Do Economic Crises Lead to Health and Nutrition Behavior Responses? Analysis Using Longitudinal Data from Russia
Using longitudinal data on more than 2,000 Russian families spanning the period between 2007 and 2010, this paper estimates the impact of the 2009 global financial crisis on food expenditures, health care expenditures, and doctor visits in Russia....
Main Authors: | , |
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Format: | Policy Research Working Paper |
Language: | English en_US |
Published: |
World Bank, Washington, DC
2013
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Subjects: | |
Online Access: | http://documents.worldbank.org/curated/en/2013/07/18028089/economic-crises-lead-health-nutrition-behavior-responses-analysis-using-longitudinal-data-russia http://hdl.handle.net/10986/15898 |
Summary: | Using longitudinal data on more than
2,000 Russian families spanning the period between 2007 and
2010, this paper estimates the impact of the 2009 global
financial crisis on food expenditures, health care
expenditures, and doctor visits in Russia. The primary
estimation strategy adopted is the semi-parametric
difference-in-difference with propensity score matching
technique. The analysis finds that household health and
nutritional behavior indicators do not vary statistically
between households that were crisis-affected and households
that were not affected by the crisis. However, the analysis
finds that crisis-affected poor families curtailed their
out-of-pocket health expenditures during and after the
crisis more than poor families that were not affected by the
crisis did. In addition, crisis-affected vulnerable groups
changed their health behavior. In particular, households
with low educational attainment of household heads and
households with more elderly people changed their health and
nutrition behavior response when affected by the crisis. The
results are invariant to the propensity score matching
techniques and parametric fixed effects estimation models. |
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