Chinese Hukou Policy and Rural-to-Urban Migrants’ Health: Evidence from Matching Methods
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Internal migration and the provision of social benefits in China are restricted by the institutional policy, commonly called hukou. Hukou status is mainly determined by place of origin. It creates a two-tier system that exacerbates inequality across Chinese households—rural versus urban hukou. We apply coarsened exact matching methods and propensity score models to estimate the impact of obtaining an urban hukou on rural-to-urban migrants’ health outcomes. Our results indicate that migrants with urban hukou maintain lower levels of blood pressure and are less likely to develop hypertension or nutritional conditions compared to rural hukou migrants. We do not find significant results on self-rated health. Our findings show that, in the short-medium term, there are differences in health that are prevalent for migrants with different hukous.
KeywordsInternal migration Hukou registration system Health outcomes
JEL ClassificationF22 I15 I18
We would like to thank the Institute for the Study of Labor (IZA) for providing access to the Rural Urban Migration data survey. We are very grateful to the two anonymous reviewers and the guest editor who provided valuable comments leading to the improvement in the manuscript. We would also like to acknowledge the insightful comments and suggestions by Hillel Rapoport, David McKenzie, Isabel Ruiz-Olaya, Jason Barr, Daniel Maxwell, Joseph Pelzman, Sara Tonini, Balding, Yue Li and Ramya Shankar. We are also grateful to participants at various conferences and seminars where the paper was presented including the Paris School of Economics Migration workshop, the WIDER Conference on ‘Migration and Mobility,’ the International Trade and Finance Association Meeting, Western Economic Association Meeting, ASSA meeting, Eastern Economic Association annual meeting, and seminars at the City University of New York, Cape Town University, and University of Johannesburg. Excellent research assistance has been provided by David Dam. All errors remain our own.
- Akgüç, Mehtap, Xingfei Liu, and Massimiliano Tani. 2014b. Expropriation with hukou change: Evidence from a quasi-natural experiment (No. 8689). IZA Discussion Papers. Bonn: Institute for the Study of Labour.Google Scholar
- He, Jiang, Gu Dongfeng, Jing Chen, Wu Xigui, Tanika N. Kelly, Jian-feng Huang, Jichun Chen, Chung Chen, Lydia A. Bazzano, Kristi Reynolds, Paul K. Whelton, and Michael J. Klag. 2009. Premature deaths attributable to blood pressure in China: a prospective cohort study. The Lancet 374(9703): 1765–1772.CrossRefGoogle Scholar
- Keele, Luke. 2010. An overview of rbounds: An R package for Rosembaum bounds sensitivity analysis with matched data. White Paper, Ohio State University, Columbus, Ohio.Google Scholar
- Kuka, Elira. 2018. Quantifying the benefits of social insurance: Unemployment insurance and health (No. w24766). National Bureau of Economic Research. Review of Economics and Statistics(Forthcoming).Google Scholar
- Martinez, Omar, Wu Elwin, Theo Sandfort, Brian Dodge, Alex Carballo-Dieguez, Rogeiro Pinto, Scott Rhodes, Eva Moya, and Silvia Chavez-Baray. 2015. Evaluating the impact of immigration policies on health status among undocumented immigrants: A systematic review. Journal of Immigrant and Minority Health 17(3): 947–970.CrossRefGoogle Scholar
- McKenzie, David, and Marcin J. Sasin. 2007. Migration, remittances, poverty and human capital: Conceptual and empirical challenges. World Bank Policy Research Paper, 4272.Google Scholar
- Melander, Annika, and Kristyna Pelikanova. 2013. Reform of the hukou system: A litmus test of the new leadership. ECFIN, Economic Brief. European Commission. Issue 26.Google Scholar
- Rosembaum, Paul R. 2005. Observational study. In Encyclopedia of statistics and behavioral science, vol. 3, ed. B. Everitt and D. Howell. Hoboken: Willey.Google Scholar
- Song, Qian. 2016. More than a place of residence: Hukou system, migration, and the rural-urban health divide among middle-aged and older Chinese. Mimeo: RAND Corporation.Google Scholar
- Sun, Zhaoqing, Liqiang Zheng, Xu Changlu, Jue Li, Xingang Zhang, Shuangshuang Liu, Jiajin Li, Hu Dayi, and Yingxian Sun. 2008. Prevalence of prehypertension, hypertension and associated risk factors in Mongolian and Han Chinese populations in northeast China. International Journal of Cardiology 128(2): 250–254.CrossRefGoogle Scholar
- Sun, Meiping. 2017. The potential causal effect of hukou on health among rural-to-urban migrants in China. Columbia University Working Paper and Job Market Paper.Google Scholar
- Zhang, Zu. 2014. The health status of migrant workers in China. Harvard International Review. http://hir.harvard.edu/the-health-status-of-migrant-workers-in-china.