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Abstract: China’s rapid development and urbanization has induced large numbers of rural residents to migrate from their homes in the countryside to urban areas in search of higher wages. It is estimated that there are more than 60 million left behind children (LBCs) remain in the countryside after their parents migrate. This paper examines the changes in mental health before and after the parents of fourth and fifth grade students out- or return-migrate. We draw on a panel dataset collected by the authors of more than 19,000 students from 252 rural primary schools in northwestern China. Using difference-in-difference and propensity score matching approaches, our results indicate that parental out-migration has a significant negative impact on the mental health of LBCs, as they tend to exhibit higher levels of anxiety and lower levels of self-esteem. However, we find that parental return-migration has no significant effect on the mental health of LBCs. 

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China & World Economy
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Scott Rozelle
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China’s rapid development and urbanization have induced large numbers of rural residents to migrate from their homes to urban areas in search of better job opportunities. Parents typically leave their children behind with a caregiver, creating a new, potentially vulnerable subpopulation of left-behind children in rural areas. A growing number of policies and nongovernmental organization efforts target these children. The primary objective of this study was to examine whether left-behind children are really the most vulnerable and in need of special programs. Pulling data from a comprehensive data set covering 141,000 children in ten provinces (from twenty-seven surveys conducted between 2009 and 2013), we analyzed nine indicators of health, nutrition, and education. We found that for all nine indicators, left-behind children performed as well as or better than children living with both parents. However, both groups of children performed poorly on most of these indicators. Based on these findings, we recommend that special programs designed to improve health, nutrition, and education among left-behind children be expanded to cover all children in rural China.

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Health Affairs Volume 34, Issue 11
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Prashant Loyalka
Alexis Medina
Scott Rozelle
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Currently available data on myopia and spectacle wear are drawn largely from China’s richer and middle-income areas, and little is known about refractive error and spectacle wear in the lowest income provinces. Studies from China and elsewhere suggest that large differences in myopia prevalence may exist between areas of different socioeconomic status within countries, but reasons for these differences are not well understood. The current report details the prevalence and predictors of myopia measured using the identical protocols and equipment in adjoining provinces of western China, middle-income Shaanxi and low-income Gansu. Study methods including institutional review board approvals and consent have been described elsewhere.

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Ophthalmology
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Scott Rozelle
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We respond to Anning Hu's commentary on our report “College is a rich, Han, urban, male club: Research notes from a census survey of four tier one colleges in China.” The topic of assessing disparities in college access in China (and other developing countries undergoing major transitions in their higher education systems) is an important one. We hope that our China Quarterly article, Hu’s commentary and our response will stimulate more research and dialogue on this topic in China and elsewhere.

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The China Quarterly
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Scott Rozelle
Prashant Loyalka
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This paper contributes to the assessment of China’s rural labor markets. According to our data, the increase in off-farm employment that China experienced during the 1980s and 1990s continued during the 2000s. Our analysis shows that migration has become the most prevalent off-farm activity, although the destination of migrants is shifting from outside of one’s province to destinations closer to home. The present paper finds that large shares of male and female individuals, especially those under 40 years, are working off the farm. These findings represent an important contribution to the labor economics field. First, the results of the present paper reveal that the labor transition from the agricultural sector to the non-agricultural sector for key segments of China’s rural labor force is nearly complete. Second, although a large share of China’s rural labor force work in agriculture, most of these workers are older men and women (and likely would not be willing to take low-wage, labor-intensive jobs). Third, the rising unskilled wage rate in China is partially a result of the tightening of the labor force in the young age cohorts. Finally, due to factors associated with the one child policy and other demographic transition forces, successive age cohorts will continue to fall in absolute number in the coming decade. Assuming China’s growth continues, we expect to see further wage increases since it will take higher wages to coax more workers to work off the farm.

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The goal of this article was to document and explain the gap in educational achievement between Han and minority students in primary schools in western China. In our survey of 300 schools in Shaanxi, Gansu, and Qinghai provinces (involving nearly 21,000 fourth- and fifth-grade students), we find large differences in achievement on standardized exams between Han and minority students. On average, minority students perform 0.25 SD lower in math and 0.22 SD lower in Chinese. Most strikingly, minority students who do not generally speak Mandarin as their primary language score 0.62 SD lower than Han in math and 0.65 SD lower than Han in Chinese.

Using decomposition methods pioneered by Oaxaca (1973) and Blinder (1973), we find that most of the achievement gap between Han and minority students with no alternative ethnic language can be explained by differences in endowments of student, family, and school characteristics. Of these, differences in students and family characteristics appear to contribute the most to differences in achievement. Little of the gap between Han students and non-Mandarin minority students (Salar and Tibetan in our sample), however, can be explained by endowment differences. Comparing these students only to Han students in the same schools significantly reduces the size of the achievement gap, yet a difference of more than 0.2 SD persists. None of this remaining gap is explained by differences in endowments. Although several explanations are possible, we believe that a likely explanation is that the ability of students to learn may be hindered by difficulty comprehending instruction in Mandarin (given that no schools in our sample provided instruction or texts in minority languages). While we cannot say with certainty why these students may benefit less from a given amount of schooling inputs, our analysis suggests that teachers play a significant role.

While we believe that the findings of this article are important, admittedly, the study has a number of limitations. First, although our sample contains suf- ficient numbers of minority students to conduct analyses, studies involving a larger sample of minority students (particularly non-Mandarin minority stu- dents) would provide further insight into the achievement gap. Second, our survey did not collect information on the Mandarin ability of individual students (although we tested students on the Chinese curriculum, this may be distinct from pure language ability). Future studies should employ such information to assess to what degree language is contributing to the underperformance of students belonging to groups that do not speak Mandarin as their primary language.

Despite these limitations, however, our results call for the attention of policy makers to approaches to address the underperformance of minority students in China’s rural areas. Given the large and increasing importance of educational attainment to economic well-being, addressing the large achievement gap between Han and minority students may help to mitigate economic disparities in the future. On the basis of our results, promising approaches to address the achievement gap would include those focused on improving the returns to minority students of given schooling inputs (e.g., through pedagogical practice). Further, if future studies show language to contribute significantly to the gap, interventions such as remedial tutoring in Mandarin may also yield large benefits. 

 

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Huan Wang
Scott Rozelle
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Economics of Development & Cultural Change

Shorenstein APARC
Stanford University
Encina Hall E301
Stanford, CA 94305-6055

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Senior Fellow at the Freeman Spogli Institute for International Studies
Center Fellow at the Center for Health Policy and the Center for Primary Care and Outcomes Research
Faculty Research Fellow of the National Bureau of Economic Research
Faculty Affiliate at the Stanford Center on China's Economy and Institutions
karen-0320_cropprd.jpg PhD

Karen Eggleston is a Senior Fellow at the Freeman Spogli Institute for International Studies (FSI) at Stanford University and Director of the Stanford Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center at FSI. She is also a Fellow with the Center for Innovation in Global Health at Stanford University School of Medicine, and a Faculty Research Fellow of the National Bureau of Economic Research (NBER). Her research focuses on government and market roles in the health sector and Asia health policy, especially in China, India, Japan, and Korea; healthcare productivity; and the economics of the demographic transition.

Eggleston earned her PhD in public policy from Harvard University and has MA degrees in economics and Asian studies from the University of Hawaii and a BA in Asian studies summa cum laude (valedictorian) from Dartmouth College. Eggleston studied in China for two years and was a Fulbright scholar in Korea. She served on the Strategic Technical Advisory Committee for the Asia Pacific Observatory on Health Systems and Policies and has been a consultant to the World Bank, the Asian Development Bank, and the WHO regarding health system reforms in the PRC.

Director of the Asia Health Policy Program, Shorenstein Asia-Pacific Research Center
Stanford Health Policy Associate
Faculty Fellow at the Stanford Center at Peking University, June and August of 2016
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