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School feeding program and urban–rural inequality of child health: Evidence from China 学校供餐计划与城乡儿童健康不平等:来自中国的证据
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21862
Jingru Ren, Xiaodong Zheng, Rodney Smith, Xiangming Fang
School feeding programs have served as go‐to policies for addressing child malnutrition in both developed and developing countries. While an increasing number of studies have investigated the health consequences of school feeding programs, empirical evidence regarding their effects on children's health inequality remains limited. This study examines the impact of China's Nutrition Improvement Program (NIP)—A program that provides free meals for rural students at the compulsory education stage—on rural children's health status and urban–rural health status differentials. The analysis uses data from the 2004–2015 China Health and Nutrition Survey. Leveraging county‐by‐county rollouts of the program, we employ difference‐in‐differences approaches as our identification strategy. The results show that the NIP significantly improves children's height‐for‐age z‐scores by 0.136 standard deviations. Moreover, we find that the NIP alleviates the inequality of opportunity in health between urban and rural children by 21.6% in pilot counties. These findings are robust to a series of validity checks. The effect is more pronounced among students who have a younger age, and live in low social status families. Our findings suggest that school feeding programs are effective in decreasing child malnutrition levels and reducing urban‐rural inequality in the long run. [EconLit citations: I10, I18, D63].
在发达国家和发展中国家,学校供餐计划一直是解决儿童营养不良问题的首选政策。虽然越来越多的研究调查了学校供餐计划对健康的影响,但有关其对儿童健康不平等影响的经验证据仍然有限。本研究考察了中国营养改善计划(NIP)对农村儿童健康状况和城乡健康状况差异的影响。NIP计划为农村义务教育阶段的学生提供免费膳食。该分析使用了2004-2015年中国健康与营养调查的数据。利用逐县项目的推广,我们采用差异中的差异方法作为我们的识别策略。结果表明,NIP显著提高了儿童年龄身高z分数0.136个标准差。此外,我们发现,在试点县,NIP使城乡儿童在健康方面的机会不平等程度降低了21.6%。这些发现通过一系列的有效性检验是可靠的。这种影响在年龄较小、生活在社会地位较低家庭的学生中更为明显。我们的研究结果表明,从长远来看,学校供餐计划在降低儿童营养不良水平和减少城乡不平等方面是有效的。[参考文献][j]。
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引用次数: 0
Nudging Chinese consumers to embrace sustainable milk consumption: How should information be provided? 引导中国消费者接受可持续的牛奶消费:如何提供信息?
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21853
Hongsha Wang, Qihui Chen, Bhagyashree Katare

China's per capita dairy consumption has been far below the intake level recommended by the World Health Organization. Since the dairy industry is a significant contributor to carbon emissions, the recently launched “Double-Carbon” goals in China may also suppress the supply of dairy products, further reducing Chinese residents' dairy intake. While the notion of sustainable (i.e., nutritious and environmentally friendly) food consumption has recently gained popularity in the policy arena, whether Chinese milk consumers are ready to embrace this notion and what specific measures can effectively promote sustainable milk consumption in China remain unclear. On the basis of a discrete choice experiment, this paper examines how information nudges (i.e., randomly provided messages with different contents and details) may steer Chinese consumers into choosing liquid milk products with attributes that are more nutritious and environmentally friendly. Our analysis, involving 839 consumers randomly selected from Beijing, China, shows that consumers value carbon labels the most, followed by nutrition claims, sustainable production claims, and energy conservation certificates. Meanwhile, nutrition information induces consumers to place higher values on nutrition claims; in contrast, environmental information raises consumers' willingness to choose environmental sustainability-related attributes. Finally, the concreteness of the information provided strengthens these effects [EconLit Citations: D12, Q01, Q13, Q18].

中国人均乳制品消费量远低于世界卫生组织推荐的摄入量。由于乳制品行业是碳排放的重要贡献者,中国最近推出的“双碳”目标也可能抑制乳制品的供应,进一步减少中国居民的乳制品摄入量。虽然可持续(即营养和环保)食品消费的概念最近在政策领域得到了普及,但中国牛奶消费者是否准备好接受这一概念,以及哪些具体措施可以有效促进中国的可持续牛奶消费,目前还不清楚。在离散选择实验的基础上,本文研究了信息推动(即随机提供不同内容和细节的信息)如何引导中国消费者选择具有更营养和更环保属性的液态奶产品。我们在中国北京随机抽取了839名消费者进行分析,结果显示,消费者最看重碳标签,其次是营养声明、可持续生产声明和节能证书。同时,营养信息诱导消费者对营养声明给予更高的评价;而环境信息则提高了消费者选择与环境可持续性相关属性的意愿。最后,所提供信息的具体性加强了这些效应[EconLit引文:D12, Q01, Q13, Q18]。
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引用次数: 0
E-commerce improves dietary quality of rural households in China 电子商务提高了中国农村家庭的饮食质量
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21864
Jiexi Shen, Zhanguo Zhu, Matin Qaim, Shenggen Fan, Xu Tian

E-commerce is gaining importance in the food sector of many countries, and its potential influence on people's access to food and dietary choices is yet to be thoroughly investigated. In this study, we analyze data from a food consumption survey conducted in rural China in 2021 to examine the impact of e-commerce on individual food consumption patterns and dietary quality. Our results with instrumental variable models show that e-commerce significantly reduces the consumption of staple foods, such as cereals and potatoes, while it increases the consumption of legumes, nuts, milk, and milk products, even after controlling for income and other confounding factors. Additionally, e-commerce contributes to higher dietary diversity and dietary quality among rural households. In the face of shrinking physical markets in rural areas, it seems that rural e-commerce can serve as an important mechanism to improve food access and meet the diversifying dietary demands of rural residents. [EconLit Citations: Q13, L81].

电子商务在许多国家的食品部门越来越重要,其对人们获得食品和饮食选择的潜在影响尚未得到彻底调查。在本研究中,我们分析了2021年在中国农村进行的食品消费调查数据,以检验电子商务对个人食品消费模式和膳食质量的影响。我们使用工具变量模型的结果表明,电子商务显著减少了主食的消费,如谷物和土豆,同时增加了豆类、坚果、牛奶和奶制品的消费,即使在控制了收入和其他混杂因素之后也是如此。此外,电子商务有助于提高农村家庭的饮食多样性和饮食质量。面对农村实体市场的萎缩,农村电子商务似乎可以作为改善粮食获取和满足农村居民多样化饮食需求的重要机制。[参考文献:Q13, L81]。
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引用次数: 0
Impact of folate biofortified food supplement on rural women's health and willingness-to-pay: A study based on a connected randomized controlled trial—Becker–DeGroot–Marschak experiment in China 叶酸生物强化食品对农村妇女健康和支付意愿的影响:基于中国连接式随机对照试验--贝克尔-德格鲁特-马沙克实验的研究
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21858
Fen Liao, Yan Li, Ping Qing, Jie Feng, Anxu Wang, Jian Li, Junsheng Huo, Linjie Wang, Tong Chen, Jing Sun, Hongmei Mao

We examined whether folate-fortified maize (FFM) improves the health of rural women of childbearing age and whether the health intervention is associated with the consumer willingness-to-pay (WTP) for FFM. First, a randomized single-blind FFM intervention trial was conducted in rural childbearing-aged women. Participants (n = 55) consumed one stalk of either FFM (treatment group) or ordinary maize (control group) daily. This dietary intervention lasted for 2 months, during which we assessed the participants' serum folate levels at baseline, mid stage (after 1 month), and final stage (after 2 months) to evaluate the health effect of FFM. We found that the serum folate level in the treatment group (13.31 ng/mL) was 3.40 ng/mL higher than that in the control group (9.91 ng/mL) in the final stage of the study. These findings suggest that regular dietary FFM intake significantly increased serum folate levels in rural Chinese women. Second, we further expanded our study by involving 181 local rural women with similar demographic characteristics to participate in a Becker–DeGroot–Marschak (BDM) bidding experiment to measure their WTPs for FFM. Results showed that local consumers were willing to pay 2.82 Chinese Yuan (CNY) per stalk of FFM, approximately 1.21 CNY higher than the price of ordinary maize. And women who participated in and completed the intervention trial had a higher preference for FFM during the evaluation. We provide evidence on the health improvement effect of biofortified foods and shed light on the associated consumer valuation and policy implementation.

我们研究了叶酸强化玉米(FFM)是否改善了农村育龄妇女的健康状况,以及健康干预是否与消费者对FFM的支付意愿(WTP)相关。首先,在农村育龄妇女中进行随机单盲FFM干预试验。参与者(n = 55)每天食用一根FFM玉米(处理组)或普通玉米(对照组)。这项饮食干预持续了2个月,在此期间,我们评估了参与者在基线、中期(1个月后)和末期(2个月后)的血清叶酸水平,以评估FFM对健康的影响。我们发现,在研究的最后阶段,治疗组血清叶酸水平(13.31 ng/mL)比对照组(9.91 ng/mL)高3.40 ng/mL。这些研究结果表明,在中国农村妇女中,定期食用FFM可显著提高血清叶酸水平。其次,我们进一步扩大了研究范围,选取了181名具有相似人口统计学特征的当地农村妇女,采用Becker-DeGroot-Marschak (BDM)竞价实验来测量她们的FFM WTPs。结果表明,当地消费者愿意为每根玉米支付2.82元人民币,比普通玉米价格高出约1.21元人民币。参与并完成干预试验的妇女在评估时对FFM有更高的偏好。我们提供了生物强化食品改善健康效果的证据,并阐明了相关的消费者评价和政策实施。
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引用次数: 0
Cost-effectiveness of zinc interventions in China: A cohort-based Markov model 中国锌干预措施的成本效益:基于队列的马尔可夫模型
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21861
Fuli Tan, Jingjing Wang, Yixuan Guo, Taian Deng, Hans De Steur, Shenggen Fan

Zinc acts as an important cofactor in the body and is essential for normal functions. Several zinc interventions have been implemented worldwide to improve the public's zinc status, but limited studies have assessed their cost-effectiveness. To help inform decision-making on zinc interventions to maximize benefits within a fixed budget, we took China as an example and evaluated the cost-effectiveness of three interventions, that is, supplementation, food fortification, and biofortification. As an essential group at high risk of zinc deficiency, children aged 5–14 years, who account for 10% of the Chinese population, were selected as the target group in this study. We constructed a decision-analytic Markov model to determine the cost-effectiveness of interventions in China under different scenarios. In our model, biofortification through conventional breeding was shown to be the most cost-effective approach in most scenarios. Compared with other interventions, zinc supplementation gained fewer quality-adjusted life years at a higher net cost, suggesting that this common approach may not be optimal for large-scale, long-term implementation at the national level. While the robustness of the results was further confirmed by the sensitivity analysis, more research is needed to assess the cost-effectiveness of addressing zinc deficiency with other interventions. Further clinical trials are also expected to evaluate the effectiveness of zinc interventions in reducing pneumonia cases [EconLit Citations: I18, Q16, Q18].

锌在人体中是一种重要的辅助因子,对人体的正常功能至关重要。一些锌干预措施已经在世界范围内实施,以改善公众的锌状况,但有限的研究已评估其成本效益。为了帮助制定锌干预措施的决策,在固定预算范围内实现效益最大化,我们以中国为例,评估了三种干预措施的成本效益,即补充、食品强化和生物强化。5-14岁儿童是缺锌的高危人群,占中国人口的10%,是本研究的目标人群。我们构建了一个决策分析马尔可夫模型来确定不同情景下中国干预措施的成本效益。在我们的模型中,在大多数情况下,通过传统育种进行生物强化被证明是最具成本效益的方法。与其他干预措施相比,锌补充剂获得的质量调整寿命年数较少,净成本较高,这表明这种常见方法可能不是在国家一级大规模长期实施的最佳方法。虽然敏感性分析进一步证实了结果的稳健性,但需要更多的研究来评估用其他干预措施解决锌缺乏症的成本效益。进一步的临床试验也有望评估锌干预在减少肺炎病例中的有效性[EconLit引文:I18, Q16, Q18]。
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引用次数: 0
The effect of Internet usage on dietary quality: Evidence from rural China 互联网使用对膳食质量的影响:来自中国农村的证据
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21869
Yi Cui, Thomas Glauben, Wei Si, Qiran Zhao

The popularity of Internet usage in rural China is on the rise while improving the nutritional status of Chinese rural residents remains a major issue due to prevalent unbalanced diets and deficiencies in some nutrients. However, there is a scarcity of empirical evidence linking these two aspects. The relationship between Internet usage and dietary quality remains inconclusive in both developed and developing countries. Using data from a survey of 2053 households in rural China, this paper examines the relationship between Internet usage and dietary quality among Chinese rural residents by employing an endogenous switching regression model to address the issue of selection bias. The empirical results reveal that respondents' gender, age, years of education, and household income significantly influenced their decisions to use the Internet, and Internet usage significantly improve dietary quality of their household. The findings of the heterogeneous analysis show that the impact of Internet usage on dietary quality varies based on respondents' dietary knowledge, per capita annual income, and household food expenditure. Through mechanism analysis, we find that Internet usage can improve the dietary quality by increasing the possibility of online food purchasing and fostering a more positive dietary attitude. [EconLit Citations: I12, O15, O33].

互联网在中国农村的普及程度正在上升,但由于普遍存在的饮食不平衡和某些营养素缺乏,改善中国农村居民的营养状况仍然是一个主要问题。然而,缺乏将这两个方面联系起来的经验证据。在发达国家和发展中国家,互联网使用和饮食质量之间的关系仍然没有定论。本文利用中国农村2053户家庭的调查数据,采用内生转换回归模型来解决选择偏差问题,考察了中国农村居民互联网使用与饮食质量之间的关系。实证结果显示,受访者的性别、年龄、受教育年限和家庭收入显著影响其使用互联网的决策,互联网的使用显著改善了其家庭的饮食质量。异质性分析结果显示,互联网使用对膳食质量的影响因受访者的饮食知识、人均年收入和家庭食品支出而异。通过机制分析,我们发现互联网的使用可以通过增加网上购买食品的可能性和培养更积极的饮食态度来改善饮食质量。[文献引证:12,15,33]。
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引用次数: 0
Effects of direct grain subsidies on food consumption of rural residents in China 粮食直接补贴对中国农村居民粮食消费的影响
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21856
Wenyan Xu, Qiran Zhao, Shenggen Fan, Chen Zhu

The agricultural subsidy is an important policy instrument that aims to maintain food security and promote agricultural development in several countries. China introduced its first nationwide agricultural subsidy (i.e., the direct grain subsidy) for farmers in 2004. This study examines the impacts of direct grain subsidies on rural residents' food consumption patterns and nutritional intake on an individual basis. Based on a nationally representative sample of rural households from the National Rural Fixed Observation Points Survey data collected by the Ministry of Agriculture and Rural Affairs of China between 2003 and 2015, high-dimensional fixed-effects estimates show that the direct grain subsidy has boosted rural residents' grain consumption but reduced aquatic products, eggs, and dairy consumption in China. Specifically, an increase of 100 Chinese Yuan in per capita subsidies is associated with a rise of 14.94 g in daily grain consumption but a decrease of 0.57, 0.46, and 0.90 g in aquatic products, eggs, and dairy consumption, respectively. Furthermore, direct grain subsidies intensified rural residents' dietary imbalance and declined their dietary diversity. Observed dietary imbalance can be primarily attributed to the subsidy encouraging households' self-sufficient grain consumption, leading to excessive cereal consumption and relatively lower consumption of meat, eggs, and milk. Our findings suggest that direct grain subsidies emphasizing the production of staple grains may inadvertently skew farmers' food consumption and nutritional intake, which may require consideration when evaluating the overall costs and benefits of agricultural subsidy policies. [EconLit Citations: D12, H20, I12, Q18].

农业补贴是各国维护粮食安全和促进农业发展的重要政策工具。2004年,中国首次在全国范围内为农民提供农业补贴(即粮食直接补贴)。本研究从个体角度考察了粮食直接补贴对农村居民食物消费模式和营养摄入的影响。基于2003 - 2015年中国农业农村部全国农村固定观测点调查数据中具有全国代表性的农户样本,高维固定效应估计表明,粮食直接补贴促进了中国农村居民的粮食消费,但减少了水产品、蛋类和乳制品的消费。具体而言,人均补贴每增加100元,粮食日消费量增加14.94 g,水产品、蛋类和乳制品日消费量分别减少0.57 g、0.46 g和0.90 g。此外,粮食直接补贴加剧了农村居民的膳食失衡,降低了他们的膳食多样性。所观察到的饮食不平衡主要是由于鼓励家庭自给自足的粮食消费补贴,导致谷物消费过多,而肉、蛋、奶的消费相对较低。我们的研究结果表明,强调主粮生产的直接粮食补贴可能会在不经意间扭曲农民的食物消费和营养摄入,这在评估农业补贴政策的总体成本和收益时可能需要考虑。[文献引用:D12, H20, I12, Q18]。
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引用次数: 0
Weight gains from multinational fast-food restaurants: Evidence from China 跨国快餐店带来的体重增加:来自中国的证据
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21857
Faqin Lin, Rui Wang, Yutong Lv, Feng Kuo

This study examines the obesity effect of proximity to US fast-food restaurants (Kentucky Fried Chicken [KFC] or McDonald) on Chinese. We first provide some stylized facts and raise the hypothesis that proximity to KFC or McDonald increases overweight. We then put the hypothesis into a test using the China Health and Nutrition Survey data. Exploiting community (district in urban area and village unit in rural area) level KFC or McDonald density within 10 km by using the geocoding information, we find that the exposure to KFC or McDonald adversely affects people obesity. Our results are robust in a number of additional checks and placebo tests. The pro-obesity effects are more pronounced for the lower educated than the higher educated. Further welfare analysis indicates that ignoring obesity outcomes would substantially underestimate the welfare disparity between high educated and low educated in China [EconLit Citations: F23, I10, I12, J00].

这项研究调查了靠近美国快餐店(肯德基或麦当劳)对中国人肥胖的影响。我们首先提供了一些程式化的事实,并提出了靠近肯德基或麦当劳会增加超重的假设。然后,我们使用中国健康与营养调查数据对这一假设进行了检验。利用地理编码信息,利用10公里范围内社区(城区为小区,农村为村级)级的肯德基或麦当劳密度,我们发现接触肯德基或麦当劳对人们的肥胖有不利影响。我们的结果在一些额外的检查和安慰剂测试中是稳健的。受教育程度较低的人比受教育程度较高的人更容易肥胖。进一步的福利分析表明,忽略肥胖结果将大大低估中国高学历和低学历之间的福利差距[EconLit引文:F23, I10, I12, J00]。
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引用次数: 0
Transforming agri-food systems for nutrition and health: Insights from emerging economies 改革农业食品体系,促进营养和健康:新兴经济体的启示
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21851
Chen Zhu, Shenggen Fan
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引用次数: 0
Carbon tax on milk products and the exact consumer welfare measure in emerging economies 奶制品碳税和新兴经济体的确切消费者福利措施
IF 3.2 3区 经济学 Q2 AGRICULTURAL ECONOMICS & POLICY Pub Date : 2023-10-11 DOI: 10.1002/agr.21854
Jasmin Wehner, Xiaohua Yu

Current milk prices do not account for the emissions, environmental externalities, and the excessive resource use that occur during milk production. Imposing a “carbon tax on food” can be a very effective climate change mitigation policy and the ultimate distributional effect depends heavily on the way the tax is implemented. To offset the regressive financial effect, redistribution measures need to be designed and the financial welfare loss can serve as a first orientation for designing these redistribution measures. Current literature mainly uses estimated elasticities from empirical demand systems to approximate the welfare change which can lead to a substantial bias if the tax rate is sufficiently large. In contrast, we calculate the welfare change by using the Exact Consumer Welfare of a carbon tax on milk for selected emerging economies. We show that on average, consumers in upper-middle-income economies would face a financial welfare loss of 19.4–176.9 USD (in the value of 2017) measured by the compensating variation (CV), depending on the tax scenario. Among a set of 16 emerging economies, consumers in Argentina (ARG) and Türkiye (TUR) face the highest financial welfare losses. We also find that discrepancies between the Exact Consumer Welfare and the consumer surplus are very small. [EconLit Citations: Q11, Q18].

目前的牛奶价格没有考虑到牛奶生产过程中产生的排放、环境外部性和过度的资源使用。征收“食品碳税”可能是一项非常有效的减缓气候变化政策,最终的分配效果在很大程度上取决于税收的实施方式。为了抵消财政的倒退效应,需要设计再分配措施,财政福利损失可以作为设计这些再分配措施的第一取向。目前的文献主要使用经验需求系统的估计弹性来近似福利变化,如果税率足够大,可能导致实质性的偏差。相比之下,我们通过对选定的新兴经济体征收牛奶碳税的确切消费者福利来计算福利变化。我们发现,平均而言,中高收入经济体的消费者将面临19.4-176.9美元的财政福利损失(以2017年的价值计算),这取决于税收情景的补偿变化(CV)。在16个新兴经济体中,阿根廷(ARG)和土耳其(TUR)的消费者面临的财政福利损失最大。我们还发现,确切消费者福利与消费者剩余之间的差异非常小。[EconLit引文:Q11, Q18]。
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引用次数: 0
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