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Socioeconomic status and children's health: Evidence from a low-income country

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  • Sepehri, Ardeshir
  • Guliani, Harminder
Abstract
There has been a growing empirical literature on the relationship between household socioeconomic status (SES) and children's health, and in particular, whether this SES gradient is constant or varies in strength across different life stages. Much of this literature focuses on the developed countries and less evidence has been presented for developing countries. Using Vietnam's rich National Health Survey (2001–02) and appropriate multilevel modeling this study empirically assesses the SES gradient in health and whether it varies in strength across different life stages of children aged 15 and younger (N = 45,448). The results for the interaction terms between the natural logarithm of household consumption and age groups indicate no evidence of a steeper health gradient for older children. However, health-consumption gradients are found to be sensitive to the functional form of the regression model as well as the model specification. The results for the interaction terms between consumption expenditure quintiles and age groups indicate that gradients vary in strength across ages. Not only are children from the poorest households worse off, compared to those from the richest households, but this relative disadvantage is greater among the 0–3 year olds. The inclusion of parental health status in the regression model weakens the gradients for all age groups as does the inclusion of household sources of drinking water. However, poorer children are still relatively worse off, specially the 0–3 year olds. This suggests that absolute deprivation may help explain the relative health disadvantage of younger children. Better measures of poverty alleviation are hence needed to improve children's health in a low-income country such as Vietnam.

Suggested Citation

  • Sepehri, Ardeshir & Guliani, Harminder, 2015. "Socioeconomic status and children's health: Evidence from a low-income country," Social Science & Medicine, Elsevier, vol. 130(C), pages 23-31.
    • Handle: RePEc:eee:socmed:v:130:y:2015:i:c:p:23-31
    DOI: 10.1016/j.socscimed.2015.01.045
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    References listed on IDEAS

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    1. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    2. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    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. Apouey, Bénédicte & Geoffard, Pierre-Yves, 2013. "Family income and child health in the UK," Journal of Health Economics, Elsevier, vol. 32(4), pages 715-727.
    5. Lisa Cameron & Jenny Williams, 2009. "Is the relationship between socioeconomic status and health stronger for older children in developing countries?," Demography, Springer;Population Association of America (PAA), vol. 46(2), pages 303-324, May.
    6. Khanam, Rasheda & Nghiem, Hong Son & Connelly, Luke B., 2009. "Child health and the income gradient: Evidence from Australia," Journal of Health Economics, Elsevier, vol. 28(4), pages 805-817, July.
    7. Steffen Reinhold & Hendrik Jürges, 2012. "Parental income and child health in Germany," Health Economics, John Wiley & Sons, Ltd., vol. 21(5), pages 562-579, May.
    8. Lavy, Victor & Strauss, John & Thomas, Duncan & de Vreyer, Philippe, 1996. "Quality of health care, survival and health outcomes in Ghana," Journal of Health Economics, Elsevier, vol. 15(3), pages 333-357, June.
    9. Jalan, Jyotsna & Ravallion, Martin, 2003. "Does piped water reduce diarrhea for children in rural India?," Journal of Econometrics, Elsevier, vol. 112(1), pages 153-173, January.
    10. World Bank, 2012. "Well Begun, Not Yet Done : Vietnam's Remarkable Progress on Poverty Reduction and the Emerging Challenges," World Bank Publications - Reports 12326, The World Bank Group.
    11. Jason Fletcher & Barbara Wolfe, 2014. "Increasing Our Understanding Of The Health‐Income Gradient In Children," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 473-486, April.
    12. Cheolsung Park, 2010. "Children¡¯S Health Gradient In Developing Countries: Evidence From Indonesia," Journal of Economic Development, Chung-Ang Unviersity, Department of Economics, vol. 35(4), pages 25-44, December.
    13. Chen, Edith & Martin, Andrew D. & Matthews, Karen A., 2006. "Socioeconomic status and health: Do gradients differ within childhood and adolescence?," Social Science & Medicine, Elsevier, vol. 62(9), pages 2161-2170, May.
    14. Allin, Sara & Stabile, Mark, 2012. "Socioeconomic status and child health: what is the role of health care, health conditions, injuries and maternal health?," Health Economics, Policy and Law, Cambridge University Press, vol. 7(2), pages 227-242, April.
    15. West, Patrick & Sweeting, Helen, 2004. "Evidence on equalisation in health in youth from the West of Scotland," Social Science & Medicine, Elsevier, vol. 59(1), pages 13-27, July.
    16. Simon Condliffe & Charles R. Link, 2008. "The Relationship between Economic Status and Child Health: Evidence from the United States," American Economic Review, American Economic Association, vol. 98(4), pages 1605-1618, September.
    17. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    18. Strauss, John & Thomas, Duncan, 1995. "Human resources: Empirical modeling of household and family decisions," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 34, pages 1883-2023, Elsevier.
    19. Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
    20. West, Patrick, 1997. "Health inequalities in the early years: Is there equalisation in youth?," Social Science & Medicine, Elsevier, vol. 44(6), pages 833-858, March.
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