IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v30y2021i10p2345-2366.html
   My bibliography  Save this article

The curse of modernization? Western fast food and Chinese children's weight

Author

Listed:
  • Nancy Kong
  • Weina Zhou

Abstract

The income‐adjusted price of fast food in China is five times more than in the United States, yet we show that the introduction of Western fast‐food restaurants to China still leads to significant weight gain in children. Using the community‐year‐level presence of Western fast‐food outlets, difference‐in‐differences estimations find a 4.8‐percentage‐point increase in the prevalence of overweight/obese children after controlling for child and year fixed effects. The effect decreases at a distance of 3–4 km from a fast‐food restaurant, and we find no further weight gain 2 years after the restaurant's introduction. The underweight rate is not affected by fast‐food introduction. The increase in fat share of energy intake serves as the channel for weight gain. Children in high‐income families, younger than 11 years, and girls are more affected than other Chinese children.

Suggested Citation

  • Nancy Kong & Weina Zhou, 2021. "The curse of modernization? Western fast food and Chinese children's weight," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2345-2366, September.
    • Handle: RePEc:wly:hlthec:v:30:y:2021:i:10:p:2345-2366
    DOI: 10.1002/hec.4381
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4381
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hec.4381?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
    ---><---

    References listed on IDEAS

    as
    1. Fortin, Bernard & Yazbeck, Myra, 2015. "Peer effects, fast food consumption and adolescent weight gain," Journal of Health Economics, Elsevier, vol. 42(C), pages 125-138.
    2. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    3. Richard A. Dunn, 2010. "The Effect of Fast-Food Availability on Obesity: An Analysis by Gender, Race, and Residential Location," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 92(4), pages 1149-1164.
    4. 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).
    5. Janet Currie & Stefano DellaVigna & Enrico Moretti & Vikram Pathania, 2010. "The Effect of Fast Food Restaurants on Obesity and Weight Gain," American Economic Journal: Economic Policy, American Economic Association, vol. 2(3), pages 32-63, August.
    6. Stefano DellaVigna, 2009. "Psychology and Economics: Evidence from the Field," Journal of Economic Literature, American Economic Association, vol. 47(2), pages 315-372, June.
    7. Nathan Nunn & Leonard Wantchekon, 2011. "The Slave Trade and the Origins of Mistrust in Africa," American Economic Review, American Economic Association, vol. 101(7), pages 3221-3252, December.
    8. Qiaowei Shen & Ping Xiao, 2014. "McDonald's and KFC in China: Competitors or Companions?," Marketing Science, INFORMS, vol. 33(2), pages 287-307, March.
    9. Courtemanche, Charles & Carden, Art, 2011. "Supersizing supercenters? The impact of Walmart Supercenters on body mass index and obesity," Journal of Urban Economics, Elsevier, vol. 69(2), pages 165-181, March.
    10. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    11. Julie S. Downs & George Loewenstein & Jessica Wisdom, 2009. "Strategies for Promoting Healthier Food Choices," American Economic Review, American Economic Association, vol. 99(2), pages 159-164, May.
    12. Bryan Bollinger & Phillip Leslie & Alan Sorensen, 2011. "Calorie Posting in Chain Restaurants," American Economic Journal: Economic Policy, American Economic Association, vol. 3(1), pages 91-128, February.
    13. Olga Yakusheva & Kandice A. Kapinos & Daniel Eisenberg, 2014. "Estimating Heterogeneous and Hierarchical Peer Effects on Body Weight Using Roommate Assignments as a Natural Experiment," Journal of Human Resources, University of Wisconsin Press, vol. 49(1), pages 234-261.
    14. Powell, Lisa M., 2009. "Fast food costs and adolescent body mass index: Evidence from panel data," Journal of Health Economics, Elsevier, vol. 28(5), pages 963-970, September.
    15. Tomas Philipson & Richard Posner, 2008. "Is the Obesity Epidemic a Public Health Problem? A Decade of Research on the Economics of Obesity," NBER Working Papers 14010, National Bureau of Economic Research, Inc.
    16. Meliyanni Johar & Shiko Maruyama & Jeffrey Truong, 2017. "The contribution of Western fast food to fast-growing body mass in China," Applied Economics, Taylor & Francis Journals, vol. 49(8), pages 797-811, February.
    17. Alviola, Pedro A. & Nayga, Rodolfo M. & Thomsen, Michael R. & Danforth, Diana & Smartt, James, 2014. "The effect of fast-food restaurants on childhood obesity: A school level analysis," Economics & Human Biology, Elsevier, vol. 12(C), pages 110-119.
    18. Marcel Bilger & Eliza J. Kruger & Eric A. Finkelstein, 2017. "Measuring Socioeconomic Inequality in Obesity: Looking Beyond the Obesity Threshold," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 1052-1066, August.
    19. Michael L. Anderson & David A. Matsa, 2011. "Are Restaurants Really Supersizing America?," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 152-188, January.
    20. Renna, Francesco & Grafova, Irina B. & Thakur, Nidhi, 2008. "The effect of friends on adolescent body weight," Economics & Human Biology, Elsevier, vol. 6(3), pages 377-387, December.
    21. Shu Ng & Edward Norton & David Guilkey & Barry Popkin, 2012. "Estimation of a dynamic model of weight," Empirical Economics, Springer, vol. 42(2), pages 413-443, April.
    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. Dolton, Peter J. & Tafesse, Wiktoria, 2022. "Childhood obesity, is fast food exposure a factor?," Economics & Human Biology, Elsevier, vol. 46(C).
    2. Fortin, Bernard & Yazbeck, Myra, 2015. "Peer effects, fast food consumption and adolescent weight gain," Journal of Health Economics, Elsevier, vol. 42(C), pages 125-138.
    3. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    4. Meliyanni Johar & Shiko Maruyama & Jeffrey Truong, 2017. "The contribution of Western fast food to fast-growing body mass in China," Applied Economics, Taylor & Francis Journals, vol. 49(8), pages 797-811, February.
    5. Abrahamsson, Sara & Bütikofer, Aline & Karbownik, Krzysztof, 2023. "Swallow This: Childhood and Adolescent Exposure to Fast Food Restaurants, BMI, and Cognitive Ability," CEPR Discussion Papers 18213, C.E.P.R. Discussion Papers.
    6. Xun Li & Rigoberto A. Lopez, 2016. "Food environment and weight outcomes: a stochastic frontier approach," Applied Economics, Taylor & Francis Journals, vol. 48(47), pages 4526-4537, October.
    7. Nicolás Libuy & David Church & George Ploubidis & Emla Fitzsimons, 2024. "Fast food proximity and weight gain in childhood and adolescence: Evidence from Great Britain," Health Economics, John Wiley & Sons, Ltd., vol. 33(3), pages 449-465, March.
    8. Chang, Hung-Hao & Meyerhoefer, Chad D., 2019. "Inter-brand competition in the convenience store industry, store density and healthcare utilization," Journal of Health Economics, Elsevier, vol. 65(C), pages 117-132.
    9. Asirvatham, Jebaraj & Thomsen, Michael R. & Nayga, Rodolfo M. & Goudie, Anthony, 2019. "Do fast food restaurants surrounding schools affect childhood obesity?," Economics & Human Biology, Elsevier, vol. 33(C), pages 124-133.
    10. Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George L. Wehby, 2016. "Can Changing Economic Factors Explain the Rise in Obesity?," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1266-1310, April.
    11. Bencsik, Panka & Lusher, Lester & Taylor, Rebecca L.C., 2023. "Slow Traffic, Fast Food: The Effects of Time Lost on Food Store Choice," IZA Discussion Papers 16036, Institute of Labor Economics (IZA).
    12. Grafova, Irina B. & Freedman, Vicki A. & Lurie, Nicole & Kumar, Rizie & Rogowski, Jeannette, 2014. "The difference-in-difference method: Assessing the selection bias in the effects of neighborhood environment on health," Economics & Human Biology, Elsevier, vol. 13(C), pages 20-33.
    13. Han, Jeehee & Schwartz, Amy Ellen & Elbel, Brian, 2020. "Does proximity to fast food cause childhood obesity? Evidence from public housing," Regional Science and Urban Economics, Elsevier, vol. 84(C).
    14. Datar, Ashlesha & Nicosia, Nancy & Samek, Anya, 2023. "Heterogeneity in place effects on health: The case of time preferences and adolescent obesity," Economics & Human Biology, Elsevier, vol. 49(C).
    15. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    16. Cotti, Chad & Tefft, Nathan, 2013. "Fast food prices, obesity, and the minimum wage," Economics & Human Biology, Elsevier, vol. 11(2), pages 134-147.
    17. Kristen Cooksey-Stowers & Marlene B. Schwartz & Kelly D. Brownell, 2017. "Food Swamps Predict Obesity Rates Better Than Food Deserts in the United States," IJERPH, MDPI, vol. 14(11), pages 1-20, November.
    18. Partha Deb & Carmen Vargas, 2016. "Who Benefits from Calorie Labeling? An Analysis of its Effects on Body Mass," NBER Working Papers 21992, National Bureau of Economic Research, Inc.
    19. Arduini, Tiziano & Iorio, Daniela & Patacchini, Eleonora, 2019. "Weight, reference points, and the onset of eating disorders," Journal of Health Economics, Elsevier, vol. 65(C), pages 170-188.
    20. Kelly Bedard & Peter J. Kuhn, 2013. "Making Nutritional Information Digestible: Effects of a Receipt-Based Intervention on Restaurant Purchases," NBER Working Papers 19654, National Bureau of Economic Research, Inc.

    More about this item

    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:wly:hlthec:v:30:y:2021:i:10:p:2345-2366. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.