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Childhood Circumstances and Health Inequality in Old Age: Comparative Evidence from China and the United States

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  • Chen, Xi

    (Yale University)

  • Yan, Binjian

    (Nanjing University)

  • Gill, Thomas M.

    (Yale University)

Abstract

This paper estimates the extent to which childhood circumstances contribute to health inequality in old age and evaluates the importance of major domains of childhood circumstances to health inequalities in the USA and China. We link two waves of the China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015 with the newly released 2014 Life History Survey (LHS), and two waves of the Health and Retirement Study (HRS) in 2014 and 2016 with the newly released 2015 Life History Mail Survey (LHMS) in the USA, to quantify health inequality due to childhood circumstances for which they have little control. Using the Shapley value decomposition approach, we show that childhood circumstances may explain 7-16 percent and 14-30 percent of health inequality in old age in China and the USA, respectively. Specifically, the contribution of childhood circumstances to health inequality is larger in the USA than in China for self-rated health, mental health, and physical health. Examining domains of childhood circumstance, regional and rural/urban status contribute more to health inequality in China, while family socioeconomic status (SES) contributes more to health inequality in the USA. Our findings support the value of a life course approach in identifying the key determinants of health in old age. Distinguishing sources of health inequality and rectifying inequality due to early childhood circumstances should be the basis of policy promoting health equity.

Suggested Citation

  • Chen, Xi & Yan, Binjian & Gill, Thomas M., 2020. "Childhood Circumstances and Health Inequality in Old Age: Comparative Evidence from China and the United States," IZA Discussion Papers 13460, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp13460
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    1. Dennis Tao Yang, 1999. "Urban-Biased Policies and Rising Income Inequality in China," American Economic Review, American Economic Association, vol. 89(2), pages 306-310, May.
    2. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    3. Ravi Kanbur & Adam Wagstaff, 2016. "How Useful Is Inequality of Opportunity as a Policy Construct?," International Economic Association Series, in: Kaushik Basu & Joseph E. Stiglitz (ed.), Inequality and Growth: Patterns and Policy, chapter 4, pages 131-150, Palgrave Macmillan.
    4. Shorrocks, A F, 1980. "The Class of Additively Decomposable Inequality Measures," Econometrica, Econometric Society, vol. 48(3), pages 613-625, April.
    5. Rasmus Landersø & James J. Heckman, 2017. "The Scandinavian Fantasy: Sources of Intergenerational Mobility in Denmark and the US," Scandinavian Journal of Economics, Wiley Blackwell, vol. 119(1), pages 178-230, January.
    6. 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.
    7. Zhenmei Zhang & Danan Gu & Mark D. Hayward, 2008. "Early Life Influences on Cognitive Impairment Among Oldest Old Chinese," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(1), pages 25-33.
    8. John Strauss & Firman Witoelar & Qinqin Meng & Xinxin Chen & Yaohui Zhao & Bondan Sikoki & Yafeng Wang, 2018. "Cognition and SES Relationships Among the Mid-Aged and Elderly: A Comparison of China and Indonesia," NBER Working Papers 24583, National Bureau of Economic Research, Inc.
    9. John E. Roemer & Alain Trannoy, 2016. "Equality of Opportunity: Theory and Measurement," Journal of Economic Literature, American Economic Association, vol. 54(4), pages 1288-1332, December.
    10. James Smith, 2009. "Reconstructing childhood health histories," Demography, Springer;Population Association of America (PAA), vol. 46(2), pages 387-403, May.
    11. Florence Jusot & Sandy Tubeuf & Alain Trannoy, 2013. "Circumstances And Efforts: How Important Is Their Correlation For The Measurement Of Inequality Of Opportunity In Health?," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1470-1495, December.
    12. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    13. David A. Wise, 2014. "Discoveries in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise13-1, March.
    14. Judith Niehues & Andreas Peichl, 2014. "Upper bounds of inequality of opportunity: theory and evidence for Germany and the US," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 43(1), pages 73-99, June.
    15. Miles Corak, 2013. "Income Inequality, Equality of Opportunity, and Intergenerational Mobility," Journal of Economic Perspectives, American Economic Association, vol. 27(3), pages 79-102, Summer.
    16. Till Stowasser & Florian Heiss & Daniel McFadden & Joachim Winter, 2014. "Understanding the SES Gradient in Health Among the Elderly: The Role of Childhood Circumstances," NBER Chapters, in: Discoveries in the Economics of Aging, pages 187-219, National Bureau of Economic Research, Inc.
    17. Paolo Brunori & Paul Hufe & Daniel Gerszon Mahler, 2017. "The Roots of Inequality: Estimating Inequality of Opportunity from Regression Trees," Working Papers - Economics wp2017_18.rdf, Universita' degli Studi di Firenze, Dipartimento di Scienze per l'Economia e l'Impresa.
    18. Alain Trannoy & Sandy Tubeuf & Florence Jusot & Marion Devaux, 2010. "Inequality of opportunities in health in France: a first pass," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 921-938, August.
    19. Francesco Andreoli & Tarjei Havnes & Arnaud Lefranc, 2019. "Robust Inequality of Opportunity Comparisons: Theory and Application to Early Childhood Policy Evaluation," The Review of Economics and Statistics, MIT Press, vol. 101(2), pages 355-369, May.
    20. Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy, 2008. "Inequality Of Opportunities Vs. Inequality Of Outcomes: Are Western Societies All Alike?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 54(4), pages 513-546, December.
    21. Zhang, Yingqiang & Eriksson, Tor, 2010. "Inequality of opportunity and income inequality in nine Chinese provinces, 1989-2006," China Economic Review, Elsevier, vol. 21(4), pages 607-616, December.
    22. Anthony Shorrocks, 2013. "Decomposition procedures for distributional analysis: a unified framework based on the Shapley value," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 11(1), pages 99-126, March.
    23. 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.
    24. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2019. "Early Life Circumstance and Adult Mental Health," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1516-1549.
    25. John E. Roemer, 2002. "Equality of opportunity: A progress report," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 19(2), pages 455-471.
    26. Adam Isen & Maya Rossin-Slater & W. Reed Walker, 2017. "Every Breath You Take—Every Dollar You’ll Make: The Long-Term Consequences of the Clean Air Act of 1970," Journal of Political Economy, University of Chicago Press, vol. 125(3), pages 848-902.
    27. Francisco H. G. Ferreira & Jérémie Gignoux, 2011. "The Measurement Of Inequality Of Opportunity: Theory And An Application To Latin America," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(4), pages 622-657, December.
    28. Francisco H.G. Ferreira & Jérémie Gignoux, 2011. "The Measurement of Inequality of Inequality of Opportunity: Theory and an Application to Latin America," PSE-Ecole d'économie de Paris (Postprint) halshs-00754503, HAL.
    29. Petra Persson & Maya Rossin-Slater, 2018. "Family Ruptures, Stress, and the Mental Health of the Next Generation," American Economic Review, American Economic Association, vol. 108(4-5), pages 1214-1252, April.
    30. Petra Persson & Maya Rossin-Slater, 2018. "Family Ruptures, Stress, and the Mental Health of the Next Generation: Reply," American Economic Review, American Economic Association, vol. 108(4-5), pages 1256-1263, April.
    31. Espen Bratberg & Jonathan Davis & Bhashkar Mazumder & Martin Nybom & Daniel D. Schnitzlein & Kjell Vaage, 2017. "A Comparison of Intergenerational Mobility Curves in Germany, Norway, Sweden, and the US," Scandinavian Journal of Economics, Wiley Blackwell, vol. 119(1), pages 72-101, January.
    32. J. Peter Nilsson, 2017. "Alcohol Availability, Prenatal Conditions, and Long-Term Economic Outcomes," Journal of Political Economy, University of Chicago Press, vol. 125(4), pages 1149-1207.
    33. Paul Hufe & Andreas Peichl & John Roemer & Martin Ungerer, 2017. "Inequality of income acquisition: the role of childhood circumstances," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 49(3), pages 499-544, December.
    34. Francesco Andreoli & Tarjei Havnes & Arnaud Lefranc, 2019. "Robust Inequality of Opportunity Comparisons: Theory and Application to Early Childhood Policy Evaluation," Post-Print hal-03677673, HAL.
    35. Mary McEniry & Alberto Palloni & Ana Luisa Dávila & Alberto García Gurucharri, 2008. "Early Life Exposure to Poor Nutrition and Infectious Diseases and Its Effects on the Health of Older Puerto Rican Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 63(6), pages 337-348.
    36. Liliya Leopold, 2018. "Education and Physical Health Trajectories in Later Life: A Comparative Study," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 901-927, June.
    37. Zeng Yi & Danan Gu & Kenneth Land, 2007. "The association of childhood socioeconomic conditions with healthy longevity at the oldest-old ages in China," Demography, Springer;Population Association of America (PAA), vol. 44(3), pages 497-518, August.
    38. Venkataramani, Atheendar S., 2012. "Early life exposure to malaria and cognition in adulthood: Evidence from Mexico," Journal of Health Economics, Elsevier, vol. 31(5), pages 767-780.
    39. Shen, Yuying, 2014. "Community building and mental health in mid-life and older life: Evidence from China," Social Science & Medicine, Elsevier, vol. 107(C), pages 209-216.
    40. Kaushik Basu & Joseph E. Stiglitz (ed.), 2016. "Inequality and Growth: Patterns and Policy," International Economic Association Series, Palgrave Macmillan, number 978-1-137-55459-8, December.
    41. Pedro Rosa Dias & Andrew M. Jones, 2007. "Giving equality of opportunity a fair innings," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 109-112, February.
    42. Florian Wendelspiess Chavez Juarez & Isidro Soloaga, 2014. "iop: Estimating ex-ante inequality of opportunity," Stata Journal, StataCorp LP, vol. 14(4), pages 830-846, December.
    43. Ko, Pei-Chun & Yeung, Wei-Jun Jean, 2019. "Childhood conditions and productive aging in China," Social Science & Medicine, Elsevier, vol. 229(C), pages 60-69.
    44. repec:dau:papers:123456789/5065 is not listed on IDEAS
    45. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2016. "Does Grief Transfer across Generations? Bereavements during Pregnancy and Child Outcomes," American Economic Journal: Applied Economics, American Economic Association, vol. 8(1), pages 193-223, January.
    46. David Simon, 2016. "Does Early Life Exposure to Cigarette Smoke Permanently Harm Childhood Welfare? Evidence from Cigarette Tax Hikes," American Economic Journal: Applied Economics, American Economic Association, vol. 8(4), pages 128-159, October.
    47. repec:dau:papers:123456789/268 is not listed on IDEAS
    48. repec:dau:papers:123456789/12516 is not listed on IDEAS
    49. Jonathan Haughton & Shahidur R. Khandker, 2009. "Handbook on Poverty and Inequality," World Bank Publications - Books, The World Bank Group, number 11985, December.
    50. Zeng Yi & Danan Gu & Kenneth Land, 2007. "Erratum to: The association of childhood socioeconomic conditions with healthy longevity at the oldest-old ages in China," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 1-1, November.
    51. Damien Bricard & Florence Jusot & Alain Trannoy & Sandy Tubeuf, 2013. "Inequality of Opportunities in Health and the Principle of Natural Reward: Evidence from European Countries," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 335-370, Emerald Group Publishing Limited.
    52. Douglas Almond & Bhashkar Mazumder, 2011. "Health Capital and the Prenatal Environment: The Effect of Ramadan Observance during Pregnancy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(4), pages 56-85, October.
    53. Dahl, Espen & Birkelund, Gunn Elisabeth, 1997. "Health inequalities in later life in a social democratic welfare state," Social Science & Medicine, Elsevier, vol. 44(6), pages 871-881, March.
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    More about this item

    Keywords

    life course approach; inequality of opportunity; self-rated health; mental health; frailty; childhood circumstances;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • O57 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Comparative Studies of Countries

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