 22(5), pages 713-730, September.
- Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004.
"Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status,"
in: Perspectives on the Economics of Aging, pages 415-526
National Bureau of Economic Research, Inc.
- Adams, Peter & Hurd, Michael D. & McFadden, Daniel & Merrill, Angela & Ribeiro, Tiago, 2003. "Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status," Journal of Econometrics, Elsevier, vol. 112(1), pages 3-56, January.
- Anne Case & Ingrid Le Roux & Alicia Menendez, 2004. "Medical Compliance and Income-Health Gradients," American Economic Review, American Economic Association, vol. 94(2), pages 331-335, May.
- Culyer, A. J. & Wagstaff, Adam, 1993. "Equity and equality in health and health care," Journal of Health Economics, Elsevier, vol. 12(4), pages 431-457, December.
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