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The role of permanent income and family structure in the determination of child health in Canada

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  • Lori J. Curtis
  • Martin D. Dooley
  • Ellen L. Lipman
  • David H. Feeny

Abstract

We use data from the Ontario Child Health Study (OCHS) to provide the first Canadian estimates of how the empirical association between child health and both low‐income and family status (lone‐mother versus two‐parent) changes when we re‐estimate the model with pooled data. Two waves of data provide a better indication of the family's long‐run level of economic resources than does one wave. Our measures of health status include categorical indicators and the health utility score derived from the Health Utilities Index Mark 2 (HUI2) system. Consistent with findings from other countries, we find that most outcomes are more strongly related to low‐average income (in 1982 and 1986) than to low‐current income in either year. Unlike some previous research, we find the quantitative impact of low‐income on child health to be modest to large. Lone‐mother status is negatively associated with most outcomes, but the lone‐mother coefficients did not change significantly when we switched from low‐current income to low‐average income. This implies that the lone‐mother coefficient in single cross‐sections is not just a proxy for low‐permanent income. Copyright © 2001 John Wiley & Sons, Ltd.

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  • Lori J. Curtis & Martin D. Dooley & Ellen L. Lipman & David H. Feeny, 2001. "The role of permanent income and family structure in the determination of child health in Canada," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 287-302, June.
    • Handle: RePEc:wly:hlthec:v:10:y:2001:i:4:p:287-302
    DOI: 10.1002/hec.591
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    Cited by:

    1. Wei, Lan & Feeny, David, 2019. "The dynamics of the gradient between child's health and family income: Evidence from Canada," Social Science & Medicine, Elsevier, vol. 226(C), pages 182-189.
    2. Currie, Janet & Kurdyak, Paul & Zhang, Jonathan, 2024. "Socioeconomic status and access to mental health care: The case of psychiatric medications for children in Ontario Canada," Journal of Health Economics, Elsevier, vol. 93(C).
    3. 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.
    4. Shao‐Hsun Keng & Sheng‐Jang Sheu, 2013. "The Effect Of National Health Insurance On Mortality And The Ses–Health Gradient: Evidence From The Elderly In Taiwan," Health Economics, John Wiley & Sons, Ltd., vol. 22(1), pages 52-72, January.
    5. Janet Currie & Mark Stabile, 2002. "Socioeconomic Status and Health: Why is the Relationship Stronger for Older Children?," NBER Working Papers 9098, National Bureau of Economic Research, Inc.
    6. Fuhmei Wang & Jung-Der Wang & Yu-Wen Hung, 2018. "Universal health insurance, health inequality and oral cancer in Taiwan," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-13, October.
    7. Jacob Nielsen Arendt, 2012. "The Demand for Health Care by the Poor under Universal Health Care Coverage," Journal of Human Capital, University of Chicago Press, vol. 6(4), pages 316-335.
    8. Janet Currie & Mark Stabile, 2007. "Mental Health in Childhood and Human Capital," NBER Chapters, in: The Problems of Disadvantaged Youth: An Economic Perspective, pages 115-148, National Bureau of Economic Research, Inc.
    9. Yen-ju Lin & Bradley Chen & Tsai-Ching Liu & Chin-Shyan Chen, 2012. "The Impact of Family Structure on Utilization of Preventive Care Services among Children under National Health Insurance in Taiwan," Journal of Family and Economic Issues, Springer, vol. 33(4), pages 453-463, December.
    10. Contoyannis, Paul & Li, Jinhu, 2011. "The evolution of health outcomes from childhood to adolescence," Journal of Health Economics, Elsevier, vol. 30(1), pages 11-32, January.
    11. Thomas F. Crossley & Lori J. Curtis, 2006. "Child Poverty In Canada," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 52(2), pages 237-260, June.
    12. Weitoft, Gunilla Ringbäck & Hjern, Anders & Batljan, Ilija & Vinnerljung, Bo, 2008. "Health and social outcomes among children in low-income families and families receiving social assistance--A Swedish national cohort study," Social Science & Medicine, Elsevier, vol. 66(1), pages 14-30, January.
    13. Kelly Chen & Lars Osberg & Shelley Phipps, 2015. "Inter-generational effects of disability benefits: evidence from Canadian social assistance programs," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(4), pages 873-910, October.
    14. Paul Contoyannis & Martin Dooley, 2010. "The role of child health and economic status in educational, health, and labour market outcomes in young adulthood," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 43(1), pages 323-346, February.
    15. Murasko, Jason E., 2008. "An evaluation of the age-profile in the relationship between household income and the health of children in the United States," Journal of Health Economics, Elsevier, vol. 27(6), pages 1489-1502, December.
    16. Luis Rajmil & Michael Herdman & Ulrike Ravens-Sieberer & Michael Erhart & Jordi Alonso, 2014. "Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(1), pages 95-105, February.

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