Social Affiliation and the Demand for Health Services: Caste and Child Health in South India.
Social Affiliation and the Demand for Health Services: Caste and Child Health in South India.
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社会归属和对健康服务的需求：印度南部的种姓和儿童健康。
DOI：
10.1016/j.jdeveco.2006.07.005
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发表时间：
2007
影响因子：
5
通讯作者：
Munshi,Kaivan
中科院分区：
文献类型：
--
作者：
Luke,Nancy;Munshi,Kaivan
本文评估了社会从属关系（以种姓衡量）在塑造儿童健康投资方面的作用。我们为分析选择的特殊环境——南印度高海拔地区的茶园——使我们能够非参数地控制低种姓和高种姓家庭在收入、获得医疗服务和发病率模式方面的差异。在这种受控制的环境中，低种姓家庭比高种姓家庭在孩子的健康上花费更多，这与我们在印度其他地方看到的模式完全相反。此外，在两个种姓群体中，保健支出没有因性别而异，这再次与全国各地记录的男性偏好形成对比。一个简单的解释，基于不同种姓在茶园的人力资本回报的差异，提出了解释这些惊人的结果。
This paper assesses the role of social affiliation, measured by caste, in shaping investments in child health. The special setting that we have chosen for the analysis – tea estates in the South Indian High Range – allows us to control nonparametrically for differences in income, access to health services, and patterns of morbidity across low caste and high caste households. In this controlled setting, low caste households spend more on their children's health than high caste households, reversing the pattern we would expect to find elsewhere in India. Moreover, health expenditures do not vary by gender within either caste group, in contrast once again with the male preference documented throughout the country. A simple explanation, based on differences in the returns to human capital across castes in the tea estates, is proposed to explain these striking results.