Социально-экономический градиент здоровья детей в России: формирование неравенства в раннем возрасте
DOI:
https://doi.org/10.22394/1993-7601-2025-80-68-92Ключевые слова:
доходы домохозяйств, здоровье детей, задержка роста, неравенство в здоровьеАннотация
Исследование оценивает связь между доходом домохозяйств и здоровьем детей 0–6 лет на основе данных РМЭЗ НИУ ВШЭ за 2009–2021 гг. Общая оценка здоровья и хронические заболевания не показали значимой связи с уровнем дохода. Задержка роста, как более объективная мера, выявила значимую отрицательную связь с доходом: с ростом дохода вероятность физического отставания снижается. Анализ панельных данных подтвердил устойчивость социально-экономического градиента среди детей в возрасте от одного до пяти лет.Организации
Исследование осуществлено в рамках Программы фундаментальных исследований НИУ ВШЭ.Скачивания
Библиографические ссылки
Аистов А. В. (2018). Доходы респондентов разных поколений. Прикладная эконометрика, 50, 23–42.
Карцева М. А. (2023). Доходы семей и здоровье детей в России: эмпирический анализ. Прикладная эконометрика, 71, 39–62. DOI: 10.22394/1993-7601-2023-71-39-62.
Кислицына О. А. (2009). Факторы здоровья детей младшего и среднего школьного возраста. Социальные аспекты здоровья населения, 9 (1), 1–16.
Кононова А. Е. (2016). Социально-экономические факторы детского здоровья в России. Социологические исследования, 4, 94–102.
Apouey B., Geoffard P.-Y. (2013). Family income and child health in the UK. Journal of Health Economics, 32 (4), 715–727. DOI: 10.1016/j.jhealeco.2013.03.006.
Attanasio O., Cattan S., Meghir C. (2022). Early childhood development, human capital, and poverty. Annual Review of Economics, 14. DOI: 10.1146/annurev-economics-092821-053234.
Becker G. S. (1993). Nobel lecture: The economic way of looking at behavior. Journal of Political Economy, 101 (3), 385–409.
Borga L. G., Münich D., Kukla L. (2021). The socioeconomic gradient in child health and noncognitive skills: Evidence from the Czech Republic. Economics & Human Biology, 43. DOI: 10.1016/j.ehb.2021.101075.
Buhmann B., Rainwater L., Schmaus G., Smeeding T. M. (1988). Equivalence scales, well-being, inequality, and poverty: Sensitivity estimates across ten countries using the Luxembourg Income Study (LIS) database. Review of Income and Wealth, 34 (2), 115–142.
Case A., Fertig A., Paxson C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24 (2), 365–389. DOI: 10.1016/j.jhealeco.2004.09.008.
Case A., Paxson C. (2010). Causes and consequences of early-life health. Demography, 47 (S), S65–S85. DOI: 10.1353/dem.2010.0007.
Case A., Lubotsky D., Paxson C. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review, 92 (5), 1308–1334. DOI: 10.1257/000282802762024520.
Caucutt E. M., Lochner L. (2020). Early and late human capital investments, borrowing constraints, and the family. Journal of Political Economy, 128 (3), 1065–1147. DOI: 10.1086/704759.
Chen E., Martin A., Matthews K. (2007). Trajectories of socioeconomic status across children's lifetime predict health. Pediatrics, 120 (3), e297-e303. DOI: 10.1542/peds.2006-3098.
Chetty R., Stepner M., Abraham S., Lin S., Scuderi B., Turner N., Bergeron A., Cutler D. (2016). The association between income and life expectancy in the United States, 2001–2014. JAMA, 315 (16), 1750–1766. DOI: 10.1001/jama.2016.4226.
Cunha F., Heckman J. J. (2007). The technology of skill formation. American Economic Review, 97 (2), 31–47. DOI: 10.1257/aer.97.2.31.
Currie J. (2009). Healthy, wealthy, and wise: Socioeconomic status, poor health in childhood, and human capital development. Journal of Economic Literature, 47 (1), 87–122. DOI: 10.1257/jel.47.1.87.
Currie J. (2020). Child health as human capital. Health Economics, 29 (4), 452–463. DOI: 10.1002/hec.3995.
Currie J., Stabile M. (2003). Socioeconomic status and child health: Why is the relationship stronger for older children? American Economic Review, 93 (5), 1813–1823. DOI: 10.1257/000282803322655563.
Currie A., Shields M. A., Price S. W. (2007). The child health/family income gradient: Evidence from England. Journal of Health Economics, 26 (2), 213–232. DOI: 10.1016/j.jhealeco.2006.08.003.
Cutler D. M., Lleras-Muney A. (2010). Understanding differences in health behaviors by education. Journal of Health Economics, 29 (1), 1–28. DOI: 10.1016/j.jhealeco.2009.10.003.
Deaton A. (2003). Health, inequality, and economic development. Journal of Economic Literature, 41 (1), 113–158. DOI: 10.1257/002205103321544710.
De Onis M., Branca F. (2016). Childhood stunting: A global perspective. Maternal & Child Nutrition, 12, 12–26. DOI: 10.1111/mcn.12231.
Devkota S., Panda B. (2016). Socioeconomic gradients in early childhood health: Evidence from Bangladesh and Nepal. International Journal for Equity in Health, 15, 78. DOI: 10.1186/s12939-016-0364-2.
Duncan G., Brooks-Gunn J. (1997). Consequences of growing up poor. Russell Sage Foundation, New York.
Duncan G., Magnuson K., Votruba-Drzal E. (2014). Boosting family income to promote child development. Future of Children, 24 (1), 99–120. DOI: 10.1353/foc.2014.0008.
Eckstein K., Mikhail L., Ariza A., Thomson J., Millard S., Binns H. (2006). Parents' perceptions of their child's weight and health. Pediatrics, 117, 681–690. DOI: 10.1542/peds.2005-0910.
Elder G. H., van Nguyen T., Caspi A. (1985). Linking family hardship to children's lives. Child Development, 56 (2), 361–375. DOI: 10.2307/1129726.
Evensen M., Klitkou S. T., Tollånes M. C., Øverland S., Lyngstad T. H., Vollset S. E., Kinge J. M. (2021). Parental income gradients in adult health: A national cohort study. BMC Medicine, 19, 1–14. DOI: 10.1186/s12916-021-02022-4.
Falconier M., Jackson B. (2020). Economic strain and couple relationship functioning: A meta-analysis. International Journal of Stress Management, 27 (4), 311–325. DOI: 10.1037/str0000157.
Fedorov L., Sahn D. E. (2005). Socioeconomic determinants of children's health in Russia: A longitudinal study. Economic Development and Cultural Change, 53 (2), 479–500. DOI: 10.1086/425378.
Fletcher J., Wolfe B. (2014). Increasing our understanding of the health–income gradient in children. Health Economics, 23, 473–486. DOI: 10.1002/hec.2969.
Floud R., Fogel R. W., Harris B., Hong S. C. (2011). The changing body: Health, nutrition, and human development in the Western world since 1700. Cambridge University Press, Cambridge.
Galama T., Kippersluis H. (2013). Health inequalities through the lens of health capital theory: Issues, solutions, and future directions. Health and Inequality, 21, 263–284. DOI: 10.1108/S1049-2585(2013)0000021013.
Galobardes B., Lynch J. W., Smith G. D. (2004). Childhood socioeconomic circumstances and cause-specific mortality in adulthood: Systematic review and interpretation. Epidemiologic Reviews, 26 (1), 7–21. DOI: 10.1093/epirev/mxh008.
Jackisch J., van Raalte A. (2024). The contribution of childhood adversity to adult socioeconomic gradients in mortality: A Swedish birth cohort analysis. Social Science & Medicine, 365, 117627. DOI: 10.1016/j.socscimed.2024.117627.
Jahns L., Adair L., Mroz T., Popkin B. M. (2012). The declining prevalence of overweight among Russian children: Income, diet, and physical activity behavior changes. Economics & Human Biology, 10 (2), 139–146. DOI: 10.1016/j.ehb.2011.07.005.
Katikireddi S., Skivington K., Leyland A., Hunt K., Mercer S. (2017). The contribution of risk factors to socioeconomic inequalities in multimorbidity across the lifecourse: A longitudinal analysis of the Twenty-07 cohort. BMC Medicine, 15. DOI: 10.1186/s12916-017-0913-6.
Khanam R., Nghiem H. S., Connelly L. B. (2009). Child health and the income gradient: Evidence from Australia. Journal of Health Economics, 28 (4), 805–817. DOI: 10.1016/j.jhealeco.2009.05.001.
Li Z., Kim R., Vollmer S., Subramanian S. V. (2020). Factors associated with child stunting, wasting, and underweight in 35 low- and middle-income countries. JAMA Network Open, 3 (4), e203386. DOI: 10.1001/jamanetworkopen.2020.3386.
Løken K. V., Mogstad M., Wiswall M. (2012). What linear estimators miss: The effects of family income on child outcomes. American Economic Journal: Applied Economics, 4 (2), 1–35. DOI: 10.1257/app.4.2.1.
Mackenbach J. P., Valverde J. R., Artnik B., Nusselder W. J. (2018). Trends in health inequalities in 27 European countries. Proceedings of the National Academy of Sciences, 115 (25), 6440–6445. DOI: 10.1073/pnas.1800028115.
Marmot M. (2004). Status syndrome. Bloomsbury, London.
Marmot M., Shipley M., Brunner E., Hemingway H. (2001). Relative contribution of early life and adult socioeconomic factors to adult morbidity in the Whitehall II study. Journal of Epidemiology & Community Health, 55 (5), 301–307. DOI: 10.1136/jech.55.5.301.
Reinhold S., Jürges H. (2012). Parental income and child health in Germany. Health Economics, 21, 562–579. DOI: 10.1002/hec.1732.
South C. A., Keown-Stoneman C. D., Birken C. S., Malik V. S., Zlotkin S. H., Maguire J. L. (2022). Underweight in the first 2 years of life and growth in later childhood. JAMA Network Open, 5 (7), e2224417. DOI: 10.1001/jamanetworkopen.2022.24417.
Swaminathan H., Sharma A., Shah N. (2019). Does the relationship between income and child health differ across income groups? Evidence from India. Economic Modelling, 79, 57–73. DOI: 10.1016/j.econmod.2018.10.001.
Victora C. G., Adair L., Fall C., Hallal P. H., Martorell R., Richter L., Sachdev H. S. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371 (9609), 340–357. DOI: 10.1016/S0140-6736(07)61692-4.
Zimmer Z., Hanson H., Smith K. (2016). Childhood socioeconomic status, adult socioeconomic status, and old-age health trajectories: Connecting early, middle, and late life. Demographic Research, 34, 285–320. DOI: 10.4054/DEMRES.2016.34.10.
Aistov A. V. (2018). Age-earnings profiles of different generations. Applied Econometrics, 50, 23–42 (in Russian).
Kartseva M. (2023). Income gradient in children’s health in Russia: An empirical analysis. Applied Econometrics, 71, 39–62 (in Russian). DOI: 10.22394/1993‑7601‑2023‑71‑39‑62.
Kislitsyna O. A. (2009). The main health determinants of junior and middle school age children. Socialnie
aspekty zdorovia naselenia, 9 (1), 1–16 (in Russian).
Kononova A. E. (2016). Socioeconomic factors of children health in Russia. Sociological Studies, 4, 94–102 (in Russian).
Apouey B., Geoffard P.-Y. (2013). Family income and child health in the UK. Journal of Health Economics, 32 (4), 715–727. DOI: 10.1016/j.jhealeco.2013.03.006.
Attanasio O., Cattan S., Meghir C. (2022). Early childhood development, human capital, and poverty. Annual Review of Economics, 14. DOI: 10.1146/annurev-economics-092821-053234.
Becker G. S. (1993). Nobel lecture: The economic way of looking at behavior. Journal of Political Economy, 101 (3), 385–409.
Borga L. G., Münich D., Kukla L. (2021). The socioeconomic gradient in child health and noncognitive skills: Evidence from the Czech Republic. Economics & Human Biology, 43. DOI: 10.1016/j.ehb.2021.101075.
Buhmann B., Rainwater L., Schmaus G., Smeeding T. M. (1988). Equivalence scales, well-being, inequality, and poverty: Sensitivity estimates across ten countries using the Luxembourg Income Study (LIS) database. Review of Income and Wealth, 34 (2), 115–142.
Case A., Fertig A., Paxson C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24 (2), 365–389. DOI: 10.1016/j.jhealeco.2004.09.008.
Case A., Paxson C. (2010). Causes and consequences of early-life health. Demography, 47 (S), S65–S85. DOI: 10.1353/dem.2010.0007.
Case A., Lubotsky D., Paxson C. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review, 92 (5), 1308–1334. DOI: 10.1257/000282802762024520.
Caucutt E. M., Lochner L. (2020). Early and late human capital investments, borrowing constraints, and the family. Journal of Political Economy, 128 (3), 1065–1147. DOI: 10.1086/704759.
Chen E., Martin A., Matthews K. (2007). Trajectories of socioeconomic status across children's lifetime predict health. Pediatrics, 120 (3), e297-e303. DOI: 10.1542/peds.2006-3098.
Chetty R., Stepner M., Abraham S., Lin S., Scuderi B., Turner N., Bergeron A., Cutler D. (2016). The association between income and life expectancy in the United States, 2001–2014. JAMA, 315 (16), 1750–1766. DOI: 10.1001/jama.2016.4226.
Cunha F., Heckman J. J. (2007). The technology of skill formation. American Economic Review, 97 (2), 31–47. DOI: 10.1257/aer.97.2.31.
Currie J. (2009). Healthy, wealthy, and wise: Socioeconomic status, poor health in childhood, and human capital development. Journal of Economic Literature, 47 (1), 87–122. DOI: 10.1257/jel.47.1.87.
Currie J. (2020). Child health as human capital. Health Economics, 29 (4), 452–463. DOI: 10.1002/hec.3995.
Currie J., Stabile M. (2003). Socioeconomic status and child health: Why is the relationship stronger for older children? American Economic Review, 93 (5), 1813–1823. DOI: 10.1257/000282803322655563.
Currie A., Shields M. A., Price S. W. (2007). The child health/family income gradient: Evidence from England. Journal of Health Economics, 26 (2), 213–232. DOI: 10.1016/j.jhealeco.2006.08.003.
Cutler D. M., Lleras-Muney A. (2010). Understanding differences in health behaviors by education. Journal of Health Economics, 29 (1), 1–28. DOI: 10.1016/j.jhealeco.2009.10.003.
Deaton A. (2003). Health, inequality, and economic development. Journal of Economic Literature, 41 (1), 113–158. DOI: 10.1257/002205103321544710.
De Onis M., Branca F. (2016). Childhood stunting: A global perspective. Maternal & Child Nutrition, 12, 12–26. DOI: 10.1111/mcn.12231.
Devkota S., Panda B. (2016). Socioeconomic gradients in early childhood health: Evidence from Bangladesh and Nepal. International Journal for Equity in Health, 15, 78. DOI: 10.1186/s12939-016-0364-2.
Duncan G., Brooks-Gunn J. (1997). Consequences of growing up poor. Russell Sage Foundation, New York.
Duncan G., Magnuson K., Votruba-Drzal E. (2014). Boosting family income to promote child development. Future of Children, 24 (1), 99–120. DOI: 10.1353/foc.2014.0008.
Eckstein K., Mikhail L., Ariza A., Thomson J., Millard S., Binns H. (2006). Parents' perceptions of their child's weight and health. Pediatrics, 117, 681–690. DOI: 10.1542/peds.2005-0910.
Elder G. H., van Nguyen T., Caspi A. (1985). Linking family hardship to children's lives. Child Development, 56 (2), 361–375. DOI: 10.2307/1129726.
Evensen M., Klitkou S. T., Tollånes M. C., Øverland S., Lyngstad T. H., Vollset S. E., Kinge J. M. (2021). Parental income gradients in adult health: A national cohort study. BMC Medicine, 19, 1–14. DOI: 10.1186/s12916-021-02022-4.
Falconier M., Jackson B. (2020). Economic strain and couple relationship functioning: A meta-analysis. International Journal of Stress Management, 27 (4), 311–325. DOI: 10.1037/str0000157.
Fedorov L., Sahn D. E. (2005). Socioeconomic determinants of children's health in Russia: A longitudinal study. Economic Development and Cultural Change, 53 (2), 479–500. DOI: 10.1086/425378.
Fletcher J., Wolfe B. (2014). Increasing our understanding of the health–income gradient in children. Health Economics, 23, 473–486. DOI: 10.1002/hec.2969.
Floud R., Fogel R. W., Harris B., Hong S. C. (2011). The changing body: Health, nutrition, and human development in the Western world since 1700. Cambridge University Press, Cambridge.
Galama T., Kippersluis H. (2013). Health inequalities through the lens of health capital theory: Issues, solutions, and future directions. Health and Inequality, 21, 263–284. DOI: 10.1108/S1049-2585(2013)0000021013.
Galobardes B., Lynch J. W., Smith G. D. (2004). Childhood socioeconomic circumstances and cause-specific mortality in adulthood: Systematic review and interpretation. Epidemiologic Reviews, 26 (1), 7–21. DOI: 10.1093/epirev/mxh008.
Jackisch J., van Raalte A. (2024). The contribution of childhood adversity to adult socioeconomic gradients in mortality: A Swedish birth cohort analysis. Social Science & Medicine, 365, 117627. DOI: 10.1016/j.socscimed.2024.117627.
Jahns L., Adair L., Mroz T., Popkin B. M. (2012). The declining prevalence of overweight among Russian children: Income, diet, and physical activity behavior changes. Economics & Human Biology, 10 (2), 139–146. DOI: 10.1016/j.ehb.2011.07.005.
Katikireddi S., Skivington K., Leyland A., Hunt K., Mercer S. (2017). The contribution of risk factors to socioeconomic inequalities in multimorbidity across the lifecourse: A longitudinal analysis of the Twenty-07 cohort. BMC Medicine, 15. DOI: 10.1186/s12916-017-0913-6.
Khanam R., Nghiem H. S., Connelly L. B. (2009). Child health and the income gradient: Evidence from Australia. Journal of Health Economics, 28 (4), 805–817. DOI: 10.1016/j.jhealeco.2009.05.001.
Li Z., Kim R., Vollmer S., Subramanian S. V. (2020). Factors associated with child stunting, wasting, and underweight in 35 low- and middle-income countries. JAMA Network Open, 3 (4), e203386. DOI: 10.1001/jamanetworkopen.2020.3386.
Løken K. V., Mogstad M., Wiswall M. (2012). What linear estimators miss: The effects of family income on child outcomes. American Economic Journal: Applied Economics, 4 (2), 1–35. DOI: 10.1257/app.4.2.1.
Mackenbach J. P., Valverde J. R., Artnik B., Nusselder W. J. (2018). Trends in health inequalities in 27 European countries. Proceedings of the National Academy of Sciences, 115 (25), 6440–6445. DOI: 10.1073/pnas.1800028115.
Marmot M. (2004). Status syndrome. Bloomsbury, London.
Marmot M., Shipley M., Brunner E., Hemingway H. (2001). Relative contribution of early life and adult socioeconomic factors to adult morbidity in the Whitehall II study. Journal of Epidemiology & Community Health, 55 (5), 301–307. DOI: 10.1136/jech.55.5.301.
Reinhold S., Jürges H. (2012). Parental income and child health in Germany. Health Economics, 21, 562–579. DOI: 10.1002/hec.1732.
South C. A., Keown-Stoneman C. D., Birken C. S., Malik V. S., Zlotkin S. H., Maguire J. L. (2022). Underweight in the first 2 years of life and growth in later childhood. JAMA Network Open, 5 (7), e2224417. DOI: 10.1001/jamanetworkopen.2022.24417.
Swaminathan H., Sharma A., Shah N. (2019). Does the relationship between income and child health differ across income groups? Evidence from India. Economic Modelling, 79, 57–73. DOI: 10.1016/j.econmod.2018.10.001.
Victora C. G., Adair L., Fall C., Hallal P. H., Martorell R., Richter L., Sachdev H. S. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371 (9609), 340–357. DOI: 10.1016/S0140-6736(07)61692-4.
Zimmer Z., Hanson H., Smith K. (2016). Childhood socioeconomic status, adult socioeconomic status, and old-age health trajectories: Connecting early, middle, and late life. Demographic Research, 34, 285–320. DOI: 10.4054/DEMRES.2016.34.10.