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Flush toilet use and its impact on health and non‐health expenditures

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  • Junpeng Li
  • Puneet Vatsa
  • Wanglin Ma

Abstract

This study analysed the effects of flush toilet use on health and non‐health expenditures incurred by rural Chinese. The instrumental‐variable‐based Tobit and endogenous treatment regression models were used to analyse the 2016 China Labour Force Dynamics Survey data while addressing the selection bias inherent in flush toilet use. The results showed that by improving rural residents' physical and mental health, flush toilet use reduced per capita health expenditure while increasing non‐health expenditure. Furthermore, using flush toilets had positive spillover effects, reducing the health expenditures of even those who did not use them. Factors affecting flush toilet use were also analysed.

Suggested Citation

  • Junpeng Li & Puneet Vatsa & Wanglin Ma, 2024. "Flush toilet use and its impact on health and non‐health expenditures," Journal of International Development, John Wiley & Sons, Ltd., vol. 36(4), pages 2022-2046, May.
    • Handle: RePEc:wly:jintdv:v:36:y:2024:i:4:p:2022-2046
    DOI: 10.1002/jid.3889
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    1. Cameron, Lisa & Chase, Claire & Contreras Suarez, Diana, 2021. "Relationship between water and sanitation and maternal health: Evidence from Indonesia," World Development, Elsevier, vol. 147(C).
    2. Hongyun Zheng & Wanglin Ma & Xiaoshi Zhou, 2021. "Renting-in cropland, machinery use intensity, and land productivity in rural China," Applied Economics, Taylor & Francis Journals, vol. 53(47), pages 5503-5517, October.
    3. Brette, Olivier & Buhler, Thomas & Lazaric, Nathalie & Marechal, Kevin, 2014. "Reconsidering the nature and effects of habits in urban transportation behavior," Journal of Institutional Economics, Cambridge University Press, vol. 10(3), pages 399-426, September.
    4. Zheng, Hongyun & Ma, Wanglin & Zhou, Xiaoshi, 2021. "Effects of Renting-in Cropland on Machinery Use Intensity and Land Productivity: Evidence from Rural China," 2021 Conference, August 17-31, 2021, Virtual 315084, International Association of Agricultural Economists.
    5. Jean Spinks & Son Nghiem & Joshua Byrnes, 2021. "Risky business, healthy lives: how risk perception, risk preferences and information influence consumer’s risky health choices," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(5), pages 811-831, July.
    6. Zhou Lu & Jayatilleke S. Bandara & Sudharshan Reddy Paramati, 2020. "Impact of sanitation, safe drinking water and health expenditure on infant mortality rate in developing economies," Australian Economic Papers, Wiley Blackwell, vol. 59(1), pages 13-33, March.
    7. Emily J. Callander & Haylee Fox & Daniel Lindsay, 2019. "Out-of-pocket healthcare expenditure in Australia: trends, inequalities and the impact on household living standards in a high-income country with a universal health care system," Health Economics Review, Springer, vol. 9(1), pages 1-8, December.
    8. Colin Green & Bruce Hollingsworth & Miaoqing Yang, 2021. "The impact of social health insurance on rural populations," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(3), pages 473-483, April.
    9. Akpalu, Wisdom & Normanyo, Ametefee K., 2017. "Gold Mining Pollution and the Cost of Private Healthcare: The Case of Ghana," Ecological Economics, Elsevier, vol. 142(C), pages 104-112.
    10. Mehdi Barati & Hadiseh Fariditavana, 2020. "Technology progress and rising healthcare expenditure in the U.S," Applied Economics Letters, Taylor & Francis Journals, vol. 27(6), pages 451-454, March.
    11. Akansha Batra & Indrani Gupta & Abhiroop Mukhopadhyay, 2018. "Gender Differences in Health Expenditure of Rural Cancer Patients: Evidence from a Public Tertiary Care Facility in India," Journal of Quantitative Economics, Springer;The Indian Econometric Society (TIES), vol. 16(3), pages 615-629, September.
    12. Augsburg, Britta & Rodríguez-Lesmes, Paul Andrés, 2018. "Sanitation and child health in India," World Development, Elsevier, vol. 107(C), pages 22-39.
    13. Bolaji Samson Aregbeshola & Samina Mohsin Khan, 2018. "Determinants of catastrophic health expenditure in Nigeria," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(4), pages 521-532, May.
    14. Zhang, Xin & Zhang, Xiaobo & Chen, Xi, 2017. "Happiness in the air: How does a dirty sky affect mental health and subjective well-being?," Journal of Environmental Economics and Management, Elsevier, vol. 85(C), pages 81-94.
    15. Chang, Qing & Ma, Wanglin & Vatsa, Puneet & Li, Jian, 2022. "Has the Targeted Poverty Alleviation program improved household welfare in rural China?," Journal of Policy Modeling, Elsevier, vol. 44(5), pages 1041-1056.
    16. Anjali Adukia, 2017. "Sanitation and Education," American Economic Journal: Applied Economics, American Economic Association, vol. 9(2), pages 23-59, April.
    17. Adhvaryu, Achyuta & Nyshadham, Anant, 2017. "Health, Enterprise, and Labor Complementarity in the Household," Journal of Development Economics, Elsevier, vol. 126(C), pages 91-111.
    18. Kul Kapri & Stuti Jha, 2020. "Impact of remittances on household health care expenditure: Evidence from the Nepal Living Standards Survey," Review of Development Economics, Wiley Blackwell, vol. 24(3), pages 991-1008, August.
    19. Gigi Foster & Charlene M. Kalenkoski, 2013. "Tobit or OLS? An empirical evaluation under different diary window lengths," Applied Economics, Taylor & Francis Journals, vol. 45(20), pages 2994-3010, July.
    20. Esther Duflo & Michael Greenstone & Raymond Guiteras & Thomas Clasen, 2015. "Toilets Can Work: Short and Medium Run Health Impacts of Addressing Complementarities and Externalities in Water and Sanitation," NBER Working Papers 21521, National Bureau of Economic Research, Inc.
    21. Leigh C. Hamlet & Jessica Kaminsky, 2023. "Analytical utility of the JMP school water, sanitation and hygiene global monitoring data," Nature Sustainability, Nature, vol. 6(2), pages 222-232, February.
    22. Bukari, Chei & Broermann, Shanaz & Okai, Davidson, 2021. "Energy poverty and health expenditure: Evidence from Ghana," Energy Economics, Elsevier, vol. 103(C).
    23. Tang, Jianjun & Gong, Jiaowei & Ma, Wanglin & Rahut, Dil Bahadur, 2022. "Narrowing urban–rural income gap in China: The role of the targeted poverty alleviation program," Economic Analysis and Policy, Elsevier, vol. 75(C), pages 74-90.
    24. Shiyu Yan & Jiao Wang & Zhineng Hu, 2023. "Assessment of the effects of targeted poverty alleviation policy on differently poverty‐stricken households: A multi‐propensity score weighting model," Review of Development Economics, Wiley Blackwell, vol. 27(3), pages 1792-1833, August.
    25. Ma, Wanglin & Zhou, Xiaoshi & Renwick, Alan, 2019. "Impact of off-farm income on household energy expenditures in China: Implications for rural energy transition," Energy Policy, Elsevier, vol. 127(C), pages 248-258.
    26. Zhong, Taiyang & Zhang, Xiaoling & Huang, Xianjin & Liu, Fang, 2019. "Blessing or curse? Impact of land finance on rural public infrastructure development," Land Use Policy, Elsevier, vol. 85(C), pages 130-141.
    27. Kresch, Evan Plous & Walker, Mark & Best, Michael Carlos & Gerard, François & Naritomi, Joana, 2023. "Sanitation and property tax compliance: Analyzing the social contract in Brazil," Journal of Development Economics, Elsevier, vol. 160(C).
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