IDEAS home Printed from https://ideas.repec.org/a/eee/chieco/v82y2023ics1043951x23001530.html
   My bibliography  Save this article

Does trade liberalization improve child health? Evidence from China

Author

Listed:
  • Feng, Jin
  • Wang, Zitai
  • Xie, Qiang

Abstract

Positive child health is an important development indicator and is also a source of long-term economic growth. Whilst there has been previous research on the relationship between trade liberalization and child health, the conclusion is mixed and the underlying mechanisms remain limited. This paper estimates the effect of reductions in export tariffs on child health by taking advantage of exogenous changes in export tariffs on Chinese products since the reform and opening-up in 1978. We apply the Bartik approach and refer to China Health and Nutrition Survey data from 1993 to 2009, and find that export expansion causes a significant deterioration in child health, with the more obvious effects among relatively vulnerable families in rural areas, individuals with a low level of education, and girls. In addition, the mechanism analysis shows that export expansion increases the income and employment level of working-age parents. However, the income effect does not offset the negative impact of export expansion on parental care, the children being left behind, and child labor.

Suggested Citation

  • Feng, Jin & Wang, Zitai & Xie, Qiang, 2023. "Does trade liberalization improve child health? Evidence from China," China Economic Review, Elsevier, vol. 82(C).
    • Handle: RePEc:eee:chieco:v:82:y:2023:i:c:s1043951x23001530
    DOI: 10.1016/j.chieco.2023.102068
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1043951X23001530
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.chieco.2023.102068?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. 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.
    2. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    3. Jérôme Adda & Yarine Fawaz, 2020. "The Health Toll of Import Competition," The Economic Journal, Royal Economic Society, vol. 130(630), pages 1501-1540.
    4. McNamara, Courtney, 2017. "Trade liberalization and social determinants of health: A state of the literature review," Social Science & Medicine, Elsevier, vol. 176(C), pages 1-13.
    5. Leo Feler & Mine Z. Senses, 2017. "Trade Shocks and the Provision of Local Public Goods," American Economic Journal: Economic Policy, American Economic Association, vol. 9(4), pages 101-143, November.
    6. Gibson, John & McKenzie, David & Stillman, Steven, 2011. "What happens to diet and child health when migration splits households? Evidence from a migration lottery program," Food Policy, Elsevier, vol. 36(1), pages 7-15, February.
    7. Lu, Yi & Tao, Zhigang & Zhu, Lianming, 2017. "Identifying FDI spillovers," Journal of International Economics, Elsevier, vol. 107(C), pages 75-90.
    8. Barlow, Pepita, 2018. "Does trade liberalization reduce child mortality in low- and middle-income countries? A synthetic control analysis of 36 policy experiments, 1963-2005," LSE Research Online Documents on Economics 102664, London School of Economics and Political Science, LSE Library.
    9. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    10. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    11. Liu, Hong & Zhao, Zhong, 2014. "Parental job loss and children's health: Ten years after the massive layoff of the SOEs' workers in China," China Economic Review, Elsevier, vol. 31(C), pages 303-319.
    12. Justin R. Pierce & Peter K. Schott, 2020. "Trade Liberalization and Mortality: Evidence from US Counties," American Economic Review: Insights, American Economic Association, vol. 2(1), pages 47-64, March.
    13. Edmonds, Eric V. & Pavcnik, Nina, 2006. "International trade and child labor: Cross-country evidence," Journal of International Economics, Elsevier, vol. 68(1), pages 115-140, January.
    14. Panda, Pallavi, 2020. "Does trade reduce infant mortality? Evidence from sub-Saharan Africa," World Development, Elsevier, vol. 128(C).
    15. de Janvry, Alain & Finan, Frederico & Sadoulet, Elisabeth & Vakis, Renos, 2006. "Can conditional cash transfer programs serve as safety nets in keeping children at school and from working when exposed to shocks?," Journal of Development Economics, Elsevier, vol. 79(2), pages 349-373, April.
    16. David Atkin, 2016. "Endogenous Skill Acquisition and Export Manufacturing in Mexico," American Economic Review, American Economic Association, vol. 106(8), pages 2046-2085, August.
    17. Bombardini, Matilde & Li, Bingjing, 2020. "Trade, pollution and mortality in China," Journal of International Economics, Elsevier, vol. 125(C).
    18. Simon Alder & Lin Shao & Fabrizio Zilibotti, 2016. "Economic reforms and industrial policy in a panel of Chinese cities," Journal of Economic Growth, Springer, vol. 21(4), pages 305-349, December.
    19. Wolfgang Keller & Hale Utar, 2022. "Globalization, Gender, and the Family [Trade Shocks and Labor Adjustment: A Structural Empirical Approach]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(6), pages 3381-3409.
    20. Arnaud Costinot & Andrés Rodríguez-Clare, 2018. "The US Gains from Trade: Valuation Using the Demand for Foreign Factor Services," Journal of Economic Perspectives, American Economic Association, vol. 32(2), pages 3-24, Spring.
    21. Heckman, James J. & Yi, Junjian, 2012. "Human Capital, Economic Growth, and Inequality in China," IZA Discussion Papers 6550, Institute of Labor Economics (IZA).
    22. Olper, Alessandro & Curzi, Daniele & Swinnen, Johan, 2018. "Trade liberalization and child mortality: A Synthetic Control Method," World Development, Elsevier, vol. 110(C), pages 394-410.
    23. Chang, Hongqin & Dong, Xiao-yuan & MacPhail, Fiona, 2011. "Labor Migration and Time Use Patterns of the Left-behind Children and Elderly in Rural China," World Development, Elsevier, vol. 39(12), pages 2199-2210.
    24. Colantone, Italo & Crinò, Rosario & Ogliari, Laura, 2019. "Globalization and mental distress," Journal of International Economics, Elsevier, vol. 119(C), pages 181-207.
    25. Eric V. Edmonds & Nina Pavcnik & Petia Topalova, 2010. "Trade Adjustment and Human Capital Investments: Evidence from Indian Tariff Reform," American Economic Journal: Applied Economics, American Economic Association, vol. 2(4), pages 42-75, October.
    26. Sarah Baird & Joan Hamory Hicks & Michael Kremer & Edward Miguel, 2016. "Worms at Work: Long-run Impacts of a Child Health Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1637-1680.
    27. Feng, Jin & Xie, Qiang & Zhang, Xiaohan, 2021. "Trade liberalization and the health of working-age adults: Evidence from China," World Development, Elsevier, vol. 139(C).
    28. Chen, Yuyu & Li, Hongbin, 2009. "Mother's education and child health: Is there a nurturing effect?," Journal of Health Economics, Elsevier, vol. 28(2), pages 413-426, March.
    29. Rong, Zhao & Wu, Binzhen, 2020. "Scientific personnel reallocation and firm innovation: Evidence from China’s college expansion," Journal of Comparative Economics, Elsevier, vol. 48(3), pages 709-728.
    30. Paul Goldsmith-Pinkham & Isaac Sorkin & Henry Swift, 2020. "Bartik Instruments: What, When, Why, and How," American Economic Review, American Economic Association, vol. 110(8), pages 2586-2624, August.
    31. Bai, Yu & Yang, Ning & Wang, Lei & Zhang, Siqi, 2022. "The impacts of maternal migration on the cognitive development of preschool-aged children left behind in rural China," World Development, Elsevier, vol. 158(C).
    32. Kong, Nancy & Osberg, Lars & Zhou, Weina, 2019. "The shattered “Iron Rice Bowl”: Intergenerational effects of Chinese State-Owned Enterprise reform," Journal of Health Economics, Elsevier, vol. 67(C).
    33. Fan, Haichao & Lin, Faqin & Lin, Shu, 2020. "The hidden cost of trade liberalization: Input tariff shocks and worker health in China," Journal of International Economics, Elsevier, vol. 126(C).
    34. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    35. David H. Romer & Jeffrey A. Frankel, 1999. "Does Trade Cause Growth?," American Economic Review, American Economic Association, vol. 89(3), pages 379-399, June.
    36. Rafael Dix-Carneiro & Rodrigo R. Soares & Gabriel Ulyssea, 2018. "Economic Shocks and Crime: Evidence from the Brazilian Trade Liberalization," American Economic Journal: Applied Economics, American Economic Association, vol. 10(4), pages 158-195, October.
    37. Edmonds, Eric V., 2006. "Child labor and schooling responses to anticipated income in South Africa," Journal of Development Economics, Elsevier, vol. 81(2), pages 386-414, December.
    38. Du, Shufa & Mroz, Tom A. & Zhai, Fengying & Popkin, Barry M., 2004. "Rapid income growth adversely affects diet quality in China--particularly for the poor!," Social Science & Medicine, Elsevier, vol. 59(7), pages 1505-1515, October.
    39. Li, Jie & Lu, Yi & Song, Hong & Xie, Huihua, 2019. "Long-term impact of trade liberalization on human capital formation," Journal of Comparative Economics, Elsevier, vol. 47(4), pages 946-961.
    40. Robert C. Feenstra, 2018. "Alternative Sources of the Gains from International Trade: Variety, Creative Destruction, and Markups," Journal of Economic Perspectives, American Economic Association, vol. 32(2), pages 25-46, Spring.
    41. Mark Aguiar & Erik Hurst & Loukas Karabarbounis, 2013. "Time Use during the Great Recession," American Economic Review, American Economic Association, vol. 103(5), pages 1664-1696, August.
    42. Timothy J. Bartik, 1991. "Who Benefits from State and Local Economic Development Policies?," Books from Upjohn Press, W.E. Upjohn Institute for Employment Research, number wbsle, November.
    43. Dai, Mi & Huang, Wei & Zhang, Yifan, 2020. "Persistent effects of initial labor market conditions: The case of China's tariff liberalization after WTO accession," Journal of Economic Behavior & Organization, Elsevier, vol. 178(C), pages 566-581.
    44. Barlow, Pepita, 2018. "Does trade liberalization reduce child mortality in low- and middle-income countries? A synthetic control analysis of 36 policy experiments, 1963-2005," Social Science & Medicine, Elsevier, vol. 205(C), pages 107-115.
    45. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    46. Chen, Lipeng & Liu, Wanlin, 2022. "The effect of Internet access on body weight: Evidence from China," Journal of Health Economics, Elsevier, vol. 85(C).
    47. Hummels, David & Munch, Jakob R. & Xiang, Chong, 2016. "No Pain, No Gain: The Effects of Exports on Effort, Injury, and Illness," IZA Discussion Papers 10036, Institute of Labor Economics (IZA).
    48. Matthieu Crozet & Laura Hering & Sandra Poncet, 2018. "Looking for the Bright Side of the China Syndrome: Rising Export Opportunities and Life Satisfaction in China," Working Papers 2018-14, CEPII research center.
    49. David McKenzie & Hillel Rapoport, 2011. "Can migration reduce educational attainment? Evidence from Mexico," Journal of Population Economics, Springer;European Society for Population Economics, vol. 24(4), pages 1331-1358, October.
    50. Han, Jun & Liu, Runjuan & Zhang, Junsen, 2012. "Globalization and wage inequality: Evidence from urban China," Journal of International Economics, Elsevier, vol. 87(2), pages 288-297.
    51. Lianlian Lei & Feng Liu & Elaine Hill, 2018. "Labour Migration and Health of Left-Behind Children in China," Journal of Development Studies, Taylor & Francis Journals, vol. 54(1), pages 93-110, January.
    52. Burns, Darren K. & Jones, Andrew P. & Suhrcke, Marc, 2016. "The relationship between international trade and non-nutritional health outcomes: A systematic review of quantitative studies," Social Science & Medicine, Elsevier, vol. 152(C), pages 9-17.
    53. Chiappini, Raphaël & Coupaud, Marine & Viaud, François, 2022. "Does attracting FDI affect population health? New evidence from a multi-dimensional measure of health," Social Science & Medicine, Elsevier, vol. 301(C).
    54. Ann L. Owen & Stephen Wu, 2007. "Is Trade Good for Your Health?," Review of International Economics, Wiley Blackwell, vol. 15(4), pages 660-682, September.
    55. Bilge Erten & Jessica Leight, 2021. "Exporting Out of Agriculture: The Impact of WTO Accession on Structural Transformation in China," The Review of Economics and Statistics, MIT Press, vol. 103(2), pages 364-380, May.
    56. Dai, Mi & Huang, Wei & Zhang, Yifan, 2021. "How do households adjust to tariff liberalization? Evidence from China's WTO accession," Journal of Development Economics, Elsevier, vol. 150(C).
    57. Schmeer, Kammi, 2009. "Father absence due to migration and child illness in rural Mexico," Social Science & Medicine, Elsevier, vol. 69(8), pages 1281-1286, October.
    58. Zexing Chen & Bing Li & Tao Li, 2019. "Exports and left‐behind children: Empirical evidence from the China Migrants Dynamic Survey," Review of International Economics, Wiley Blackwell, vol. 27(4), pages 1081-1107, September.
    59. Levine, David I. & Rothman, Dov, 2006. "Does trade affect child health?," Journal of Health Economics, Elsevier, vol. 25(3), pages 538-554, May.
    60. Zhao, Liqiu & Wang, Fei & Zhao, Zhong, 2021. "Trade liberalization and child labor," China Economic Review, Elsevier, vol. 65(C).
    61. Guo, Xuguang & Mroz, Thomas A & Popkin, Barry M & Zhai, Fengying, 2000. "Structural Change in the Impact of Income on Food Consumption in China, 1989-1993," Economic Development and Cultural Change, University of Chicago Press, vol. 48(4), pages 737-760, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Feng, Jin & Xie, Qiang & Zhang, Xiaohan, 2021. "Trade liberalization and the health of working-age adults: Evidence from China," World Development, Elsevier, vol. 139(C).
    2. Jiayu Ou & Zhiqiang Zheng & Naili Zhang, 2023. "A Study of the Effect of Trade Openness on Population Health: Empirical Evidence from China," Sustainability, MDPI, vol. 15(16), pages 1-19, August.
    3. Charris, Carlos & Branco, Danyelle & Carrillo, Bladimir, 2024. "Economic shocks and infant health: Evidence from a trade reform in Brazil," Journal of Development Economics, Elsevier, vol. 166(C).
    4. Yu, Zhen & Wu, Xiaoling & Li, Meng & Guo, Rufei, 2021. "Import competition and the gender gap in labor force participation: Evidence from China," China Economic Review, Elsevier, vol. 69(C).
    5. Piriu, Andreea Alexandra, 2021. "Trade Shocks, Job Insecurity and Individual Health," GLO Discussion Paper Series 992, Global Labor Organization (GLO).
    6. Colantone, Italo & Crinò, Rosario & Ogliari, Laura, 2019. "Globalization and mental distress," Journal of International Economics, Elsevier, vol. 119(C), pages 181-207.
    7. César, Andrés & Falcone, Guillermo & Gasparini, Leonardo, 2021. "Costs and benefits of trade shocks: Evidence from Chilean local labor markets," Labour Economics, Elsevier, vol. 73(C).
    8. Zhao, Liqiu & Wang, Fei & Zhao, Zhong, 2021. "Trade liberalization and child labor," China Economic Review, Elsevier, vol. 65(C).
    9. Lihua Dai & Qi Fan & Yanyun Li & Faqin Lin, 2021. "No time to look after the kids: The unintended consequences of export expansion on child health," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 29(3), pages 527-548, July.
    10. Yiping Sun & Chengjun Wu & Xiaoming Zhu & Pingguan Bian, 2022. "China’s Accession to the WTO as a Shock to Residents’ Health—A Difference-in-Difference Approach," IJERPH, MDPI, vol. 19(22), pages 1-18, November.
    11. Panda, Pallavi, 2020. "Does trade reduce infant mortality? Evidence from sub-Saharan Africa," World Development, Elsevier, vol. 128(C).
    12. Matthieu Crozet & Laura Hering & Sandra Poncet, 2024. "Is There a Bright Side to the China Syndrome? Rising Export Opportunities and Life Satisfaction in China," PSE-Ecole d'économie de Paris (Postprint) hal-04505684, HAL.
    13. Diaz Gutierrez, Julian, 2023. "Trade Effects on Substance Abuse: Evidence from Colombia's Liberalization," 2023 Annual Meeting, July 23-25, Washington D.C. 335460, Agricultural and Applied Economics Association.
    14. Faqin Lin & Xiaosong Wang & Mohan Zhou, 2022. "How trade affects pandemics? Evidence from severe acute respiratory syndromes in 2003," The World Economy, Wiley Blackwell, vol. 45(7), pages 2270-2283, July.
    15. Fernández Guerrico, Sofía, 2021. "The effects of trade-induced worker displacement on health and mortality in Mexico," Journal of Health Economics, Elsevier, vol. 80(C).
    16. Abu-Qarn, Aamer & Lichtman-Sadot, Shirlee, 2019. "Connecting Disadvantaged Communities to Work and Higher Education Opportunities: Evidence from Public Transportation Penetration to Arab Towns in Israel," IZA Discussion Papers 12824, Institute of Labor Economics (IZA).
    17. Lai, Tat-kei & Lu, Yi & Ng, Travis, 2022. "Import Competition and Workplace Safety in the U.S. Manufacturing Sector," Journal of Economic Behavior & Organization, Elsevier, vol. 203(C), pages 24-42.
    18. Li, Bingjing, 2018. "Export expansion, skill acquisition and industry specialization: evidence from china," Journal of International Economics, Elsevier, vol. 114(C), pages 346-361.
    19. Olper, Alessandro & Curzi, Daniele & Swinnen, Johan, 2018. "Trade liberalization and child mortality: A Synthetic Control Method," World Development, Elsevier, vol. 110(C), pages 394-410.
    20. Barlow, Pepita, 2018. "Does trade liberalization reduce child mortality in low- and middle-income countries? A synthetic control analysis of 36 policy experiments, 1963-2005," Social Science & Medicine, Elsevier, vol. 205(C), pages 107-115.

    More about this item

    Keywords

    Trade liberalization; Child health; Care; China;
    All these keywords.

    JEL classification:

    • F14 - International Economics - - Trade - - - Empirical Studies of Trade
    • F16 - International Economics - - Trade - - - Trade and Labor Market Interactions
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:chieco:v:82:y:2023:i:c:s1043951x23001530. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/chieco .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.