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Energy Poverty and Health Care Expenditures: Evidence from the China Family Panel Studies

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  • Nie, Peng

    (Xi’an Jiaotong University)

  • Li, Qiaoge

    (Xi’an Jiaotong University)

Abstract

Using the 2012-2018 waves of the China Family Panel Studies (CFPS), we investigate the impact of energy poverty (EP) on health care expenditures among Chinese adults aged 18+. Employing a methodology combining a random effects two-part model and instrumental variable estimations, we show that EP leads to higher levels of total (305 yuan), out-of-pocket (199 yuan), inpatient (230 yuan) and other (113 yuan) health care expenditures, with more pronounced impacts among females and those living in urban areas and Central and Western China. These results are robust not only to alternative EP and health care expenditure measures but also to a series of estimation approaches that control for endogeneity. An additional structural equation modeling analysis of the underlying pathways further reveals that this EP-health care expenditure relationship is mediated by individual self-reported health as well as expenditures on food and other daily necessities.

Suggested Citation

  • Nie, Peng & Li, Qiaoge, 2022. "Energy Poverty and Health Care Expenditures: Evidence from the China Family Panel Studies," IZA Discussion Papers 15479, IZA Network @ LISER.
    • Handle: RePEc:iza:izadps:dp15479
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    References listed on IDEAS

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    1. Awaworyi Churchill, Sefa & Smyth, Russell & Farrell, Lisa, 2020. "Fuel poverty and subjective wellbeing," Energy Economics, Elsevier, vol. 86(C).
    2. Kushneel Prakash & Musharavati Ephraim Munyanyi, 2021. "Energy poverty and obesity," Melbourne Institute Working Paper Series wp2021n11, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    3. Tan, Si Ying & Wu, Xun & Yang, Wei, 2019. "Impacts of the type of social health insurance on health service utilisation and expenditures: implications for a unified system in China," Health Economics, Policy and Law, Cambridge University Press, vol. 14(4), pages 468-486, October.
    4. Iacus, Stefano & King, Gary & Porro, Giuseppe, 2009. "cem: Software for Coarsened Exact Matching," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 30(i09).
    5. Matthew Blackwell & Stefano Iacus & Gary King & Giuseppe Porro, 2009. "cem: Coarsened exact matching in Stata," Stata Journal, StataCorp LLC, vol. 9(4), pages 524-546, December.
    6. Kahouli, Sondès, 2020. "An economic approach to the study of the relationship between housing hazards and health: The case of residential fuel poverty in France," Energy Economics, Elsevier, vol. 85(C).
    7. Patrick Bodenmann & Bernard Favrat & Hans Wolff & Idris Guessous & Francesco Panese & Lilli Herzig & Thomas Bischoff & Alejandra Casillas & Thomas Golano & Paul Vaucher, 2014. "Screening Primary-Care Patients Forgoing Health Care for Economic Reasons," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-9, April.
    8. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    9. Prakash, Kushneel & Munyanyi, Musharavati Ephraim, 2021. "Energy poverty and obesity," Energy Economics, Elsevier, vol. 101(C).
    10. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    11. Hills, John, 2011. "Fuel poverty: the problem and its measurement," LSE Research Online Documents on Economics 39270, London School of Economics and Political Science, LSE Library.
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    Keywords

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    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • Q40 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Energy - - - General
    • R21 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis - - - Housing Demand

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