Health care expenditures of self‐employed farm households in the United States

For self‐employed individuals and their families, purchases of health care services and health insurance policies have the potential to impact their health status, as well as the financial viability of their businesses. Most people in the United States receive health insurance coverage through employer‐sponsored programs. Self‐employed individuals and their households, such as farm households, may face a greater challenge in getting affordable health insurance. Using a large cross‐sectional farm household level dataset, we estimate the impact of the source of health insurance on health care expenditures of farm households in the United States. Results suggest that farm households purchasing individual health insurance directly from vendors are likely to spend more on health care than those with other sources of health insurance. After controlling for a variety of personal and local area characteristics, having health insurance was negatively related to total health care expenditures. Age and income, not surprisingly, were also found to be significant in explaining health care expenditures.     

Impact of off‐farm income on food expenditures in rural Bangladesh: an unconditional quantile regression approach

This study examines the effects of off‐farm income on food expenditures of rural Bangladeshi households. Our analysis yields unbiased estimates of the unconditional impact of off‐farm income on food expenditures and reveals the heterogeneous effects that occur across the distribution of total food consumption expenditures. The findings suggest that the impacts of off‐farm income are uniformly positive across the unconditional quantile regression and significantly increase food consumption expenditures for all quantiles, except for the 25th quantile. In addition, we found that schooling, experience, and location of the household increase the food expenditures of rural households. Most importantly, this article argues that female‐headed rural households in which the female works off the farm tend to have significantly lower food expenditures.     

The impact of integrated livestock disease management for food security in Togo

In sub-Saharan Africa, livestock is one of the key channels through which most households meet their food security needs. However, diseases such as the African Animal Trypanosomosis (AAT) constrain productivity. Using data from 445 randomly sampled small-scale cattle farmers, this paper investigates the role of integrated livestock disease control on household food security. Using a novel approach to link different food security measures to cattle productivity, the paper identifies the channels of impact at the household level. Methodologically, the paper estimated the propensity score matching algorithm to net out the effect of adoption. The results show that households who adopt RDU have record livestock productivity and higher consumption per capita expenditures. They tend to be more food secure, experience lower seasonal food supply fluctuations and experience a lower probability of falling below the food poverty line.     

An assessment of the current structure of food demand in urban China

We evaluate the current structure of food demand in urban China by using household expenditure survey data from five provinces. Two complementary analyses are undertaken. First, an aggregate analysis based on a fractional logit model is used to examine how households allocate food expenditures across the food‐at‐home (FAH) and food‐away‐from‐home (FAFH) categories. This is followed by a disaggregated analysis of how households allocated their FAH expenditures across 12 commodity categories. A Quadratic Almost Ideal Demand System (QUAIDS) is used. We find evidence of significant food purchase substitution and complementarity.     

The effects of food sales taxes on household food spending: An application of a censored cluster model

This study proposes a model of household food spending that accounts for zero censoring and can be applied to data collected through a clustered survey design to investigate the impact of food sales taxes on three groups: households who are eligible for and participate in the Supplemental Nutrition Assistance Program (SNAP), households who are eligible but do not participate in the program, and households who are not eligible for the program. We find that SNAP participating households are largely insensitive to grocery taxes and respond to restaurant taxes by shifting more of their food dollars towards at-home foods. Among households who are eligible for SNAP but do not participate in the program, grocery taxes reduce spending on foods purchased for at-home consumption, and thereby increase the amount of the total food budget allocated to away from home foods. This is concerning from a nutrition and health standpoint since away from home foods tend to be more calorie dense and nutritionally poorer than at home foods.     

Rural nonfarm income and its impact on agriculture: evidence from Albania

Using data from the 2005 Albania Living Standards Measurement Study (ALSMS05) survey, this article analyzes the overall impact of household nonfarm income-generating activities (RIGA) on agricultural expenditures as well as technical efficiency of rural farm households. We also differentiate the impact for subsistence and commercial farmers, who are in the top 25% of the distribution of value of annual agricultural sales. Our results show that on the whole, Albanian rural households utilize their nonfarm earnings not to invest in time-saving, efficiency-increasing technologies, but to move out of crop production. We derive similar findings when we try to estimate the same relation separately for commercial and subsistence farmers. However, for commercial farmers, we find a positive impact of household nonfarm earnings on livestock expenditures.     

How do obese people afford to be obese? Consumption strategies of Russian households

This article investigates the extent to which Russian households that differ in their members’ weight status adjust their food consumption differently when their economic resources change. Using household‐panel data from the Russia Longitudinal Monitoring Survey (RLMS) from 1995 to 2005, we estimate total expenditure elasticities of food expenditures, food quantities, and food quality for normal‐weight, overweight, and obese households, respectively. The expenditure elasticities of quality derived for obese households for meat, bread, fruits, and dairy were found to be 15–20% higher than those of normal households. Hence, a change in economic resources causes obese households to adjust the quality of purchased foods significantly more flexibly than normal‐weight households. Only few differences were found for quantity and expenditure reactions. Our results emphasize that policies aiming to reduce obesity should consider deviations in consumption behavior of normal and obese consumers in terms of quality.     

Government Expenditures,Health Outcomes and Marginal Productivity of Agricultural Inputs: The Case of Tanzania

This paper examines the impact of health expenditures on agricultural labour productivity in order to inform the necessary policy decisions about targeting scarce public resources towards their most effective uses. We link health sector expenditures in rural Tanzania to health outcomes and agricultural labour productivity using data from the 2008 Household Budget Survey (10,975 households) and the 2007/08 Agricultural Census (52,594 households) across 113 districts in Tanzania. The results indicate that the marginal productivity of labour as well as land and fertilisers respond significantly to health expenditures. However, the magnitude of the response varies across types of disease, categories of expenditures and agricultural inputs. These findings suggest both the need and scope for targeting public expenditures in the health sector to achieve better agricultural growth outcomes.     

The impact of the 2005–2010 rice price increase on consumption in rural Bangladesh

This article studies the impact of the rice price increase between 2005 and 2010 on consumption in rural Bangladesh. Using the Household Income and Expenditure Survey (HIES) data, we compare net rice buyers and sellers to self‐sufficient households. To identify the effect of rice price changes on household consumption of rice, nonrice food and nonfood items, we employ a difference‐in‐differences (DiD) technique. Our findings indicate that the surge in domestic rice prices between 2005 and 2010 reduced the nonrice food consumption of net rice buyer households by 7%, compared to the households who are self‐sufficient in rice production. However, it did neither affect their rice nor their nonfood consumption. In contrast, while we find no significant effect of rice price increases on the rice consumption of net rice sellers, we observe a 9% increase in their nonrice food consumption. In such situation, a subsidy on low‐quality rice may be effective in fulfilling the nutritional requirement of low‐income households.     

Food Expenditures Away From Home by Type of Meal

A nonnormal and heteroscedastic double-hurdle model is used to study household expenditures on breakfast, lunch and dinner away from home in the United States. In the 1992–93 period, nearly 40% of households purchased breakfast, and about three quarters of households purchased lunch or dinner in a two-week period. Wife's employment has a positive effect on the probability and level of lunch and dinner expenditures but not on breakfast expenditures. Income effects are all statistically significant and positive. The role of household composition. other demographics and region are also important.     

Expenditure Pattern for Food Away from Home Consumption in Turkey

ABSTRACT

One of the largest recent changes in consumer food purchasing behavior is the trend towards greater consumption of food eaten outside the home. Between 1994 and 2000, the share of total food expenditures spent on food away from home (FAFH) increased from 7 to 15% with an increasing share for fast-food facilities. This study focuses on whether demographic and socioeconomic factors have detectable effects on Turkish FAFH expenditures. This question is of interest because previous studies suggest that increasing household income, education, female labor participation and changing lifestyle especially in developing countries increased household FAFH consumption share but decreased food at home consumption share. However, no study to our knowledge has examined the combined effect of income, education, employment, and family status on Turkish FAFH consumption. The data for this research were obtained from personal interviews of representative sample households of the province of Adana in Turkey. The findings of this study generally indicate that restaurant facilities, employment of wife and education, composition of household, and income are statistically significant determinants of FAFH consumption.     

Food Safety and Adverse Selection in Rural Maize Markets

Without enforced standards or reliable third-party verification, food safety threats such as pesticide residues and aflatoxin contamination are generally unobservable or only partially observable to both buyers and sellers, especially of staple foods in rural maize markets in sub-Saharan Africa. As a result, sellers have more information about food quality than do buyers. Such information asymmetries can impede market development and undermine human health. We study farm household behaviour in the context of imperfect food safety information. We pool observations obtained from 707 food storage containers maintained by 309 farm households in Benin, surveyed following the maize harvests of 2011/2012 and 2013/2014. Our results indicate that when a household perceives a food safety risk associated with application of insecticides, on average it is 33 percentage points less likely to apply insecticides to maize it intends to consume than it is to maize it intends to sell. These individuals are also more likely to sell maize than households without food safety concerns. Results highlight the potential value of improved storage technologies and quality control to promote market transactions and reduce hidden health risks.     

The Demand for Food Quality in Rural China

Many studies of food demand do not use actual prices but unit values, obtained by dividing expenditures by the quantity consumed. This can bias empirical analyses because unit values are not exogenous market prices; they reflect household food quality choices within each food category. This article develops a framework for assessing the resulting bias in income and price elasticities of demand and applies the framework to data for rural China. Empirical results indicate that households in rural China tend to consume higher-quality food as income increases, with a greater sensitivity to income for basic foods than for luxury foods.     

Productivity and Land Enhancing Technologies in Northern Ethiopia: Health, Public Investments, and Sequential Adoption

The adoption of more efficient farming practices and technologies that enhance agricultural productivity and improve environmental sustainability is instrumental for achieving economic growth, food security, and poverty alleviation in sub-Saharan Africa. Our research examines the interaction between public investments, community health, and adoption of productivity and land enhancing technologies by households in the northern Ethiopian state of Tigray. Agricultural technology adoption decisions are modeled as a sequential process where the timing of choices can matter. We find that time spent sick and opportunity costs of caring for sick family members are significant factors in adoption. Sickness, through its impact on household income and labor allocation decisions for healthcare and other activities, significantly reduces the likelihood of technology adoption. Our findings suggest that agencies working to improve agricultural productivity and land resource conservation should consider not only the financial status of potential adopters, but also their related health situation.     

The Impact of the Special Supplemental Nutrition Program for Women, Infants, and Children on Child Health

Data from the third National Health and Nutrition Examination Survey are used to analyze the effect of the Women, Infants, and Children (WIC) Program and other factors on the health of U.S. preschool children. Ordered probit equations are estimated for the physician's overall evaluation of the child's health. The WIC Program has a significant positive impact on the overall health of children. In particular, children in households participating in WIC are significantly more likely to be in excellent health. Increased household income also improves their health.     

Out-of-Pocket Health Expenditure: Impact on the Consumption of Indian Households

This paper examines whether out-of-pocket health expenditure affects the composition of household consumption. Based on Indian data, conditional Engel curves for 10 broad categories of goods and services, namely food, intoxicants, fuel, clothing and footwear, education, entertainment, travel, rent, durables and other goods have been estimated. Conditional Engel curves show whether the share of a particular good is increased or decreased in household consumption due to health expenditure. The findings suggest that poor households decrease the share of clothing and education and increase the share of food, fuel and travel. It has also been found that households from less developed states and from states with lower public health expenditure were more affected.     

影响林农木本食品安全生产因素研究

根据农户行为理论分析结果,运用Tobit模型对浙江省杭州市临安区的119户山核桃种植户安全生产行为的影响因素进行实证分析。研究结果表明:性别、年龄、受教育程度、户主对农药危害认知以及是否参加合作社对林农进行山核桃安全生产具有显著的负向影响;经营地产量、户主化肥使用标准以及种植户所在地区对林农进行山核桃安全生产具有显著的正向影响。因此,为了规范木本食品安全生产,从林农角度而言,应加强学习相关种植知识并提升个人素质;从政府和山核桃种植协会而言,应加强对林农进行安全用药知识宣传并组织技术培训,此外还应推进山核桃种合作社建立。     

Understanding Differences in Self-Reported Expenditures between Household Scanner Data and Diary Survey Data: A Comparison of Homescan and Consumer Expenditure Survey

Household scanner data contain rich information on household demographics and transactions in actual markets over a long time period. To more fully understand the characteristics of these data, we conducted an analysis to determine whether household expenditures in the Nielsen Homescan panel are similar to the Bureau of Labor Statistic's Consumer Expenditure Diary Survey. We found that many differences in reported expenditures across the two datasets can be explained by such household demographics as female head, income, and household size, for example. The largest degrees of discrepancies across datasets occur for food categories containing more random-weight foods without universal product codes.     

Household Composition and Brazilian Food Purchases: An Expenditure System Approach

The use of household level data for food demand analysis requires the researcher to address issues such as purchase censoring and the impacts of household age/gender composition on such demand. This analysis adopts an estimation approach to modeling censored food expenditures. The major methodological contribution of this analysis is our incorporation of an endogenous equivalence scale measure within the expenditure system. Our empirical application is concerned with Brazilian household food expenditures. We use the estimated adult equivalence scales to evaluate a measure of household welfare represented by per-adult equivalent food expenditures. We find a significant shift of the distribution of per capita food distributions when comparing member count versus adult equivalent-based per capita distributions.     

Poverty analysis in the lowlands of Papua New Guinea underscores climate vulnerability and need for income flexibility*

A severe El Niño event in 2015/16 decimated an important share of Papua New Guinea's (PNG) local crop production, leaving 10 per cent of the population with significant food shortages. Lack of recent socio‐economic data and analysis of the country's rural population impeded efforts to plan and mitigate the ensuing food crisis. This paper presents the most recent poverty analysis in Papua New Guinea in nearly a decade, and a renewed effort to inform rural production, consumption and livelihood patterns in some of the country's most remote, lowland areas. We designed a rural household survey that collected detailed consumption and expenditure data to explore poverty prevalence and correlates of per capita household expenditure. Results suggest that approximately half of the sampled individuals live in households with total per capita expenditures below the poverty line. Climate shocks have significant and possibly long‐term consequences for household welfare. Households that experienced a drought in the last 5 years are associated with significantly lower per capita expenditures. Labour diversification, via migration, is associated with greater welfare. Households with at least one migrant member are associated with 13 per cent greater per capita expenditure.