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Getting warmer: fuel poverty, objective and subjective health and well-being

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  • Davillas, Apostolos
  • Burlinson, Andrew
  • Liu, Hui-Hsuan

Abstract

This paper uses data from Understanding Society: the UK Household Longitudinal Study to explore the association between fuel poverty and a set of well-being outcomes: life-satisfaction, self-reported health measures and more objectively measured biomarker data. Over and above the conventional income–fuel cost indicators, we also use more proximal heating deprivation indicators. We create and draw upon a set of composite indicators that concomitantly capture (the lack of) affordability and thermal comfort. Depending on which fuel deprivation indicator is used, we find heterogeneous associations between fuel poverty and our well-being outcomes. Employing combined fuel deprivation indicators, which takes into account the income–fuel cost balance and more proximal perceptions of heating adequacy, reveals the presence of more pronounced associations with life satisfaction and fibrinogen, one of our biological health measures. The presence of these strong associations would have been less pronounced or masked when using separately each of the components of our composite fuel deprivation indicators as well as in the case of self-reported generic measures of physical health. Lifestyle and chronic health conditions plays a limited role in attenuating our results, while material deprivation partially, but not fully, attenuates our associations between fuel deprivation and well-being. These results remain robust when bounding analysis is employed to test the potential confounding role of unobservables. Our analysis suggests that composite fuel deprivation indicators may be useful energy policy instruments for uncovering the underlining mechanism via which fuel poverty may get “under the skin”.

Suggested Citation

  • Davillas, Apostolos & Burlinson, Andrew & Liu, Hui-Hsuan, 2021. "Getting warmer: fuel poverty, objective and subjective health and well-being," GLO Discussion Paper Series 903, Global Labor Organization (GLO).
  • Handle: RePEc:zbw:glodps:903
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    1. David S. Lee & Justin McCrary & Marcelo J. Moreira & Jack Porter, 2022. "Valid t-Ratio Inference for IV," American Economic Review, American Economic Association, vol. 112(10), pages 3260-3290, October.
    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. Burlinson, Andrew & Giulietti, Monica & Battisti, Giuliana, 2018. "The elephant in the energy room: Establishing the nexus between housing poverty and fuel poverty," Energy Economics, Elsevier, vol. 72(C), pages 135-144.
    4. Burlinson, Andrew & Davillas, Apostolos & Giulietti, Monica & Price, Catherine Waddams, 2024. "Household energy price resilience in the face of gas and electricity market crises," Energy Economics, Elsevier, vol. 132(C).
    5. Jones, Andrew M. & Rice, Nigel & Zantomio, Francesca, 2020. "Acute health shocks and labour market outcomes: Evidence from the post crash era," Economics & Human Biology, Elsevier, vol. 36(C).
    6. Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
    7. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    8. Legendre, Bérangère & Ricci, Olivia, 2015. "Measuring fuel poverty in France: Which households are the most fuel vulnerable?," Energy Economics, Elsevier, vol. 49(C), pages 620-628.
    9. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
    10. Prakash, Kushneel & Awaworyi Churchill, Sefa & Smyth, Russell, 2022. "Are you puffing your Children's future away? Energy poverty and childhood exposure to passive smoking," Economic Modelling, Elsevier, vol. 114(C).
    11. Andrew E. Clark, 2018. "Four Decades of the Economics of Happiness: Where Next?," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 64(2), pages 245-269, June.
    12. Krueger, Alan B. & Schkade, David A., 2008. "The reliability of subjective well-being measures," Journal of Public Economics, Elsevier, vol. 92(8-9), pages 1833-1845, August.
    13. Shapira, Stav & Teschner, Naama, 2023. "No heat, no eat: (Dis)entangling insecurities and their implications for health and well-being," Social Science & Medicine, Elsevier, vol. 336(C).
    14. Huang, Luling & Nock, Destenie & Cong, Shuchen & Qiu, Yueming (Lucy), 2023. "Inequalities across cooling and heating in households: Energy equity gaps," Energy Policy, Elsevier, vol. 182(C).
    15. John Hills, 2012. "Final report of the Hills Independent Fuel Poverty Review: Getting the Measure of Fuel Poverty," CASE Reports casereport72, Centre for Analysis of Social Exclusion, LSE.
    16. Gabriella Conti & Stephen Pudney, 2011. "Survey Design and the Analysis of Satisfaction," The Review of Economics and Statistics, MIT Press, vol. 93(3), pages 1087-1093, August.
    17. Caroline Fyfe & Arthur Grimes & Shannon Minehan & Phoebe Taptiklis, 2022. "Evaluation of the Warmer Kiwis Homes Programme: Full Report including Cost Benefit Analysis," Working Papers 22_14, Motu Economic and Public Policy Research.
    18. Deller, David, 2018. "Energy affordability in the EU: The risks of metric driven policies," Energy Policy, Elsevier, vol. 119(C), pages 168-182.
    19. Clark, Andrew E. & D’Ambrosio, Conchita & Zhu, Rong, 2021. "Job quality and workplace gender diversity in Europe," Journal of Economic Behavior & Organization, Elsevier, vol. 183(C), pages 420-432.
    20. Paul Fisher & Omar Hussein, 2023. "Understanding Society: the income data," Fiscal Studies, John Wiley & Sons, vol. 44(4), pages 377-397, December.
    21. Victor R. Fuchs, 2018. "Reflections on the Socio-Economic Correlates of Health," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 10, pages 115-124, World Scientific Publishing Co. Pte. Ltd..
    22. Brady P. Horn & Johanna Catherine Maclean & Michael R. Strain, 2017. "Do Minimum Wage Increases Influence Worker Health?," Economic Inquiry, Western Economic Association International, vol. 55(4), pages 1986-2007, October.
    23. Heinz Welsch & Philipp Biermann, 2017. "Energy Affordability and Subjective Well-Being: Evidence for European Countries," The Energy Journal, , vol. 38(3), pages 159-176, May.
    24. Al Kez, Dlzar & Foley, Aoife & Abdul, Zrar Khald & Del Rio, Dylan Furszyfer, 2024. "Energy poverty prediction in the United Kingdom: A machine learning approach," Energy Policy, Elsevier, vol. 184(C).
    25. Arthur Lewbel, 2012. "Using Heteroscedasticity to Identify and Estimate Mismeasured and Endogenous Regressor Models," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 30(1), pages 67-80.
    26. Douglas Staiger & James H. Stock, 1997. "Instrumental Variables Regression with Weak Instruments," Econometrica, Econometric Society, vol. 65(3), pages 557-586, May.
    27. Easterlin, Richard A., 1974. "Does Economic Growth Improve the Human Lot? Some Empirical Evidence," MPRA Paper 111773, University Library of Munich, Germany.
    28. Lina Volodzkiene & Dalia Streimikiene, 2023. "Energy Inequality Indicators: A Comprehensive Review for Exploring Ways to Reduce Inequality," Energies, MDPI, vol. 16(16), pages 1-28, August.
    29. Liddell, Christine & Morris, Chris, 2010. "Fuel poverty and human health: A review of recent evidence," Energy Policy, Elsevier, vol. 38(6), pages 2987-2997, June.
    30. William H. Greene & Mark N. Harris & Bruce Hollingsworth, 2015. "Inflated Responses in Measures of Self-Assessed Health," American Journal of Health Economics, University of Chicago Press, vol. 1(4), pages 461-493, Fall.
    31. Wang, Ke & Wang, Ya-Xuan & Li, Kang & Wei, Yi-Ming, 2015. "Energy poverty in China: An index based comprehensive evaluation," Renewable and Sustainable Energy Reviews, Elsevier, vol. 47(C), pages 308-323.
    32. Antunes, Micaela & Teotónio, Carla & Quintal, Carlota & Martins, Rita, 2023. "Energy affordability across and within 26 European countries: Insights into the prevalence and depth of problems using microeconomic data," Energy Economics, Elsevier, vol. 127(PA).
    33. Awaworyi Churchill, Sefa & Smyth, Russell & Farrell, Lisa, 2020. "Fuel poverty and subjective wellbeing," Energy Economics, Elsevier, vol. 86(C).
    34. Munyanyi, Musharavati Ephraim & Mintah, Kwabena & Baako, Kingsley Tetteh, 2021. "Energy-related deprivation and housing tenure transitions," Energy Economics, Elsevier, vol. 98(C).
    35. Brad R. Humphreys & Logan McLeod & Jane E. Ruseski, 2014. "Physical Activity And Health Outcomes: Evidence From Canada," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 33-54, January.
    36. Thomas F. Crossley & Federico Zilio, 2018. "The health benefits of a targeted cash transfer: The UK Winter Fuel Payment," Health Economics, John Wiley & Sons, Ltd., vol. 27(9), pages 1354-1365, September.
    37. Kahouli, Sondès, 2020. "An economic approach to the study of the relationship between housing hazards and health: The case of residential fuel poverty in France," Energy Economics, Elsevier, vol. 85(C).
    38. Llorca, Manuel & Rodriguez-Alvarez, Ana & Jamasb, Tooraj, 2020. "Objective vs. subjective fuel poverty and self-assessed health," Energy Economics, Elsevier, vol. 87(C).
    39. He, Pan & Lovo, Stefania & Veronesi, Marcella, 2022. "Social networks and renewable energy technology adoption: Empirical evidence from biogas adoption in China," Energy Economics, Elsevier, vol. 106(C).
    40. Awaworyi Churchill, Sefa & Asante, Augustine, 2023. "Neighbourhood crime and obesity: Longitudinal evidence from Australia," Social Science & Medicine, Elsevier, vol. 337(C).
    41. Stephen Davies, Catherine Waddams Price, and Chris M. Wilson, 2014. "Nonlinear Pricing and Tariff Differentiation: Evidence from the British Electricity Market," The Energy Journal, International Association for Energy Economics, vol. 0(Number 1).
    42. David Deller & Glen Turner & Catherine Waddams Price, 2018. "A Postcode Lottery? Regional Variations in Electricity Prices for Inactive Consumers," Working Paper series, University of East Anglia, Centre for Competition Policy (CCP) 2018-10, Centre for Competition Policy, University of East Anglia, Norwich, UK..
    43. Nicolas R. Ziebarth, 2009. "Measurement of Health, the Sensitivity of the Concentration Index, and Reporting Heterogeneity," SOEPpapers on Multidisciplinary Panel Data Research 211, DIW Berlin, The German Socio-Economic Panel (SOEP).
    44. Otero, Jesus & Waddams Price, Catherine, 2001. "Price Discrimination, Regulation and Entry in the UK Residential Electricity Market," Bulletin of Economic Research, Wiley Blackwell, vol. 53(3), pages 161-175, July.
    45. David Deller & Glen Turner & Catherine Waddams Price, 2020. "Fuel Poverty: Potentially Inconsistent Indicators and Where Next?," Working Paper series, University of East Anglia, Centre for Competition Policy (CCP) 2019-01, Centre for Competition Policy, University of East Anglia, Norwich, UK..
    46. Gilbertson, Jan & Stevens, Maryjane & Stiell, Bernadette & Thorogood, Nicki, 2006. "Home is where the hearth is: Grant recipients' views of England's Home Energy Efficiency Scheme (Warm Front)," Social Science & Medicine, Elsevier, vol. 63(4), pages 946-956, August.
    47. Arber, Sara & Fenn, Kirsty & Meadows, Robert, 2014. "Subjective financial well-being, income and health inequalities in mid and later life in Britain," Social Science & Medicine, Elsevier, vol. 100(C), pages 12-20.
    48. Andrew E. Clark & Sarah Flèche & Richard Layard & Powdthavee Nattavudh, 2018. "The Origins of Happiness: The Science of Well-Being over the Life Course," Post-Print halshs-01631510, HAL.
    49. Black, Nicole & Johnston, David W. & Suziedelyte, Agne, 2017. "Justification bias in self-reported disability: New evidence from panel data," Journal of Health Economics, Elsevier, vol. 54(C), pages 124-134.
    50. Sadath, Anver C. & Acharya, Rajesh H., 2017. "Assessing the extent and intensity of energy poverty using Multidimensional Energy Poverty Index: Empirical evidence from households in India," Energy Policy, Elsevier, vol. 102(C), pages 540-550.
    51. Awaworyi Churchill, Sefa & Smyth, Russell, 2021. "Energy poverty and health: Panel data evidence from Australia," Energy Economics, Elsevier, vol. 97(C).
    52. repec:dau:papers:123456789/14815 is not listed on IDEAS
    53. Waddams Price, Catherine & Brazier, Karl & Wang, Wenjia, 2012. "Objective and subjective measures of fuel poverty," Energy Policy, Elsevier, vol. 49(C), pages 33-39.
    54. Corinne Chaton & Elie Lacroix, 2015. "Fuel poverty as a major determinant of perceived health: the case of France," Post-Print halshs-03983394, HAL.
    55. Davillas, Apostolos & Benzeval, Michaela, 2016. "Alternative measures to BMI: Exploring income-related inequalities in adiposity in Great Britain," Social Science & Medicine, Elsevier, vol. 166(C), pages 223-232.
    56. Legendre, Bérangère & Ricci, Olivia, 2015. "Measuring fuel poverty in France: Which households are the most fuel vulnerable?," Energy Economics, Elsevier, vol. 49(C), pages 620-628.
    57. Pan, Lei & Biru, Ashenafi & Lettu, Sandra, 2021. "Energy poverty and public health: Global evidence," Energy Economics, Elsevier, vol. 101(C).
    58. Ziebarth, Nicolas, 2010. "Measurement of health, health inequality, and reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 71(1), pages 116-124, July.
    59. Boateng, Godfred O. & Balogun, Mobolanle R. & Dada, Festus O. & Armah, Frederick A., 2020. "Household energy insecurity: dimensions and consequences for women, infants and children in low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 258(C).
    60. Gilbertson, Jan & Grimsley, Michael & Green, Geoff, 2012. "Psychosocial routes from housing investment to health: Evidence from England's home energy efficiency scheme," Energy Policy, Elsevier, vol. 49(C), pages 122-133.
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    Cited by:

    1. Huang, Luling & Nock, Destenie & Cong, Shuchen & Qiu, Yueming (Lucy), 2023. "Inequalities across cooling and heating in households: Energy equity gaps," Energy Policy, Elsevier, vol. 182(C).
    2. Al Kez, Dlzar & Foley, Aoife & Abdul, Zrar Khald & Del Rio, Dylan Furszyfer, 2024. "Energy poverty prediction in the United Kingdom: A machine learning approach," Energy Policy, Elsevier, vol. 184(C).
    3. Lina Volodzkiene & Dalia Streimikiene, 2023. "Energy Inequality Indicators: A Comprehensive Review for Exploring Ways to Reduce Inequality," Energies, MDPI, vol. 16(16), pages 1-28, August.
    4. Antunes, Micaela & Teotónio, Carla & Quintal, Carlota & Martins, Rita, 2023. "Energy affordability across and within 26 European countries: Insights into the prevalence and depth of problems using microeconomic data," Energy Economics, Elsevier, vol. 127(PA).
    5. Kristian Fabbri, 2024. "Energy Poverty and Poor Buildings: A Brief Literature Review to Promote New Topics for Future Studies," Sustainability, MDPI, vol. 16(22), pages 1-16, November.
    6. Awaworyi Churchill, Sefa & Asante, Augustine, 2023. "Neighbourhood crime and obesity: Longitudinal evidence from Australia," Social Science & Medicine, Elsevier, vol. 337(C).
    7. Burlinson, Andrew & Davillas, Apostolos & Giulietti, Monica & Price, Catherine Waddams, 2024. "Household energy price resilience in the face of gas and electricity market crises," Energy Economics, Elsevier, vol. 132(C).
    8. Prakash, Kushneel & Awaworyi Churchill, Sefa & Smyth, Russell, 2022. "Are you puffing your Children's future away? Energy poverty and childhood exposure to passive smoking," Economic Modelling, Elsevier, vol. 114(C).
    9. Shapira, Stav & Teschner, Naama, 2023. "No heat, no eat: (Dis)entangling insecurities and their implications for health and well-being," Social Science & Medicine, Elsevier, vol. 336(C).
    10. Awaworyi Churchill, Sefa & Smyth, Russell, 2022. "Protestantism and energy poverty," Energy Economics, Elsevier, vol. 111(C).
    11. Sara Casagrande & Bruno Dallago, 2022. "To Be, or Not to Be: The Role of Self-Perception in European Countries’ Performance Assessment," Sustainability, MDPI, vol. 14(20), pages 1-23, October.
    12. He, Pan & Lovo, Stefania & Veronesi, Marcella, 2022. "Social networks and renewable energy technology adoption: Empirical evidence from biogas adoption in China," Energy Economics, Elsevier, vol. 106(C).
    13. Paul Fisher & Omar Hussein, 2023. "Understanding Society: the income data," Fiscal Studies, John Wiley & Sons, vol. 44(4), pages 377-397, December.
    14. Awaworyi Churchill, Sefa & Smyth, Russell, 2022. "Local area crime and energy poverty," Energy Economics, Elsevier, vol. 114(C).
    15. Haverkamp, Thilo K.G. & Welsch, Heinz & Ziegler, Andreas, 2023. "The relationship between climate protection activities, economic preferences, and life satisfaction: Empirical evidence for Germany," Energy Economics, Elsevier, vol. 128(C).

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    More about this item

    Keywords

    Fuel poverty; biomarkers; health; well-being;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • Q4 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Energy

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