IDEAS home Printed from https://ideas.repec.org/a/eee/jeborg/v217y2024icp141-169.html
   My bibliography  Save this article

A “leaner” government? The effect of China's anti-corruption campaign on the body weight and health of public sector employees

Author

Listed:
  • Li, Xun
  • Pan, Wensi
  • Xu, Gang

Abstract

Health is fundamental for bureaucrats to properly perform duties so as to deliver the function of the state. Based on a nationally representative longitudinal survey and using a difference-in-differences identification strategy, we study whether and how the recent anti-corruption campaign in China shapes the body weight and health of public sector employees (PSEs). We find that the anti-corruption campaign significantly decreased the BMI and overweight rates of PSEs. Heterogeneity analysis reveals that the effect is more pronounced among the PSEs who are more exposed to corruption ex ante. Further analyses demonstrate that the mechanisms underlying the BMI reduction effect include decreased frequency of alcohol consumption and eating out as well as increased time spent on exercise among PSEs post-campaign. Finally, we find the reduced BMI among PSEs also leads to better self-assessed health and has broader implications for bureaucratic efficiency and governance quality. Overall, this study offers a novel political economic perspective to shed light on an unintended health consequence of China's anti-corruption campaign.

Suggested Citation

  • Li, Xun & Pan, Wensi & Xu, Gang, 2024. "A “leaner” government? The effect of China's anti-corruption campaign on the body weight and health of public sector employees," Journal of Economic Behavior & Organization, Elsevier, vol. 217(C), pages 141-169.
  • Handle: RePEc:eee:jeborg:v:217:y:2024:i:c:p:141-169
    DOI: 10.1016/j.jebo.2023.11.002
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0167268123004043
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.jebo.2023.11.002?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. Randall Akee & Emilia Simeonova & William Copeland & Adrian Angold & E. Jane Costello, 2013. "Young Adult Obesity and Household Income: Effects of Unconditional Cash Transfers," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 1-28, April.
    2. Joseph P. Romano & Michael Wolf, 2005. "Stepwise Multiple Testing as Formalized Data Snooping," Econometrica, Econometric Society, vol. 73(4), pages 1237-1282, July.
    3. Jay Bhattacharya & Neeraj Sood, 2011. "Who Pays for Obesity?," Journal of Economic Perspectives, American Economic Association, vol. 25(1), pages 139-158, Winter.
    4. Xu, Gang & Yano, Go, 2017. "How does anti-corruption affect corporate innovation? Evidence from recent anti-corruption efforts in China," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 498-519.
    5. Emanuele Colonnelli & Mounu Prem, 2022. "Corruption and Firms [Mafia and Public Spending: Evidence on the Fiscal Multiplier from a Quasi-experiment]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 89(2), pages 695-732.
    6. David Bloom & David Canning, 2003. "Health as Human Capital and its Impact on Economic Performance," The Geneva Papers on Risk and Insurance - Issues and Practice, Palgrave Macmillan;The Geneva Association, vol. 28(2), pages 304-315, April.
    7. Dmitry Arkhangelsky & Susan Athey & David A. Hirshberg & Guido W. Imbens & Stefan Wager, 2021. "Synthetic Difference-in-Differences," American Economic Review, American Economic Association, vol. 111(12), pages 4088-4118, December.
    8. Guo Xu, 2018. "The Costs of Patronage: Evidence from the British Empire," American Economic Review, American Economic Association, vol. 108(11), pages 3170-3198, November.
    9. Jay Bhattacharya & Neeraj Sood, 2006. "Health Insurance and the Obesity Externality," Advances in Health Economics and Health Services Research, in: The Economics of Obesity, pages 279-318, Emerald Group Publishing Limited.
    10. Sharma, Smriti & Singhal, Saurabh & Tarp, Finn, 2021. "Corruption and mental health: Evidence from Vietnam," Journal of Economic Behavior & Organization, Elsevier, vol. 185(C), pages 125-137.
    11. Courtemanche Charles, 2009. "Longer Hours and Larger Waistlines? The Relationship between Work Hours and Obesity," Forum for Health Economics & Policy, De Gruyter, vol. 12(2), pages 1-33, May.
    12. Emanuele Colonnelli & Mounu Prem & Edoardo Teso, 2020. "Patronage and Selection in Public Sector Organizations," American Economic Review, American Economic Association, vol. 110(10), pages 3071-3099, October.
    13. Matthew Blackwell & Stefano Iacus & Gary King & Giuseppe Porro, 2009. "cem: Coarsened exact matching in Stata," Stata Journal, StataCorp LP, vol. 9(4), pages 524-546, December.
    14. Eric Avis & Claudio Ferraz & Frederico Finan, 2018. "Do Government Audits Reduce Corruption? Estimating the Impacts of Exposing Corrupt Politicians," Journal of Political Economy, University of Chicago Press, vol. 126(5), pages 1912-1964.
    15. Xuezheng Qin & Jay Pan, 2016. "The Medical Cost Attributable to Obesity and Overweight in China: Estimation Based on Longitudinal Surveys," Health Economics, John Wiley & Sons, Ltd., vol. 25(10), pages 1291-1311, October.
    16. Kong, Dongmin & Tao, Yunqing & Wang, Yanan, 2020. "China's anti-corruption campaign and firm productivity: Evidence from a quasi-natural experiment," China Economic Review, Elsevier, vol. 63(C).
    17. Adnan Khan & Guo Xu & Robin Burgess & Timothy Besley, 2022. "Bureaucracy and Development," Annual Review of Economics, Annual Reviews, vol. 14(1), pages 397-424, August.
    18. Guido W. Imbens, 2015. "Matching Methods in Practice: Three Examples," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 373-419.
    19. Han, Linsong & Li, Xun & Xu, Gang, 2022. "Anti-corruption and poverty alleviation: Evidence from China," Journal of Economic Behavior & Organization, Elsevier, vol. 203(C), pages 150-172.
    20. Alberto Abadie, 2005. "Semiparametric Difference-in-Differences Estimators," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 1-19.
    21. Claudio Ferraz & Frederico Finan, 2008. "Exposing Corrupt Politicians: The Effects of Brazil's Publicly Released Audits on Electoral Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 123(2), pages 703-745.
    22. Joseph P. Romano & Michael Wolf, 2005. "Exact and Approximate Stepdown Methods for Multiple Hypothesis Testing," Journal of the American Statistical Association, American Statistical Association, vol. 100, pages 94-108, March.
    23. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    24. Marianne Bertrand & Robin Burgess & Arunish Chawla & Guo Xu, 2020. "The Glittering Prizes: Career Incentives and Bureaucrat Performance," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(2), pages 626-655.
    25. Mathias Dewatripont & Ian Jewitt & Jean Tirole, 1999. "The Economics of Career Concerns, Part II: Application to Missions and Accountability of Government Agencies," Review of Economic Studies, Oxford University Press, vol. 66(1), pages 199-217.
    26. Yang Claire Yang & Christine E. Walsh & Moira P. Johnson & Daniel W. Belsky & Max Reason & Patrick Curran & Allison E. Aiello & Marianne Chanti-Ketterl & Kathleen Mullan Harris, 2021. "Life-course trajectories of body mass index from adolescence to old age: Racial and educational disparities," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(17), pages 2020167118-, April.
    27. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    28. Xu, Gang & Wang, Xue & Wang, Ruiting & Yano, Go & Zou, Rong, 2021. "Anti-corruption, safety compliance and coal mine deaths: Evidence from China," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 458-488.
    29. Mathias Dewatripont & Ian Jewitt & Jean Tirole, 1999. "The Economics of Career Concerns, Part II: Application to Missions and Accountability of Government Agencies," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 66(1), pages 199-217.
    30. 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).
    31. Ecob, Russell & Davey Smith, George, 1999. "Income and health: what is the nature of the relationship?," Social Science & Medicine, Elsevier, vol. 48(5), pages 693-705, March.
    32. Rajeev H. Dehejia & Sadek Wahba, 2002. "Propensity Score-Matching Methods For Nonexperimental Causal Studies," The Review of Economics and Statistics, MIT Press, vol. 84(1), pages 151-161, February.
    33. Mavisakalyan, Astghik & Otrachshenko, Vladimir & Popova, Olga, 2021. "Can bribery buy health? Evidence from post-communist countries," Journal of Comparative Economics, Elsevier, vol. 49(4), pages 991-1007.
    34. Deschenes, Olivier & Wang, Huixia & Wang, Si & Zhang, Peng, 2020. "The effect of air pollution on body weight and obesity: Evidence from China," Journal of Development Economics, Elsevier, vol. 145(C).
    35. Mancino, Lisa & Todd, Jessica & Lin, Biing-Hwan, 2009. "Separating what we eat from where: Measuring the effect of food away from home on diet quality," Food Policy, Elsevier, vol. 34(6), pages 557-562, December.
    36. Hongbin Cai & Hanming Fang & Lixin Colin Xu, 2011. "Eat, Drink, Firms, Government: An Investigation of Corruption from the Entertainment and Travel Costs of Chinese Firms," Journal of Law and Economics, University of Chicago Press, vol. 54(1), pages 55-78.
    37. Ruixue Jia & Huihua Nie, 2017. "Decentralization, Collusion, and Coal Mine Deaths," The Review of Economics and Statistics, MIT Press, vol. 99(1), pages 105-118, March.
    38. Gong, Jie & Lu, Yi & Xie, Huihua, 2020. "The average and distributional effects of teenage adversity on long-term health," Journal of Health Economics, Elsevier, vol. 71(C).
    39. Dongmin Kong & Ni Qin, 2021. "China’s Anticorruption Campaign and Entrepreneurship," Journal of Law and Economics, University of Chicago Press, vol. 64(1), pages 153-180.
    40. repec:pal:gpprii:v:28:y:2003:i::p:304-315 is not listed on IDEAS
    41. Li, Pei & Lu, Yi & Wang, Jin, 2016. "Does flattening government improve economic performance? Evidence from China," Journal of Development Economics, Elsevier, vol. 123(C), pages 18-37.
    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. Han, Linsong & Li, Xun & Xu, Gang, 2022. "Anti-corruption and poverty alleviation: Evidence from China," Journal of Economic Behavior & Organization, Elsevier, vol. 203(C), pages 150-172.
    2. Chen, Shuai & Ge, Erqi, 2022. "The Anti-Corruption Campaign and the Inter-Generational Transmission of Working in Bureaucracy: Evidence from China," GLO Discussion Paper Series 1159, Global Labor Organization (GLO).
    3. Dmitry Arkhangelsky & Guido Imbens, 2023. "Causal Models for Longitudinal and Panel Data: A Survey," Papers 2311.15458, arXiv.org, revised Mar 2024.
    4. Xu, Gang & Wang, Xue & Wang, Ruiting & Yano, Go & Zou, Rong, 2021. "Anti-corruption, safety compliance and coal mine deaths: Evidence from China," Journal of Economic Behavior & Organization, Elsevier, vol. 188(C), pages 458-488.
    5. Feng, Qianbin & Hu, Xiao & Deng, Xinyi & Lu, Jun, 2023. "Anti-corruption campaign and capacity utilization of state-owned enterprises: Evidence from China’s central committee inspection," Economic Analysis and Policy, Elsevier, vol. 80(C), pages 319-346.
    6. Sant’Anna, Pedro H.C. & Zhao, Jun, 2020. "Doubly robust difference-in-differences estimators," Journal of Econometrics, Elsevier, vol. 219(1), pages 101-122.
    7. Boubaker, Sabri & Liu, Pei-Zhi & Ren, Yi-Shuai & Ma, Chao-Qun, 2024. "Do anti-corruption campaigns affect corporate environmental responsibility? Evidence from China," International Review of Financial Analysis, Elsevier, vol. 91(C).
    8. Colonnelli, Emanuele & Lagaras, Spyridon & Ponticelli, Jacopo & Prem, Mounu & Tsoutsoura, Margarita, 2022. "Revealing corruption: Firm and worker level evidence from Brazil," Journal of Financial Economics, Elsevier, vol. 143(3), pages 1097-1119.
    9. Kong, Dongmin & Liu, Chenhao & Ye, Wenxu, 2023. "Randomized inspection and firm's government subsidies: A natural experiment in China," China Economic Review, Elsevier, vol. 82(C).
    10. Barbosa, Klenio & Ferreira, Fernando, 2023. "Occupy government: Democracy and the dynamics of personnel decisions and public finances," Journal of Public Economics, Elsevier, vol. 221(C).
    11. Maximiliano Lauletta & Martín A. Rossi & Christian A. Ruzzier, 2022. "Audits and Government Hiring Practices," Economica, London School of Economics and Political Science, vol. 89(353), pages 214-227, January.
    12. He, Wenjian & Chen, Xiaoyang & Liu, Zhiyong John, 2022. "Can anti-corruption help realize the “strong” Porter Hypothesis in China? Evidence from Chinese manufacturing enterprises," Journal of Asian Economics, Elsevier, vol. 80(C).
    13. Cao, Chunfang & Li, Xiaoyang & Xia, Changyuan, 2021. "The complicit role of local government authorities in corporate bribery: Evidence from a tax collection reform in China," China Economic Review, Elsevier, vol. 65(C).
    14. Hamid R. Oskorouchi & Alfonso Sousa-Poza & David E. Bloom, 2020. "The Long-Term Cognitive and Schooling Effects of Childhood Vaccinations in China," NBER Working Papers 27217, National Bureau of Economic Research, Inc.
    15. Mark Kattenberg & Bas Scheer & Jurre Thiel, 2023. "Causal forests with fixed effects for treatment effect heterogeneity in difference-in-differences," CPB Discussion Paper 452, CPB Netherlands Bureau for Economic Policy Analysis.
    16. Janne Tukiainen & Sebastian Blesse & Albrecht Bohne & Leonardo M. Giuffrida & Jan Jäässkeläinen & Ari Luukinen & Antti Sieppi, 2021. "What Are the Priorities of Bureaucrats? Evidence from Conjoint Experiments with Procurement Officials," EconPol Working Paper 63, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    17. Ralph Bradley & Colin Baker, 2013. "The Simultaneous Effects of Obesity, Insurance Choice, and Medical Visit Choice on Health Care Costs," NBER Chapters, in: Measuring and Modeling Health Care Costs, pages 211-240, National Bureau of Economic Research, Inc.
    18. Weber, Olaf & Ahmad, Adnan, 2014. "Empowerment Through Microfinance: The Relation Between Loan Cycle and Level of Empowerment," World Development, Elsevier, vol. 62(C), pages 75-87.
    19. Eli Ben‐Michael & Avi Feller & Jesse Rothstein, 2022. "Synthetic controls with staggered adoption," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 84(2), pages 351-381, April.
    20. Chad D. Meyerhoefer & Muzhe Yang, 2011. "The Relationship between Food Assistance and Health: A Review of the Literature and Empirical Strategies for Identifying Program Effects," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 33(3), pages 304-344.

    More about this item

    Keywords

    Anti-corruption; Health; Public sector employees; BMI; Overweight;
    All these keywords.

    JEL classification:

    • D73 - Microeconomics - - Analysis of Collective Decision-Making - - - Bureaucracy; Administrative Processes in Public Organizations; Corruption
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

    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:jeborg:v:217:y:2024:i:c:p:141-169. 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/jebo .

    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.