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Commercial Plasma Donation and Individual Health in Impoverished Rural China

Author

Listed:
  • Chen, Xi

    (Yale University)

Abstract

Blood collection following nonstandard operations largely increases the risks of infectious diseases through cross-contamination. Commercial plasma donation and the resulting HIV/AIDS and hepatitis C epidemics in central China in the 1990s killed more than one million people. Many blood banks have since moved to more remote southwest provinces, which have become new suppliers of blood plasma. Utilizing a primary longitudinal survey, this paper documents commercial plasma donation and estimates its negative health impacts in impoverished rural China using individual fixed effect models. Both the linear regression model and generalized linear models are utilized. Attracted by the financial compensation, a majority of plasma donors are poor, and bear grave consequences of malnutrition and worse health status as a result of unhygienic and frequent donations. Donating plasma is associated with a .83 standard deviation (SD) decline in self-rated health, a .54 SD lower self-rated health relative to peers in their age group, a .74 SD higher chance of being infected with hepatitis, lacking of strength to conduct farm work, and experiencing appetite loss, fatigue, nausea, and vomiting. Results indicate an urgent need of more comprehensive and effective interventions on hepatitis screening, diagnosis, and treatment among plasma donors in less developed contexts to eliminate cross-infection of infectious diseases and possible widespread epidemic in the future. Besides, we should encourage voluntary plasma donation to gradually crowd out paid donation.

Suggested Citation

  • Chen, Xi, 2014. "Commercial Plasma Donation and Individual Health in Impoverished Rural China," IZA Discussion Papers 8591, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp8591
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    File URL: https://docs.iza.org/dp8591.pdf
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    References listed on IDEAS

    as
    1. Brown, Philip H. & Bulte, Erwin & Zhang, Xiaobo, 2011. "Positional spending and status seeking in rural China," Journal of Development Economics, Elsevier, vol. 96(1), pages 139-149, September.
    2. Shang-Jin Wei & Xiaobo Zhang & Yin Liu, 2012. "Status Competition and Housing Prices," NBER Working Papers 18000, National Bureau of Economic Research, Inc.
    3. Shang-Jin Wei & Xiaobo Zhang, 2011. "Sex Ratios, Entrepreneurship, and Economic Growth in the People's Republic of China," NBER Working Papers 16800, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Yurong Zhang & Rusty Souleymanov, 2021. "A Qualitative Study of HIV/AIDS Social Policy Implementation in Rural Central China: Recipient Perspectives," Global Journal of Health Science, Canadian Center of Science and Education, vol. 13(7), pages 1-43, July.

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    More about this item

    Keywords

    hepatitis; HIV/AIDS; panel data; poverty; paid plasma donation; health status;
    All these keywords.

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J4 - Labor and Demographic Economics - - Particular Labor Markets

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