Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/211495
Authors: 
Yan, Binjian
Chen, Xi
Gill, Thomas M.
Year of Publication: 
2020
Series/Report no.: 
GLO Discussion Paper No. 451
Abstract: 
This paper examines the extent to which childhood circumstances contribute to health inequality in old age and how the contributions may vary across key dimensions of health. We link the China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015 with its Life History Survey in 2014 to quantify health inequality due to childhood circumstances for which they have little control. We evaluate comprehensive dimensions of health ranging from cognitive health, mental health, physical health, self-rated health to mortality. Our analytic sample includes about 8,000 Chinese persons age above 60. Using the Shapley value decomposition approach, we first show that childhood circumstances may explain 1-23 percent of health inequality in old age across multiple health outcomes. Second, while both direct health-related circumstances and indirect health-related circumstances contribute significantly to health inequality, the latter tends to be more sizable. Our findings support the value of a life course approach in identifying the key determinants of health in old age.
Subjects: 
Life course approach
Inequality of opportunity
Physical health
Cognitive ability
Mental health
Mortality
JEL: 
I14
D63
I18
J13
J14
Document Type: 
Working Paper

Files in This Item:
File
Size





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.