Do Economic Crises Lead to Health and Nutrition Behavior Responses? Analysis Using Longitudinal Data from Russia

31 Pages Posted: 20 Apr 2016

See all articles by Zlatko Nikoloski

Zlatko Nikoloski

University College London

Mohamed Ihsan Ajwad

World Bank - Human Development

Date Written: July 1, 2013

Abstract

Using longitudinal data on more than 2,000 Russian families spanning the period between 2007 and 2010, this paper estimates the impact of the 2009 global financial crisis on food expenditures, health care expenditures, and doctor visits in Russia. The primary estimation strategy adopted is the semi-parametric difference-in-difference with propensity score matching technique. The analysis finds that household health and nutritional behavior indicators do not vary statistically between households that were crisis-affected and households that were not affected by the crisis. However, the analysis finds that crisis-affected poor families curtailed their out-of-pocket health expenditures during and after the crisis more than poor families that were not affected by the crisis did. In addition, crisis-affected vulnerable groups changed their health behavior. In particular, households with low educational attainment of household heads and households with more elderly people changed their health and nutrition behavior response when affected by the crisis. The results are invariant to the propensity score matching techniques and parametric fixed effects estimation models.

Keywords: Health Monitoring & Evaluation, Health Systems Development & Reform, Regional Economic Development, Population Policies, Rural Poverty Reduction

Suggested Citation

Nikoloski, Zlatko and Ajwad, Mohamed Ihsan, Do Economic Crises Lead to Health and Nutrition Behavior Responses? Analysis Using Longitudinal Data from Russia (July 1, 2013). World Bank Policy Research Working Paper No. 6538. Available at SSRN: https://ssrn.com/abstract=2297215

Zlatko Nikoloski (Contact Author)

University College London ( email )

Gower Street
London, WC1E 6BT
United Kingdom

Mohamed Ihsan Ajwad

World Bank - Human Development ( email )

1818 H Street, N.W.
Washington, DC 20433
United States
202-473-7861 (Phone)

Register to save articles to
your library

Register

Paper statistics

Downloads
12
Abstract Views
175
PlumX Metrics