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The Impact of Rural-Urban Migration on the Health of the Left-behind Parents

Author

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  • Ao, Xiang

    (Renmin University of China)

  • Jiang, Dawei

    (Renmin University of China)

  • Zhao, Zhong

    (Renmin University of China)

Abstract

Since the reform and opening up in 1978, China has begun a period of rapid industrialization and urbanization. Along with an increasing number of rural people migrating to urban area for jobs, there are a considerable number of elderly parents left behind in the rural area. The impact of migration of the adult children on the health of their left-behind parents is ambiguous. On the one hand, the additional income from the children's jobs can allow their parents to afford better health care and nutrition; on the other hand, the migration necessarily reduces the amount of time the children have to take care of their parents. This paper uses the Rural Urban Migration in China data to empirically investigate the effect of adult children's migration on the health of the left-behind parents. Based on a linear probability model with instrumental variable correction, we find that having one additional adult child migrated to an urban area increases the probability of the left-behind elderly parents being in poor health condition by about 8%. Furthermore, parents having only one child, from low-income households, or aged above 60 years are affected more. Our results point out that the parents with only one child is the most vulnerable group and highlight the importance of establishing a formal care system for the rural elderly to complement the traditional family care in rural China.

Suggested Citation

  • Ao, Xiang & Jiang, Dawei & Zhao, Zhong, 2015. "The Impact of Rural-Urban Migration on the Health of the Left-behind Parents," IZA Discussion Papers 9350, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp9350
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    References listed on IDEAS

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    1. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    2. Stark, Oded & Bloom, David E, 1985. "The New Economics of Labor Migration," American Economic Review, American Economic Association, vol. 75(2), pages 173-178, May.
    3. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    4. Leah Vanwey, 2004. "Altruistic and contractual remittances between male and female migrants and households in rural Thailand," Demography, Springer;Population Association of America (PAA), vol. 41(4), pages 739-756, November.
    5. Mehtap Akgüç & Corrado Giulietti & Klaus Zimmermann, 2014. "The RUMiC longitudinal survey: fostering research on labor markets in China," IZA Journal of Labor & Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 3(1), pages 1-14, December.
    6. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    7. Francisca M. Antman, 2013. "The impact of migration on family left behind," Chapters, in: Amelie F. Constant & Klaus F. Zimmermann (ed.), International Handbook on the Economics of Migration, chapter 16, pages 293-308, Edward Elgar Publishing.
    8. David M. Cutler & Elizabeth Richardson, 1997. "Measuring the Health of the U.S. Population," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 28(1997 Micr), pages 217-282.
    9. Minhui Zhou & Rachel Murphy & Ran Tao, 2014. "Effects of Parents' Migration on the Education of Children Left Behind in Rural China," Population and Development Review, The Population Council, Inc., vol. 40(2), pages 273-292, June.
    10. Amelie F. Constant & Klaus F. Zimmermann (ed.), 2013. "International Handbook on the Economics of Migration," Books, Edward Elgar Publishing, number 4026.
    11. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
    12. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    13. Akay, Alpaslan & Bargain, Olivier & Zimmermann, Klaus F., 2012. "Relative concerns of rural-to-urban migrants in China," Journal of Economic Behavior & Organization, Elsevier, vol. 81(2), pages 421-441.
    14. Fang Cai & John Giles & Philip O'Keefe & Dewen Wang, 2012. "The Elderly and Old Age Support in Rural China : Challenges and Prospects," World Bank Publications - Books, The World Bank Group, number 2249.
    15. Ren Mu & Alan Brauw, 2015. "Migration and young child nutrition: evidence from rural China," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(3), pages 631-657, July.
    16. 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.
    17. John Giles & Ren Mu, 2007. "Elderly parent health and the migration decisions of adult children: Evidence from rural China," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 265-288, May.
    18. Randall Kuhn, 2001. "The Impact of Nuclear Family and Individual Migration on The Elderly in Rural Bangladesh A Qualitative Analysis," Working Papers DRU-2577, RAND Corporation.
    19. Francisca M. Antman, 2010. "Adult Child Migration and the Health of Elderly Parents Left behind in Mexico," American Economic Review, American Economic Association, vol. 100(2), pages 205-208, May.
    20. Zhao, Yaohui, 1999. "Labor Migration and Earnings Differences: The Case of Rural China," Economic Development and Cultural Change, University of Chicago Press, vol. 47(4), pages 767-782, July.
    21. Francisca M. Antman, 2012. "Elderly Care and Intrafamily Resource Allocation when Children Migrate," Journal of Human Resources, University of Wisconsin Press, vol. 47(2), pages 331-363.
    22. 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.
    23. Zhao, Qiran & Yu, Xiaohua & Wang, Xiaobing & Glauben, Thomas, 2014. "The impact of parental migration on children's school performance in rural China," China Economic Review, Elsevier, vol. 31(C), pages 43-54.
    24. Randall Kuhn & Bethany Everett & Rachel Silvey, 2011. "The Effects of Children’s Migration on Elderly Kin’s Health: A Counterfactual Approach," Demography, Springer;Population Association of America (PAA), vol. 48(1), pages 183-209, February.
    25. Lingguo Cheng & Hong Liu & Ye Zhang & Zhong Zhao, 2018. "The heterogeneous impact of pension income on elderly living arrangements: evidence from China’s new rural pension scheme," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(1), pages 155-192, January.
    26. Mansuri, Ghazala, 2006. "Migration, school attainment, and child labor : evidence from rural Pakistan," Policy Research Working Paper Series 3945, The World Bank.
    27. Zhang, Hongliang & Behrman, Jere R. & Fan, C. Simon & Wei, Xiangdong & Zhang, Junsen, 2014. "Does parental absence reduce cognitive achievements? Evidence from rural China," Journal of Development Economics, Elsevier, vol. 111(C), pages 181-195.
    28. Antoni Calvó-Armengol & Matthew O. Jackson, 2004. "The Effects of Social Networks on Employment and Inequality," American Economic Review, American Economic Association, vol. 94(3), pages 426-454, June.
    29. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    30. Connelly, Rachel & Maurer-Fazio, Margaret, 2015. "Left Behind, At Risk, and Vulnerable Elders in Rural China: What the RUMIC Data Reveal about the Extent, Causes, and Consequences of Being Left Behind," IZA Discussion Papers 9213, Institute of Labor Economics (IZA).
    31. Randall Kuhn, 2001. "The Impact of Nuclear Family and Individual Migration on the Elderly in Rural Bangladesh: A Qualitative Analysis," Working Papers 01-11, RAND Corporation.
    32. repec:wbk:wbpubs:6007 is not listed on IDEAS
    33. Kaivan Munshi, 2003. "Networks in the Modern Economy: Mexican Migrants in the U. S. Labor Market," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(2), pages 549-599.
    34. Tobias Stöhr, 2015. "Siblings’ interaction in migration decisions: who provides for the elderly left behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(3), pages 593-629, July.
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    Cited by:

    1. Yosuke Inoue & Annie Green Howard & Bo Qin & Aki Yazawa & Andrew Stickley & Penny Gordon-Larsen, 2019. "The association between family members’ migration and cognitive function among people left behind in China," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-11, September.
    2. Connelly, Rachel & Maurer-Fazio, Margaret, 2016. "Left behind, at-risk, and vulnerable elders in rural China," China Economic Review, Elsevier, vol. 37(C), pages 140-153.
    3. Tianxiang Li & Beibei Wu & Fujin Yi & Bin Wang & Tomas Baležentis, 2020. "What Happens to the Health of Elderly Parents When Adult Child Migration Splits Households? Evidence from Rural China," IJERPH, MDPI, vol. 17(5), pages 1-14, March.
    4. Xiong, Xianfang & Deng, Lanfang & Li, Hongyi, 2020. "Is winning at the start important: Early childhood family cognitive stimulation and child development," Children and Youth Services Review, Elsevier, vol. 118(C).
    5. Su, Yaqin & Tesfazion, Petros & Zhao, Zhong, 2018. "Where are the migrants from? Inter- vs. intra-provincial rural-urban migration in China," China Economic Review, Elsevier, vol. 47(C), pages 142-155.
    6. Zheng, Xiaodong & Fang, Zuyi & Wang, Yajun & Fang, Xiangming, 2022. "When left-behind children become adults and parents: The long-term human capital consequences of parental absence in China," China Economic Review, Elsevier, vol. 74(C).
    7. Lanfang Deng & Haizheng Li & Zhiqiang Liu, 2023. "The impact of family co-residence and childcare on children’s cognitive skills," Applied Economics, Taylor & Francis Journals, vol. 55(26), pages 3008-3025, June.
    8. Luo, Haotian & Hu, Qing, 2024. "A re-examination of the influence of human capital on urban-rural income gap in China: College enrollment expansion, digital economy and spatial spillover," Economic Analysis and Policy, Elsevier, vol. 81(C), pages 494-519.
    9. Zhu, Ruini & Yuan, Ye & Wang, Yaojing, 2024. "Love, health, and robots: Automation, migration, and family responses in rural China," China Economic Review, Elsevier, vol. 85(C).
    10. Juliane Scheffel & Yiwei Zhang, 2019. "How does internal migration affect the emotional health of elderly parents left-behind?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 32(3), pages 953-980, July.
    11. Xiaowei Dong & Siwen Qian, 2024. "Satisfying the multiple needs of older adults in rural China through the adaptation of dual polycentric systems," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-13, December.
    12. John Knight & Bianjing Ma & Ramani Gunatilaka, 2020. "The puzzle of falling happiness despite rising income in rural China: ten hypotheses," Economics Series Working Papers 899, University of Oxford, Department of Economics.
    13. Yaolin Liu & Enxiang Cai & Ying Jing & Jie Gong & Zhengyu Wang, 2018. "Analyzing the Decoupling between Rural-to-Urban Migrants and Urban Land Expansion in Hubei Province, China," Sustainability, MDPI, vol. 10(2), pages 1-15, January.

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    More about this item

    Keywords

    left-behind parents; China; health; rural-urban migration;
    All these keywords.

    JEL classification:

    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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