IDEAS home Printed from https://ideas.repec.org/a/eee/ehbiol/v16y2015icp115-134.html
   My bibliography  Save this article

The income body weight gradients in the developing economy of China

Author

Listed:
  • Tafreschi, Darjusch

Abstract

Existing theories predict the income gradient of individual body weight to change sign from positive to negative in process of economic development. However, there are only few empirical studies which test this hypothesis. This paper adds to the literature on that topic by investigating the case of China. Using individual and community data from 1991 to 2009 waves of the China Health and Nutrition Survey regression analyses suggest that after controlling for important confounding factors (1) higher income is positively related to future growth of individuals’ BMI in less developed areas (i.e. BMI growth is 0.7–1.5 percentage points higher when comparing the richest with the poorest individuals), but negatively related to BMI growth in more developed areas (i.e. BMI growth is 0.8–1.6 percentage points lower for the richest individuals), and (2) that concentrations of overweight are “trickling down” to lower income ranks as regions become more developed. Moreover, the reversal of the income gradient appears to happen at earlier stages of development for females.

Suggested Citation

  • Tafreschi, Darjusch, 2015. "The income body weight gradients in the developing economy of China," Economics & Human Biology, Elsevier, vol. 16(C), pages 115-134.
  • Handle: RePEc:eee:ehbiol:v:16:y:2015:i:c:p:115-134
    DOI: 10.1016/j.ehb.2014.02.001
    as

    Download full text from publisher

    File URL: https://www.sciencedirect.com/science/article/pii/S1570677X14000410
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.ehb.2014.02.001?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to look for a different version below or search for a different version of it.

    Other versions of this item:

    References listed on IDEAS

    as
    1. Randall Akee & Emilia Simeonova & William Copeland & Adrian Angold & E. Jane Costello, 2013. "Young Adult Obesity and Household Income: Effects of Unconditional Cash Transfers," American Economic Journal: Applied Economics, American Economic Association, vol. 5(2), pages 1-28, April.
    2. Dennis Tao Yang, 1999. "Urban-Biased Policies and Rising Income Inequality in China," American Economic Review, American Economic Association, vol. 89(2), pages 306-310, May.
    3. Holz, Carsten A., 2008. "China's Economic Growth 1978-2025: What We Know Today About China's Economic Growth Tomorrow," World Development, Elsevier, vol. 36(10), pages 1665-1691, October.
    4. Case, Anne & Menendez, Alicia, 2009. "Sex differences in obesity rates in poor countries: Evidence from South Africa," Economics & Human Biology, Elsevier, vol. 7(3), pages 271-282, December.
    5. Hruschka, Daniel J. & Brewis, Alexandra A., 2013. "Absolute wealth and world region strongly predict overweight among women (ages 18–49) in 360 populations across 36 developing countries," Economics & Human Biology, Elsevier, vol. 11(3), pages 337-344.
    6. repec:pri:cheawb:case_and_menendez_ehb_dec_2009 is not listed on IDEAS
    7. Darius Lakdawalla & Tomas Philipson, 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 0203, Harris School of Public Policy Studies, University of Chicago.
    8. Ravi Kanbur & Xiaobo Zhang, 2005. "Fifty Years of Regional Inequality in China: a Journey Through Central Planning, Reform, and Openness," Review of Development Economics, Wiley Blackwell, vol. 9(1), pages 87-106, February.
    9. Loureiro, Maria L. & Nayga, Rodolfo Jr, 2006. "Obesity, weight loss, and physician's advice," Social Science & Medicine, Elsevier, vol. 62(10), pages 2458-2468, May.
    10. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    11. Popkin, Barry M., 1999. "Urbanization, Lifestyle Changes and the Nutrition Transition," World Development, Elsevier, vol. 27(11), pages 1905-1916, November.
    12. repec:pri:cheawb:case_and_menendez_ehb_dec_2009.pdf is not listed on IDEAS
    13. Pampel, Fred C. & Denney, Justin T. & Krueger, Patrick M., 2012. "Obesity, SES, and economic development: A test of the reversal hypothesis," Social Science & Medicine, Elsevier, vol. 74(7), pages 1073-1081.
    14. Jolliffe, Dean, 2011. "Overweight and poor? On the relationship between income and the body mass index," Economics & Human Biology, Elsevier, vol. 9(4), pages 342-355.
    15. Lu, Yang & Goldman, Dana, 2010. "The Effects of Relative Food Prices on Obesity – Evidence from China: 1991-2006," Working Papers 58249, American Association of Wine Economists.
    16. Schroeter, Christiane & Lusk, Jayson & Tyner, Wallace, 2008. "Determining the impact of food price and income changes on body weight," Journal of Health Economics, Elsevier, vol. 27(1), pages 45-68, January.
    17. Yang, Dennis Tao, 2002. "What has caused regional inequality in China?," China Economic Review, Elsevier, vol. 13(4), pages 331-334, December.
    18. Janet Currie & Stefano DellaVigna & Enrico Moretti & Vikram Pathania, 2010. "The Effect of Fast Food Restaurants on Obesity and Weight Gain," American Economic Journal: Economic Policy, American Economic Association, vol. 2(3), pages 32-63, August.
    19. Sahn, David E. & Stifel, David C., 2000. "Poverty Comparisons Over Time and Across Countries in Africa," World Development, Elsevier, vol. 28(12), pages 2123-2155, December.
    20. Van de Poel, Ellen & O'Donnell, Owen & Van Doorslaer, Eddy, 2009. "Urbanization and the spread of diseases of affluence in China," Economics & Human Biology, Elsevier, vol. 7(2), pages 200-216, July.
    21. Du, Shufa & Mroz, Tom A. & Zhai, Fengying & Popkin, Barry M., 2004. "Rapid income growth adversely affects diet quality in China--particularly for the poor!," Social Science & Medicine, Elsevier, vol. 59(7), pages 1505-1515, October.
    22. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Journal of Economic Perspectives, American Economic Association, vol. 17(3), pages 93-118, Summer.
    23. Rui Hao & Zheng Wei, 2010. "Fundamental causes of inland–coastal income inequality in post-reform China," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 45(1), pages 181-206, August.
    24. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May.
    25. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.
    26. Sarlio-Lähteenkorva, S. & Silventoinen, K. & Lahelma, E., 2004. "Relative Weight and Income at Different Levels of Socioeconomic Status," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 468-472.
    27. David Sahn, 2009. "Weights on the rise: where and for whom?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 7(4), pages 351-370, December.
    28. Fernald, Lia C.H., 2007. "Socio-economic status and body mass index in low-income Mexican adults," Social Science & Medicine, Elsevier, vol. 64(10), pages 2030-2042, May.
    29. Akee, Randall K. Q. & Simeonova, Emilia & Copeland, William & Angold, Adrian & Costello, Jane E., 2010. "Does More Money Make You Fat? The Effects of Quasi-Experimental Income Transfers on Adolescent and Young Adult Obesity," IZA Discussion Papers 5135, Institute of Labor Economics (IZA).
    30. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    31. Eva Deuchert & Sofie Cabus & Darjusch Tafreschi, 2014. "A Short Note On Economic Development And Socioeconomic Inequality In Female Body Weight," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 861-869, July.
    32. Ng, Shu Wen & Norton, Edward C. & Popkin, Barry M., 2009. "Why have physical activity levels declined among Chinese adults? Findings from the 1991-2006 China health and nutrition surveys," Social Science & Medicine, Elsevier, vol. 68(7), pages 1305-1314, April.
    33. Robert T. Jensen & Nolan H. Miller, 2008. "Giffen Behavior and Subsistence Consumption," American Economic Review, American Economic Association, vol. 98(4), pages 1553-1577, September.
    34. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432, April.
    35. Kristin Mammen & Christina Paxson, 2000. "Women's Work and Economic Development," Journal of Economic Perspectives, American Economic Association, vol. 14(4), pages 141-164, Fall.
    36. Tomas Philipson & Richard Posner, 2008. "Is the Obesity Epidemic a Public Health Problem? A Decade of Research on the Economics of Obesity," NBER Working Papers 14010, National Bureau of Economic Research, Inc.
    37. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    38. Darius Lakdawalla & Tomas Philipson & Jay Bhattacharya, 2005. "Welfare-Enhancing Technological Change and the Growth of Obesity," American Economic Review, American Economic Association, vol. 95(2), pages 253-257, May.
    39. Satoru Shimokawa, 2008. "The labour market impact of body weight in China: a semiparametric analysis," Applied Economics, Taylor & Francis Journals, vol. 40(8), pages 949-968.
    40. Jones-Smith, Jessica C. & Popkin, Barry M., 2010. "Understanding community context and adult health changes in China: Development of an urbanicity scale," Social Science & Medicine, Elsevier, vol. 71(8), pages 1436-1446, October.
    41. Ball, Kylie & Crawford, David, 2005. "Socioeconomic status and weight change in adults: a review," Social Science & Medicine, Elsevier, vol. 60(9), pages 1987-2010, May.
    42. Kan, Kamhon & Tsai, Wei-Der, 2004. "Obesity and risk knowledge," Journal of Health Economics, Elsevier, vol. 23(5), pages 907-934, September.
    43. Shu Ng & Edward Norton & David Guilkey & Barry Popkin, 2012. "Estimation of a dynamic model of weight," Empirical Economics, Springer, vol. 42(2), pages 413-443, April.
    44. Gerhard K. Heilig, 2006. "Many Chinas? The Economic Diversity of China's Provinces," Population and Development Review, The Population Council, Inc., vol. 32(1), pages 147-161, March.
    45. Haiyong Liu, 2008. "The China health and nutrition survey: an important database for poverty and inequality research," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 6(4), pages 373-376, December.
    46. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March.
    47. Asfaw, Abay, 2007. "Do Government Food Price Policies Affect the Prevalence of Obesity? Empirical Evidence from Egypt," World Development, Elsevier, vol. 35(4), pages 687-701, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Min, Shi & Wang, Xiaobing & Yu, Xiaohua, 2021. "Does dietary knowledge affect household food waste in the developing economy of China?," Food Policy, Elsevier, vol. 98(C).
    2. Ning Wei & Dingqiang Sun, 2023. "Children’s education and parents’ dietary nutrient intake: an empirical study based on rural China," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-13, December.
    3. Abay, Kibrom A. & Ibrahim, Hosam & Breisinger, Clemens, 2022. "Food policies and obesity in low- and middle-income countries," World Development, Elsevier, vol. 151(C).
    4. Alexander Bentley, R. & Ruck, Damian J. & Fouts, Hillary N., 2020. "U.S. obesity as delayed effect of excess sugar," Economics & Human Biology, Elsevier, vol. 36(C).
    5. Butzlaff, Iris, 2016. "BMI Growth Rates and the Nutrition Transition: The Role of Income, Inequality and Income Growth in Russia," GlobalFood Discussion Papers 232914, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    6. R. Alexander Bentley & Paul Ormerod & Damian J. Ruck, 2018. "Recent origin and evolution of obesity-income correlation across the United States," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-14, December.
    7. Tao Zhang, 2016. "Socioeconomic determinants of obesity and hypertension at the county level in China," Mathematical Population Studies, Taylor & Francis Journals, vol. 23(4), pages 239-252, October.
    8. Abay, Kibrom A. & Amare, Mulubrhan, 2018. "Night light intensity and women’s body weight: Evidence from Nigeria," Economics & Human Biology, Elsevier, vol. 31(C), pages 238-248.
    9. Daran, Bertille & Levasseur, Pierre, 2022. "Is overweight still a problem of rich in sub-Saharan Africa? Insights based on female-oriented demographic and health surveys," World Development Perspectives, Elsevier, vol. 25(C).
    10. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "Rising inequalities in income and health in China: Who is left behind?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1214-1229.
    11. Clément, Matthieu, 2017. "The income-body-size gradient among Chinese urban adults: A semiparametric analysis," China Economic Review, Elsevier, vol. 44(C), pages 253-270.
    12. Bonnefond, Céline & Clément, Matthieu, 2014. "Social class and body weight among Chinese urban adults: The role of the middle classes in the nutrition transition," Social Science & Medicine, Elsevier, vol. 112(C), pages 22-29.
    13. Salmasi, Luca & Celidoni, Martina, 2017. "Investigating the poverty-obesity paradox in Europe," Economics & Human Biology, Elsevier, vol. 26(C), pages 70-85.
    14. Li, H. & Wang, X. & Ren, Y., 2018. "Family Income and Health: Evidence from Food Consumption in China," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277074, International Association of Agricultural Economists.
    15. Ren, Yanjun & Li, Hui & Wang, Xiaobing, 2019. "Family income and nutrition-related health: Evidence from food consumption in China," Social Science & Medicine, Elsevier, vol. 232(C), pages 58-76.
    16. Bertille Daran & Pierre Levasseur, 2022. "Is overweight still a problem of rich in sub-Saharan Africa? Insights based on female-oriented demographic and health surveys," Post-Print hal-03511042, HAL.
    17. Aiyar, Anaka & Dhingra, Sunaina & Pingali, Prabhu, 2021. "Transitioning to an obese India: Demographic and structural determinants of the rapid rise in overweight incidence," Economics & Human Biology, Elsevier, vol. 43(C).
    18. Butzlaf, Iris & Minos, Dimitrios, 2016. "Understanding the Drivers of Overweight and Obesity in Developing Countries: The Case of South Africa," GlobalFood Discussion Papers 232025, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    19. Conor Lennon, 2018. "Who pays for the medical costs of obesity? New evidence from the employer mandate," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 2016-2029, December.
    20. Eva Deuchert & Sofie Cabus & Darjusch Tafreschi, 2014. "A Short Note On Economic Development And Socioeconomic Inequality In Female Body Weight," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 861-869, July.
    21. Ren, Yanjun & Castro Campos, Bente & Loy, Jens-Peter & Brosig, Stephan, 2019. "Low-income and overweight in China: Evidence from a life-course utility model," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 18(8), pages 1753-1767.
    22. Xie, Ruizhi & Awokuse, Titus O., 2013. "The Role of Health Status on Income in China," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 151137, Agricultural and Applied Economics Association.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ren, Yanjun & Castro Campos, Bente & Loy, Jens-Peter & Brosig, Stephan, 2019. "Low-income and overweight in China: Evidence from a life-course utility model," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 18(8), pages 1753-1767.
    2. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    3. Pieroni, Luca & Salmasi, Luca, 2010. "Body weight and socio-economic determinants: quantile estimations from the British Household Panel Survey," ISER Working Paper Series 2010-41, Institute for Social and Economic Research.
    4. Buttet, Sebastien & Dolar, Veronika, 2015. "Toward a quantitative theory of food consumption choices and body weight," Economics & Human Biology, Elsevier, vol. 17(C), pages 143-156.
    5. Barone, Adriana & O'Higgins, Niall, 2010. "Fat and out in Salerno and its province: Adolescent obesity and early school leaving in Southern Italy," Economics & Human Biology, Elsevier, vol. 8(1), pages 44-57, March.
    6. Römling, Cornelia & Qaim, Matin, 2011. "Direct and Indirect Determinants of Obesity: The Case of Indonesia," Proceedings of the German Development Economics Conference, Berlin 2011 70, Verein für Socialpolitik, Research Committee Development Economics.
    7. Clément, Matthieu, 2017. "The income-body-size gradient among Chinese urban adults: A semiparametric analysis," China Economic Review, Elsevier, vol. 44(C), pages 253-270.
    8. Romling, Cornelia & Qaim, Matin, 2011. "Direct and Indirect Determinants of Obesity: The Case of Indonesia," GlobalFood Discussion Papers 108350, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    9. repec:zbw:gdec11:aglobalfooddiscussionpapersx4 is not listed on IDEAS
    10. Pierre Dubois & Rachel Griffith & Aviv Nevo, 2014. "Do Prices and Attributes Explain International Differences in Food Purchases?," American Economic Review, American Economic Association, vol. 104(3), pages 832-867, March.
    11. García Villar, Jaume & Quintana-Domeque, Climent, 2009. "Income and body mass index in Europe," Economics & Human Biology, Elsevier, vol. 7(1), pages 73-83, March.
    12. Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George L. Wehby, 2016. "Can Changing Economic Factors Explain the Rise in Obesity?," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1266-1310, April.
    13. Nathalie Mathieu‐Bolh, 2022. "The elusive link between income and obesity," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 935-968, September.
    14. Jolliffe, Dean, 2011. "Overweight and poor? On the relationship between income and the body mass index," Economics & Human Biology, Elsevier, vol. 9(4), pages 342-355.
    15. Shu Ng & Edward Norton & David Guilkey & Barry Popkin, 2012. "Estimation of a dynamic model of weight," Empirical Economics, Springer, vol. 42(2), pages 413-443, April.
    16. Daouli, Joan & Davillas, Apostolos & Demoussis, Michael & Giannakopoulos, Nicholas, 2013. "The determinants of body mass in Greece: Evidence from the National Health Survey," MPRA Paper 66392, University Library of Munich, Germany.
    17. Georgia S. Papoutsi & Andreas C. Drichoutis & Rodolfo M. Nayga Jr., 2013. "The Causes Of Childhood Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 27(4), pages 743-767, September.
    18. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.
    19. Ljungvall, Åsa & Gerdtham, Ulf-G., 2010. "More equal but heavier: A longitudinal analysis of income-related obesity inequalities in an adult Swedish cohort," Social Science & Medicine, Elsevier, vol. 70(2), pages 221-231, January.
    20. Banterle, Alessandro & Cavaliere, Alessia, 2014. "Is there a relationship between product attributes, nutrition labels and excess weight? Evidence from an Italian region," Food Policy, Elsevier, vol. 49(P1), pages 241-249.
    21. Dragone, Davide & Ziebarth, Nicolas R., 2017. "Non-separable time preferences, novelty consumption and body weight: Theory and evidence from the East German transition to capitalism," Journal of Health Economics, Elsevier, vol. 51(C), pages 41-65.

    More about this item

    Keywords

    BMI; Overweight; Income gradient; Economic development; China; CHNS;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ehbiol:v:16:y:2015:i:c:p:115-134. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: https://www.elsevier.com/locate/inca/622964 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.