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Do economic crises lead to health and nutrition behavior responses ? analysis using longitudinal data from Russia, Volume 1
 
Author:Nikoloski, Zlatko; Ajwad, Mohamed Ihsan; Collection Title:Policy Research working paper ; no. WPS 6538
Country:Russian Federation; Date Stored:2013/07/22
Document Date:2013/07/01Document Type:Policy Research Working Paper
SubTopics:Regional Economic Development; Rural Poverty Reduction; Health Monitoring & Evaluation; Health Systems Development & Reform; Population PoliciesLanguage:English
Region:Europe and Central AsiaReport Number:WPS6538
Volume No:1  

Summary: 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.

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