Kuehnle Daniel
Department of Economics, Friedrich-Alexander-University Erlangen-Nuremberg, Germany.
J Health Econ. 2014 Jul;36:137-50. doi: 10.1016/j.jhealeco.2014.03.011. Epub 2014 Apr 13.
Recent studies examining the effect of family income on child health have been unable to account for the endogeneity of income. Using data from a British cohort study, we address this gap by exploiting exogenous variation in local labour market characteristics to instrument for family income. We estimate the causal effect of family income on different measures of child health and explore the role of potential transmission mechanisms. We find that income has a very small but significant causal effect on subjective child health and no significant effect on chronic health conditions, apart from respiratory illnesses. Using the panel structure, we show that the timing of income does not matter for young children. Moreover, our results provide further evidence that parental health does not drive a spurious relationship between family income and child health. Our study implies that financial transfers are unlikely to deliver substantial improvements in child health.
近期有关家庭收入对儿童健康影响的研究未能考虑到收入的内生性问题。我们利用英国一项队列研究的数据,通过利用当地劳动力市场特征的外生变化作为家庭收入的工具变量,来填补这一空白。我们估计了家庭收入对儿童健康不同衡量指标的因果效应,并探讨了潜在传导机制的作用。我们发现,收入对儿童主观健康有非常小但显著的因果效应,除了呼吸系统疾病外,对慢性健康状况没有显著影响。利用面板结构,我们表明收入的时间点对幼儿并不重要。此外,我们的结果进一步证明,父母健康并非导致家庭收入与儿童健康之间虚假关系的原因。我们的研究表明,财政转移不太可能在儿童健康方面带来实质性改善。