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Household response to health shocks: Does broadband infrastructure have a role to play?

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  • Wang, Xiqian
  • He, Zongyue

Abstract

This paper investigates the household response to health shocks and the mitigating effect of broadband infrastructure using micro survey data from the China Health and Retirement Longitudinal Study (CHARLS). This study contributes to the literature by exploiting the “Broadband China” policy to address endogeneity issues and constructing multidimensional health indicators to assess the distinct effects of various health status changes on household outcomes. We find that household income from agricultural productivity and food consumption are well insured against health shocks, while health shocks significantly reduce income from self-employed activities and increase nonfood consumption. In addition, our findings suggest that broadband infrastructure plays an important role in reducing the negative impact of health shocks through two important channels: optimizing financial asset management and increasing public transfers from the government. These findings highlight the importance of broadband development, which can help rural households better cope with unexpected health shocks and reduce the likelihood of falling into poverty.

Suggested Citation

  • Wang, Xiqian & He, Zongyue, 2024. "Household response to health shocks: Does broadband infrastructure have a role to play?," Economic Analysis and Policy, Elsevier, vol. 81(C), pages 1353-1370.
  • Handle: RePEc:eee:ecanpo:v:81:y:2024:i:c:p:1353-1370
    DOI: 10.1016/j.eap.2024.02.010
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    as
    1. De Weerdt, Joachim & Dercon, Stefan, 2006. "Risk-sharing networks and insurance against illness," Journal of Development Economics, Elsevier, vol. 81(2), pages 337-356, December.
    2. Malamud, Ofer & Cueto, Santiago & Cristia, Julian & Beuermann, Diether W., 2019. "Do children benefit from internet access? Experimental evidence from Peru," Journal of Development Economics, Elsevier, vol. 138(C), pages 41-56.
    3. Zhuo Huang & Yunqing Tao & Xin Luo & Yongwei Ye & Tianyi Lei, 2023. "Regional digital finance and corporate investment efficiency in China," Applied Economics, Taylor & Francis Journals, vol. 55(43), pages 5115-5134, September.
    4. Bonekamp, Johan & Wouterse, Bram, 2023. "Do different shocks in health matter for wealth?," Journal of Health Economics, Elsevier, vol. 87(C).
    5. Sun, Nan & Kong, Dongmin & Tao, Yunqing, 2023. "Does broadband infrastructure affect corporate mergers and acquisitions? Quasi-natural experimental evidence from China," International Review of Financial Analysis, Elsevier, vol. 85(C).
    6. Niu, Geng & Jin, XiaoShu & Wang, Qi & Zhou, Yang, 2022. "Broadband infrastructure and digital financial inclusion in rural China," China Economic Review, Elsevier, vol. 76(C).
    7. Kolko, Jed, 2012. "Broadband and local growth," Journal of Urban Economics, Elsevier, vol. 71(1), pages 100-113.
    8. Paul Gertler & Jonathan Gruber, 2002. "Insuring Consumption Against Illness," American Economic Review, American Economic Association, vol. 92(1), pages 51-70, March.
    9. Manoj Mohanan, 2013. "Causal Effects of Health Shocks on Consumption and Debt: Quasi-Experimental Evidence from Bus Accident Injuries," The Review of Economics and Statistics, MIT Press, vol. 95(2), pages 673-681, May.
    10. Islam, Asadul & Maitra, Pushkar, 2012. "Health shocks and consumption smoothing in rural households: Does microcredit have a role to play?," Journal of Development Economics, Elsevier, vol. 97(2), pages 232-243.
    11. Abhijit V. Banerjee & Esther Duflo, 2007. "The Economic Lives of the Poor," Journal of Economic Perspectives, American Economic Association, vol. 21(1), pages 141-168, Winter.
    12. William Jack & Tavneet Suri, 2014. "Risk Sharing and Transactions Costs: Evidence from Kenya's Mobile Money Revolution," American Economic Review, American Economic Association, vol. 104(1), pages 183-223, January.
    13. Stephen B. DeLoach & Marquessa Smith-Lin, 2018. "The Role of Savings and Credit in Coping with Idiosyncratic Household Shocks," Journal of Development Studies, Taylor & Francis Journals, vol. 54(9), pages 1513-1533, September.
    14. Huang, Zhuo & Tao, Yunqing & Zhang, Qidi & Ye, Yongwei, 2023. "The road to entrepreneurship: The effect of China's broadband infrastructure construction," Economic Analysis and Policy, Elsevier, vol. 80(C), pages 1831-1847.
    15. Wang, Yajie & Jin, Zhenjie & Yuan, Ye, 2023. "The consequences of health shocks on households: Evidence from China," China Economic Review, Elsevier, vol. 79(C).
    16. Paul Gertler & David I. Levine & Enrico Moretti, 2009. "Do microfinance programs help families insure consumption against illness?," Health Economics, John Wiley & Sons, Ltd., vol. 18(3), pages 257-273, March.
    17. Wang, Yi & Niu, Geng & Zhou, Yang & Lu, Weijie, 2023. "Broadband internet and stock market participation," International Review of Financial Analysis, Elsevier, vol. 85(C).
    18. Canzian, Giulia & Poy, Samuele & Schüller, Simone, 2019. "Broadband upgrade and firm performance in rural areas: Quasi-experimental evidence," Regional Science and Urban Economics, Elsevier, vol. 77(C), pages 87-103.
    19. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    20. Geraci, Andrea & Nardotto, Mattia & Reggiani, Tommaso & Sabatini, Fabio, 2022. "Broadband Internet and social capital," Journal of Public Economics, Elsevier, vol. 206(C).
    21. Sophie Mitra & Michael Palmer & Daniel Mont & Nora Groce, 2016. "Can Households Cope with Health Shocks in Vietnam?," Health Economics, John Wiley & Sons, Ltd., vol. 25(7), pages 888-907, July.
    22. Tang, Chang & Xue, Yan & Wu, Haitao & Irfan, Muhammad & Hao, Yu, 2022. "How does telecommunications infrastructure affect eco-efficiency? Evidence from a quasi-natural experiment in China," Technology in Society, Elsevier, vol. 69(C).
    23. Pak, Tae-Young & Babiarz, Patryk, 2018. "Does cognitive aging affect portfolio choice?," Journal of Economic Psychology, Elsevier, vol. 66(C), pages 1-12.
    24. Julius Ohrnberger, 2022. "Economic shocks, health, and social protection: The effect of COVID‐19 income shocks on health and mitigation through cash transfers in South Africa," Health Economics, John Wiley & Sons, Ltd., vol. 31(11), pages 2481-2498, November.
    25. Qiu, Leiju & Zhong, Shunbin & Sun, Baowen, 2021. "Blessing or curse? The effect of broadband Internet on China’s inter-city income inequality," Economic Analysis and Policy, Elsevier, vol. 72(C), pages 626-650.
    26. Nam, Eun-Young & Lee, Kiryoung & Jeon, Yoontae, 2021. "Macroeconomic uncertainty shocks and households’ consumption choice," Journal of Macroeconomics, Elsevier, vol. 68(C).
    27. Itzik Fadlon & Torben Heien Nielsen, 2021. "Family Labor Supply Responses to Severe Health Shocks: Evidence from Danish Administrative Records," American Economic Journal: Applied Economics, American Economic Association, vol. 13(3), pages 1-30, July.
    28. Yang, Mengjun & Zheng, Shilin & Zhou, Lin, 2022. "Broadband internet and enterprise innovation," China Economic Review, Elsevier, vol. 74(C).
    29. Maria Eugenia Genoni, 2012. "Health Shocks and Consumption Smoothing: Evidence from Indonesia," Economic Development and Cultural Change, University of Chicago Press, vol. 60(3), pages 475-506.
    30. Jonathan Morduch, 1995. "Income Smoothing and Consumption Smoothing," Journal of Economic Perspectives, American Economic Association, vol. 9(3), pages 103-114, Summer.
    31. Wang, Qingxi & Hu, An & Tian, Zhihua, 2022. "Digital transformation and electricity consumption: Evidence from the Broadband China pilot policy," Energy Economics, Elsevier, vol. 115(C).
    32. Phan, Chung Thanh & Sun, Sizhong & Zhou, Zhang-Yue & Beg, Rabiul, 2019. "Does microcredit increase household food consumption? A study of rural Vietnam," Journal of Asian Economics, Elsevier, vol. 62(C), pages 39-51.
    33. Bo Li & Jing Liu & Qian Liu & Muhammad Mohiuddin, 2022. "The Effects of Broadband Infrastructure on Carbon Emission Efficiency of Resource-Based Cities in China: A Quasi-Natural Experiment from the “Broadband China” Pilot Policy," IJERPH, MDPI, vol. 19(11), pages 1-27, May.
    34. Zhang, Liangliang & Tao, Yunqing & Nie, Cong, 2022. "Does broadband infrastructure boost firm productivity? Evidence from a quasi-natural experiment in China," Finance Research Letters, Elsevier, vol. 48(C).
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Health shocks; Broadband infrastructure; Income; Consumption;
    All these keywords.

    JEL classification:

    • D13 - Microeconomics - - Household Behavior - - - Household Production and Intrahouse Allocation
    • O12 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Microeconomic Analyses of Economic Development
    • I10 - Health, Education, and Welfare - - Health - - - General

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