Unhealthy consumption behaviors and their intergenerational persistence: The role of education

Abstract

As one of the countries sharing the world's largest population of smokers and drinkers, China has been facing serious health-related problems from smoking and drinking in recent decades. This paper attempts to investigate the impact of education on unhealthy consumption behaviors (smoking, binge drinking, and drinking) and their intergenerational persistence, using data from the China Health and Nutrition Survey (CHNS) for the period from 1991 to 2011. Estimation results suggest that there exists significantly positive intergenerational persistence of unhealthy consumption behaviors in China, and this persistence seems to be higher from the mother than from the father. After introducing two institutional changes as instruments to address the endogeneity problem of education in unhealthy consumption equations, we find that education has a significantly negative impact on smoking and binge drinking according to the results from instrumental variable estimation. Specifically, an additional year of education decreases the probability of smoking and binge drinking by 4.1% and 3.4%, respectively. Although the health effect of drinking is ambiguous, we also find that the likelihood of drinking decreases by 1.6% with one additional schooling year. Interestingly, an additional year of education could counteract intergenerational persistence of smoking and binge drinking from the father, but it has no impact on intergenerational persistence from the mother. Our results suggest that education might be an efficient way to control unhealthy consumption behaviors in China, but it might not be an efficient way to prevent intergenerational persistence of unhealthy consumption behavior from the mother.