4.7 Article

Export Expansion May Increase Adult Illness and Injury: A Quasi-Natural Experiment on China's Accession to the World Trade Organization

期刊

FRONTIERS IN PUBLIC HEALTH
卷 10, 期 -, 页码 -

出版社

FRONTIERS MEDIA SA
DOI: 10.3389/fpubh.2022.798686

关键词

export shock; WTO; China; difference-in-differences; CHNS; adult illness; injury

资金

  1. Social Science Research Base Program of Fujian at the Research Center of Public Service Quality of Xiamen University [FJ2020JDZ006]
  2. National Natural Science Foundation of China [42101199]

向作者/读者索取更多资源

This study investigates the relationship between export expansion and adult illness/injury using China's entry into the WTO as a quasi-natural experiment. The results show a significant positive effect of export expansion on adult illness/injury, particularly among urban residents, women, and higher-income groups.
PurposeExports can boost the economy, but may also cause harm to health through, for example, increased pollution and working hours. Although academic research extensively covers the impact of trade on health, few studies examine the mechanisms through which export expansion affects adult illness or injury within the past 4 weeks (illness/injury). MethodWe utilized China's entry into the World Trade Organization (WTO) as a quasi-natural experiment to investigate the relationship between export expansion and adult illness/injury. We explored the possible mechanisms and the heterogeneity of these associations. Our methodology was based on the analysis of China's Health and Nutrition Survey data, Chinese Customs databases, and China's Statistical Yearbook. ResultsExport expansion, induced by China's accession to the WTO, has a significantly positive effect on adult illness/injury [average effect (AE): 1.83%; 95% CI: 0.38-3.28%]. Our results remain robust following a series of robustness tests. Moreover, the effects of export expansion on adult illness/injury are more pronounced among urban residents (AE: 5.32%; 95% CI: 2.46-8.18%), women (AE: 2.68%; 95% CI: 0.57-4.80%), and higher-income groups (AE: 5.90%; 95% CI: 2.53-9.27%). ConclusionsWe find a statistically significant and positive effect of export expansion on adult illness/injury.

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