IDEAS home Printed from https://ideas.repec.org/a/eee/chieco/v72y2022ics1043951x22000268.html
   My bibliography  Save this article

The effect of education on health and health behaviors: Evidence from the college enrollment expansion in China

Author

Listed:
  • Fu, Hongqiao
  • Ge, Run
  • Huang, Jialin
  • Shi, Xinzheng

Abstract

By exploiting the massive college enrollment expansion in China beginning in 1999, we investigate the effect of higher education on health and health behaviors. Using data from the China Family Panel Studies in 2018 and employing an instrumental variable approach, we find that higher education has a significant effect on health and health behaviors. Each additional year of education increases the probability of reporting good health and having good memory by 1.9 and 3.1 percentage points (pp), respectively. Moreover, it decreases the probability of being overweight, smoking, and drinking by 1.3, 2.3, and 1.2 pp., respectively. By comparing the effect size with the findings in previous literature, we conclude that the effect of education on health is greater at higher levels of education. Further analysis suggests that education may affect health and health behaviors through two channels: the resources acquired by individuals and the prices faced by them.

Suggested Citation

  • Fu, Hongqiao & Ge, Run & Huang, Jialin & Shi, Xinzheng, 2022. "The effect of education on health and health behaviors: Evidence from the college enrollment expansion in China," China Economic Review, Elsevier, vol. 72(C).
    • Handle: RePEc:eee:chieco:v:72:y:2022:i:c:s1043951x22000268
    DOI: 10.1016/j.chieco.2022.101768
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1043951X22000268
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.chieco.2022.101768?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. Hannes Schwandt, 2018. "Wealth Shocks and Health Outcomes: Evidence from Stock Market Fluctuations," American Economic Journal: Applied Economics, American Economic Association, vol. 10(4), pages 349-377, October.
    2. Damon Clark & Heather Royer, 2013. "The Effect of Education on Adult Mortality and Health: Evidence from Britain," American Economic Review, American Economic Association, vol. 103(6), pages 2087-2120, October.
    3. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    4. Albouy, Valerie & Lequien, Laurent, 2009. "Does compulsory education lower mortality?," Journal of Health Economics, Elsevier, vol. 28(1), pages 155-168, January.
    5. Liu, Gordon G. & Dow, William H. & Fu, Alex Z. & Akin, John & Lance, Peter, 2008. "Income productivity in China: On the role of health," Journal of Health Economics, Elsevier, vol. 27(1), pages 27-44, January.
    6. Braakmann, Nils, 2011. "The causal relationship between education, health and health related behaviour: Evidence from a natural experiment in England," Journal of Health Economics, Elsevier, vol. 30(4), pages 753-763, July.
    7. Kuhn, Andreas & Lalive, Rafael & Zweimüller, Josef, 2009. "The public health costs of job loss," Journal of Health Economics, Elsevier, vol. 28(6), pages 1099-1115, December.
    8. Keats, Anthony, 2018. "Women's schooling, fertility, and child health outcomes: Evidence from Uganda's free primary education program," Journal of Development Economics, Elsevier, vol. 135(C), pages 142-159.
    9. Giorgio Brunello & Daniele Fabbri & Margherita Fort, 2013. "The Causal Effect of Education on Body Mass: Evidence from Europe," Journal of Labor Economics, University of Chicago Press, vol. 31(1), pages 195-223.
    10. Bhashkar Mazumder, 2008. "Does education improve health? A reexamination of the evidence from compulsory schooling laws," Economic Perspectives, Federal Reserve Bank of Chicago, vol. 32(Q II), pages 2-16.
    11. Arendt, Jacob Nielsen, 2005. "Does education cause better health? A panel data analysis using school reforms for identification," Economics of Education Review, Elsevier, vol. 24(2), pages 149-160, April.
    12. Jens Ludwig & Greg J. Duncan & Lisa A. Gennetian & Lawrence F. Katz & Ronald C. Kessler & Jeffrey R. Kling & Lisa Sanbonmatsu, 2013. "Long-Term Neighborhood Effects on Low-Income Families: Evidence from Moving to Opportunity," American Economic Review, American Economic Association, vol. 103(3), pages 226-231, May.
    13. Resul Cesur & Bahadir Dursun & Naci Mocan, 2014. "The Impact of Education on Health and Health Behavior in a Middle-Income, Low-Education Country," NBER Working Papers 20764, National Bureau of Economic Research, Inc.
    14. Cygan-Rehm, Kamila & Maeder, Miriam, 2013. "The effect of education on fertility: Evidence from a compulsory schooling reform," Labour Economics, Elsevier, vol. 25(C), pages 35-48.
    15. Buckles, Kasey & Hagemann, Andreas & Malamud, Ofer & Morrill, Melinda & Wozniak, Abigail, 2016. "The effect of college education on mortality," Journal of Health Economics, Elsevier, vol. 50(C), pages 99-114.
    16. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    17. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    18. Kemptner, Daniel & Jürges, Hendrik & Reinhold, Steffen, 2011. "Changes in compulsory schooling and the causal effect of education on health: Evidence from Germany," Journal of Health Economics, Elsevier, vol. 30(2), pages 340-354, March.
    19. Gardner, Jonathan & Oswald, Andrew J., 2007. "Money and mental wellbeing: A longitudinal study of medium-sized lottery wins," Journal of Health Economics, Elsevier, vol. 26(1), pages 49-60, January.
    20. Xie, Shiqing & Mo, Taiping, 2014. "The impact of education on health in China," China Economic Review, Elsevier, vol. 29(C), pages 1-18.
    21. Grimard, Franque & Parent, Daniel, 2007. "Education and smoking: Were Vietnam war draft avoiders also more likely to avoid smoking?," Journal of Health Economics, Elsevier, vol. 26(5), pages 896-926, September.
    22. Huang, Wei, 2015. "Understanding the Effects of Education on Health: Evidence from China," IZA Discussion Papers 9225, Institute of Labor Economics (IZA).
    23. 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.
    24. Daniel Prinz & Michael Chernew & David Cutler & Austin Frakt, 2018. "Health and Economic Activity Over the Lifecycle: Literature Review," NBER Working Papers 24865, National Bureau of Economic Research, Inc.
    25. Imbens, Guido W & Angrist, Joshua D, 1994. "Identification and Estimation of Local Average Treatment Effects," Econometrica, Econometric Society, vol. 62(2), pages 467-475, March.
    26. Jürges, Hendrik & Reinhold, Steffen & Salm, Martin, 2011. "Does schooling affect health behavior? Evidence from the educational expansion in Western Germany," Economics of Education Review, Elsevier, vol. 30(5), pages 862-872, October.
    27. 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.
    28. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    29. Yi Che & Lei Zhang, 2018. "Human Capital, Technology Adoption and Firm Performance: Impacts of China's Higher Education Expansion in the Late 1990s," Economic Journal, Royal Economic Society, vol. 128(614), pages 2282-2320, September.
    30. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(3), pages 1265-1306.
    31. Cui, Ying & Liu, Hong & Zhao, Liqiu, 2019. "Mother's education and child development: Evidence from the compulsory school reform in China," Journal of Comparative Economics, Elsevier, vol. 47(3), pages 669-692.
    32. Philip Oreopoulos, 2006. "Estimating Average and Local Average Treatment Effects of Education when Compulsory Schooling Laws Really Matter," American Economic Review, American Economic Association, vol. 96(1), pages 152-175, March.
    33. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    34. Li, Jinhu & Powdthavee, Nattavudh, 2015. "Does more education lead to better health habits? Evidence from the school reforms in Australia," Social Science & Medicine, Elsevier, vol. 127(C), pages 83-91.
    35. Douglas Almond & Janet Currie, 2011. "Killing Me Softly: The Fetal Origins Hypothesis," Journal of Economic Perspectives, American Economic Association, vol. 25(3), pages 153-172, Summer.
    36. Li, Hongbin & Ma, Yueyuan & Meng, Lingsheng & Qiao, Xue & Shi, Xinzheng, 2017. "Skill complementarities and returns to higher education: Evidence from college enrollment expansion in China," China Economic Review, Elsevier, vol. 46(C), pages 10-26.
    37. Donald Kenkel & Dean Lillard & Alan Mathios, 2006. "The Roles of High School Completion and GED Receipt in Smoking and Obesity," Journal of Labor Economics, University of Chicago Press, vol. 24(3), pages 635-660, July.
    38. Jiang, Wei & Lu, Yi & Xie, Huihua, 2020. "Education and mental health: Evidence and mechanisms," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 407-437.
    39. Matthew Gentzkow, 2006. "Television and Voter Turnout," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(3), pages 931-972.
    40. de Walque, Damien, 2007. "Does education affect smoking behaviors?: Evidence using the Vietnam draft as an instrument for college education," Journal of Health Economics, Elsevier, vol. 26(5), pages 877-895, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Xianbo Li, 2022. "Sequence Model and Prediction for Sustainable Enrollments in Chinese Universities," Sustainability, MDPI, vol. 15(1), pages 1-25, December.
    2. Chen, Yuanyuan & Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2023. "Education and Migrant Health in China," Economic Modelling, Elsevier, vol. 121(C).
    3. Yanwen Long & Changli Jia & Xiaoxia Luo & Yufeng Sun & Wenjing Zuo & Yibo Wu & Yunchou Wu & Ayidana Kaierdebieke & Zhi Lin, 2022. "The Impact of Higher Education on Health Literacy: A Comparative Study between Urban and Rural China," Sustainability, MDPI, vol. 14(19), pages 1-16, September.
    4. Du, Yan & Yan, Jie & Cao, Fangzhou & Li, Yifei & Zhou, Mao, 2023. "Higher education expansion and domestic value added in exports: Theory and evidence from China," Journal of Asian Economics, Elsevier, vol. 87(C).
    5. Zhou, Jie & Jamaani, Fouad, 2023. "Electricity production, government effectiveness eco-innovation, and public health: Novel findings in the context of sustainability policies," Utilities Policy, Elsevier, vol. 81(C).
    6. Wang, Xiqian & Bian, Yong & Zhang, Qin, 2023. "The effect of cooking fuel choice on the elderly’s well-being: Evidence from two non-parametric methods," Energy Economics, Elsevier, vol. 125(C).
    7. Chen, Jidong & Liu, Shenglong & Zhang, Xiaoming & Zhou, Xingyu, 2023. "Building social trust through education," China Economic Review, Elsevier, vol. 82(C).

    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. Jiang, Wei & Lu, Yi & Xie, Huihua, 2020. "Education and mental health: Evidence and mechanisms," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 407-437.
    2. Titus J. Galama & Adriana Lleras-Muney & Hans van Kippersluis, 2018. "The Effect of Education on Health and Mortality: A Review of Experimental and Quasi-Experimental Evidence," NBER Working Papers 24225, National Bureau of Economic Research, Inc.
    3. Bautista, María Angélica & González, Felipe & Martinez, Luis R. & Muñoz, Pablo & Prem, Mounu, 2020. "Does Higher Education Reduce Mortality? Evidence from a Natural Experiment in Chile," SocArXiv 5s2px, Center for Open Science.
    4. Hamad, Rita & Elser, Holly & Tran, Duy C. & Rehkopf, David H. & Goodman, Steven N., 2018. "How and why studies disagree about the effects of education on health: A systematic review and meta-analysis of studies of compulsory schooling laws," Social Science & Medicine, Elsevier, vol. 212(C), pages 168-178.
    5. Bautista, María Angélica & González, Felipe & Martinez, Luis R. & Muñoz, Pablo & Prem, Mounu, 2020. "Does Higher Education Reduce Mortality? Evidence from a Natural Experiment in Chile," SocArXiv 5s2px, Center for Open Science.
    6. Felipe González & Luis R Martínez & Pablo Muñoz & Mounu Prem, 2024. "Higher Education and Mortality: Legacies of an Authoritarian College Contraction," Journal of the European Economic Association, European Economic Association, vol. 22(4), pages 1762-1797.
    7. Baltagi, Badi H. & Flores-Lagunes, Alfonso & Karatas, Haci M., 2023. "The effect of higher education on Women's obesity and smoking: Evidence from college openings in Turkey," Economic Modelling, Elsevier, vol. 123(C).
    8. Janke, Katharina & Johnston, David W. & Propper, Carol & Shields, Michael A., 2020. "The causal effect of education on chronic health conditions in the UK," Journal of Health Economics, Elsevier, vol. 70(C).
    9. Baltagi, Badi H. & Flores-Lagunes, Alfonso & Karatas, Haci M., 2019. "The effect of education on health: Evidence from the 1997 compulsory schooling reform in Turkey," Regional Science and Urban Economics, Elsevier, vol. 77(C), pages 205-221.
    10. Janke, Katharina & Johnston, David W. & Propper, Carol & Shields, Michael A., 2018. "The Causal Effect of Education on Chronic Health Conditions," IZA Discussion Papers 11353, Institute of Labor Economics (IZA).
    11. Tatjana Begerow & Hendrik Jürges, 2022. "Does compulsory schooling affect health? Evidence from ambulatory claims data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(6), pages 953-968, August.
    12. Rasyad A. Parinduri, 2017. "Does Education Improve Health? Evidence from Indonesia," Journal of Development Studies, Taylor & Francis Journals, vol. 53(9), pages 1358-1375, September.
    13. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    14. Aysıt Tansel & Deniz Karaoğlan, 2019. "The Effect of Education on Health Behaviors and Obesity in Turkey: Instrumental Variable Estimates from a Developing Country," The European Journal of Development Research, Palgrave Macmillan;European Association of Development Research and Training Institutes (EADI), vol. 31(5), pages 1416-1448, December.
    15. Xie, Shiqing & Mo, Taiping, 2014. "The impact of education on health in China," China Economic Review, Elsevier, vol. 29(C), pages 1-18.
    16. Gehrsitz, Markus & Williams, Jr., Morgan C., 2024. "The Effects of Compulsory Schooling on Health and Hospitalization over the Life Cycle," IZA Discussion Papers 17050, Institute of Labor Economics (IZA).
    17. Eide, Eric R. & Showalter, Mark H., 2011. "Estimating the relation between health and education: What do we know and what do we need to know?," Economics of Education Review, Elsevier, vol. 30(5), pages 778-791, October.
    18. Yanwen Long & Changli Jia & Xiaoxia Luo & Yufeng Sun & Wenjing Zuo & Yibo Wu & Yunchou Wu & Ayidana Kaierdebieke & Zhi Lin, 2022. "The Impact of Higher Education on Health Literacy: A Comparative Study between Urban and Rural China," Sustainability, MDPI, vol. 14(19), pages 1-16, September.
    19. Grytten, Jostein & Skau, Irene & Sørensen, Rune, 2020. "Who dies early? Education, mortality and causes of death in Norway," Social Science & Medicine, Elsevier, vol. 245(C).
    20. Amin, Vikesh & Behrman, Jere R. & Kohler, Hans-Peter, 2015. "Schooling has smaller or insignificant effects on adult health in the US than suggested by cross-sectional associations: New estimates using relatively large samples of identical twins," Social Science & Medicine, Elsevier, vol. 127(C), pages 181-189.

    More about this item

    Keywords

    Higher education; Health; Health behaviors; College enrollment expansion;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • I23 - Health, Education, and Welfare - - Education - - - Higher Education; Research Institutions
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy

    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:72:y:2022:i:c:s1043951x22000268. 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.