健康冲击对消费和债务的因果效应：来自公交事故受伤的准实验证据
CAUSAL EFFECTS OF HEALTH SHOCKS ON CONSUMPTION AND DEBT: QUASI-EXPERIMENTAL EVIDENCE FROM BUS ACCIDENT INJURIES.
作者信息
Mohanan Manoj
机构信息
Duke University.
出版信息
Rev Econ Stat. 2013 May;95(2):673-681. doi: 10.1162/REST_a_00262.
Abstract
Endogeneity between health and wealth presents a challenge for estimating causal effects of health shocks. Using a quasi-experimental design, comprising exogenous shocks sustained as bus accident injuries in India, with controls drawn from travelers on the same bus routes one year later, I present new evidence of causal effects on consumption and debt. Using primary household survey data, I find that households faced with shock-related expenditures are able to smooth consumption on food, housing, and festivals, with small reductions in educational spending. Debt was the principal mitigating mechanism households used, leading to significantly larger levels of indebtedness.
摘要
健康与财富之间的内生性给估计健康冲击的因果效应带来了挑战。利用一种准实验设计，该设计包括印度公交车事故受伤所造成的外生冲击，并以一年后同一路线的乘客作为对照组，我给出了关于消费和债务因果效应的新证据。利用家庭层面的原始调查数据，我发现面临与冲击相关支出的家庭能够在食品、住房和节日消费上实现消费平滑，教育支出略有减少。债务是家庭使用的主要缓解机制，导致债务水平显著提高。
相似文献
1
CAUSAL EFFECTS OF HEALTH SHOCKS ON CONSUMPTION AND DEBT: QUASI-EXPERIMENTAL EVIDENCE FROM BUS ACCIDENT INJURIES.健康冲击对消费和债务的因果效应：来自公交事故受伤的准实验证据
Rev Econ Stat. 2013 May;95(2):673-681. doi: 10.1162/REST_a_00262.
2
Quasi-experimental evidence on the causal effects of physical health on mental health.关于身体健康对心理健康的因果影响的准实验证据。
Int J Epidemiol. 2010 Apr;39(2):487-93. doi: 10.1093/ije/dyp331. Epub 2009 Nov 24.
3
Economic vulnerability to health shocks and coping strategies: evidence from Andhra Pradesh, India.经济层面的健康冲击脆弱性与应对策略：来自印度安得拉邦的证据
Health Policy Plan. 2016 Jul;31(6):749-58. doi: 10.1093/heapol/czv127. Epub 2016 Feb 2.
4
Climate Change and Household Debt in Rural India.印度农村地区的气候变化与家庭债务
Clim Change. 2022 Aug;173(3-4). doi: 10.1007/s10584-022-03407-x. Epub 2022 Aug 6.
5
Monthly spending dynamics of the elderly following a health shock: Evidence from Singapore.健康冲击后老年人的月度支出动态：来自新加坡的证据。
Health Econ. 2019 Jan;28(1):23-43. doi: 10.1002/hec.3824. Epub 2018 Sep 10.
6
Health shocks in sub-Saharan Africa: are the poor and uninsured households more vulnerable?撒哈拉以南非洲地区的健康冲击：贫困和未参保家庭是否更易受影响？
Health Econ Rev. 2018 Oct 13;8(1):26. doi: 10.1186/s13561-018-0210-x.
7
Does home production replace consumption spending? Evidence from shocks in housing wealth in the Great Recession.家庭生产会取代消费支出吗？来自大衰退期间住房财富冲击的证据。
Rev Econ Stat. 2020 Mar;102(1):113-128. doi: 10.1162/rest_a_00794. Epub 2020 Feb 28.
8
Adequacy of food spending is related to housing expenditures among lower-income Canadian households.在加拿大低收入家庭中，食品支出的充足程度与住房支出相关。
Public Health Nutr. 2007 Dec;10(12):1464-73. doi: 10.1017/S136898000700081X. Epub 2007 Sep 3.
9
The economic consequences of health shocks: evidence from Vietnam.健康冲击的经济后果：来自越南的证据。
J Health Econ. 2007 Jan;26(1):82-100. doi: 10.1016/j.jhealeco.2006.07.001. Epub 2006 Aug 14.
10
Insuring against health shocks: Health insurance and household choices.抵御健康冲击：健康保险与家庭选择。
J Health Econ. 2016 Mar;46:16-32. doi: 10.1016/j.jhealeco.2016.01.002. Epub 2016 Jan 13.
引用本文的文献
1
Analysis of the role of medical insurance in the "Health shocks-consumption upgrading" model: evidence from China.医疗保险在“健康冲击-消费升级”模式中的作用分析：来自中国的证据
Health Econ Rev. 2025 Apr 24;15(1):37. doi: 10.1186/s13561-025-00635-6.
2
Hardship financing, productivity loss, and the economic cost of illness and injury in Cambodia.柬埔寨的困难融资、生产力损失以及疾病和伤害的经济成本。
Int J Equity Health. 2023 Oct 7;22(1):208. doi: 10.1186/s12939-023-02016-z.
3
Effect of Telemedicine Use on Medical Spending and Health Care Utilization: A Machine Learning Approach.远程医疗使用对医疗支出和医疗保健利用的影响：一种机器学习方法。
AJPM Focus. 2023 Jun 15;2(3):100127. doi: 10.1016/j.focus.2023.100127. eCollection 2023 Sep.
4
Effects of disability on income and income composition.残疾对收入和收入构成的影响。
PLoS One. 2023 May 31;18(5):e0286462. doi: 10.1371/journal.pone.0286462. eCollection 2023.
5
The redistributive effects of pandemics: Evidence on the Spanish flu.大流行病的再分配效应：关于西班牙流感的证据
World Dev. 2021 May;141:105389. doi: 10.1016/j.worlddev.2021.105389. Epub 2021 Jan 28.
6
What contributes to medical debt? Evidence from patients in rural China.导致医疗债务的因素有哪些？来自中国农村患者的证据。
BMC Health Serv Res. 2020 Jul 28;20(1):696. doi: 10.1186/s12913-020-05551-5.
7
Health shocks, medical insurance and household vulnerability: Evidence from South Africa.健康冲击、医疗保险与家庭脆弱性：来自南非的证据。
PLoS One. 2020 Feb 7;15(2):e0228034. doi: 10.1371/journal.pone.0228034. eCollection 2020.
8
The health care burden in rural Burkina Faso: Consequences and implications for insurance design.布基纳法索农村地区的医疗负担：对保险设计的影响及后果
SSM Popul Health. 2018 Nov 2;6:309-316. doi: 10.1016/j.ssmph.2018.10.012. eCollection 2018 Dec.
9
Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data.支出重要吗？基于第71轮全国抽样调查数据重新审视与意外伤害的自付费用（OOPE）和灾难性支出相关的各种协变量。
Health Econ Rev. 2017 Dec 20;7(1):48. doi: 10.1186/s13561-017-0177-z.
10
Livestock vaccinations translate into increased human capital and school attendance by girls.牲畜接种疫苗可以增加女孩的人力资本和入学率。
Sci Adv. 2016 Dec 14;2(12):e1601410. doi: 10.1126/sciadv.1601410. eCollection 2016 Dec.
本文引用的文献
1
Insuring Consumption Against Illness.保险抵御疾病消费。
Am Econ Rev. 2002;92(1):51-70. doi: 10.1257/000282802760015603.
2
Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure.美洲消除疟疾：儿童期接触情况的回顾性分析
Am Econ J Appl Econ. 2010 Apr;2(2). doi: 10.1257/app.2.2.1.
3
Disease and Development: Evidence from Hookworm Eradication in the American South.疾病与发展：来自美国南部根除钩虫的证据。
Q J Econ. 2007;122(1):73-117. doi: 10.1162/qjec.121.1.73.
4
Are health shocks different? Evidence from a multishock survey in Laos.健康冲击是否不同？来自老挝多冲击调查的证据。
Health Econ. 2014 Jun;23(6):706-18. doi: 10.1002/hec.2944. Epub 2013 Jun 13.
5
Projections of global mortality and burden of disease from 2002 to 2030.2002年至2030年全球死亡率及疾病负担预测。
PLoS Med. 2006 Nov;3(11):e442. doi: 10.1371/journal.pmed.0030442.
6
The economic consequences of health shocks: evidence from Vietnam.健康冲击的经济后果：来自越南的证据。
J Health Econ. 2007 Jan;26(1):82-100. doi: 10.1016/j.jhealeco.2006.07.001. Epub 2006 Aug 14.
7
Medical bankruptcy: myth versus fact.医疗破产：神话与现实
Health Aff (Millwood). 2006 Mar-Apr;25(2):w74-83. doi: 10.1377/hlthaff.25.w74. Epub 2006 Feb 28.
8
Illness and injury as contributors to bankruptcy.疾病和伤痛导致破产。
Health Aff (Millwood). 2005 Jan-Jun;Suppl Web Exclusives:W5-63-W5-73. doi: 10.1377/hlthaff.w5.63.
9
Healthy bodies and thick wallets: the dual relation between health and economic status.健康的身体与丰厚的钱包：健康与经济状况之间的双重关系。
J Econ Perspect. 1999 Spring;13(2):144-66.
10
Medical expenditure and rural impoverishment in China.中国的医疗支出与农村贫困问题
J Health Popul Nutr. 2003 Sep;21(3):216-22.
Zotero 插件