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Do longer job hours matter for maternal mental health? A longitudinal analysis of single versus partnered mothers 延长工作时间对产妇心理健康有影响吗?对单身母亲和有伴侣母亲的纵向分析。
IF 2 3区 医学
Health economics Pub Date : 2024-09-05 DOI: 10.1002/hec.4895
Julija Simpson, John Wildman, Clare Bambra, Heather Brown
{"title":"Do longer job hours matter for maternal mental health? A longitudinal analysis of single versus partnered mothers","authors":"Julija Simpson,&nbsp;John Wildman,&nbsp;Clare Bambra,&nbsp;Heather Brown","doi":"10.1002/hec.4895","DOIUrl":"10.1002/hec.4895","url":null,"abstract":"<p>Over the past decade, single mothers have experienced increasing work requirements both in the UK and in other developed countries. Our aim was to examine if increasing job hours are associated with mental health of single mothers compared to partnered mothers. Using 13 waves of the Understanding Society Survey (2009–2023), we estimated the relationship between changing job hours and mental health using difference-in-difference event study design, accounting for differential treatment effects across time and individuals. We also investigated the role of potential mechanisms, including role strain and additional income. Our findings suggest that increasing job hours from part-time to full-time is associated with an instantaneous decrease in mental health of 0.19 standard deviations for single mothers [95% CI: −0.37;−0.01], with no effect for partnered mothers. Further analyses suggest increased role strain for single mothers as a mechanism helping explain these differences. The negative effects of increasing job hours and increased role strain should be considered when developing future welfare policies for single mothers, to ensure that greater work requirements do not undermine the mental health of the already vulnerable population group.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2742-2756"},"PeriodicalIF":2.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The price elasticity of heated tobacco and cigarette demand: Empirical evaluation across countries 加热烟草和卷烟需求的价格弹性:各国的经验评估。
IF 2 3区 医学
Health economics Pub Date : 2024-08-27 DOI: 10.1002/hec.4888
Estelle Dauchy, Ce Shang
{"title":"The price elasticity of heated tobacco and cigarette demand: Empirical evaluation across countries","authors":"Estelle Dauchy,&nbsp;Ce Shang","doi":"10.1002/hec.4888","DOIUrl":"10.1002/hec.4888","url":null,"abstract":"<p>The market for heated tobacco products (HTPs) has grown rapidly in recent years, and many governments have started to include HTPs in tax codes to regulate their use. Currently, the evidence on how HTP prices impact tobacco use behaviors or whether consumers consider them as economic substitutes for cigarettes is lacking. This study is the first to answer these questions with a unique database to assess the own- and cross- price elasticities of HTP and cigarette demand. We collect a unique database of quarterly retail prices and sales of heated tobacco units and comparable scale cigarettes from 2014 to 2022, available for most countries where both HTPs and cigarettes are sold, and estimate the own- and cross- price elasticities of cigarette and HTP demand using a seemingly unrelated regression model. We find that HTP demand is price elastic (i.e., sensitive to prices) and has an own-price elasticity of −1.2 to −1.3, about four times greater than the own-price elasticity of cigarettes, which is about −0.3. We also find that cigarettes and HTPs are weak economic substitutes: while HTP demand is responsive to higher cigarette prices, cigarette demand is not sensitive to HTP prices. Our results suggest that tax policies that increase HTP and cigarette prices simultaneously will reduce HTP consumption without increasing cigarette consumption.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2708-2722"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4888","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eliciting public preferences across health and wellbeing dimensions: An equivalent income value set for SIPHER-7 激发公众对健康和福祉各方面的偏好:SIPHER-7 的等值收入集。
IF 2 3区 医学
Health economics Pub Date : 2024-08-27 DOI: 10.1002/hec.4890
An Ta, Bert Van Landeghem, Aki Tsuchiya
{"title":"Eliciting public preferences across health and wellbeing dimensions: An equivalent income value set for SIPHER-7","authors":"An Ta,&nbsp;Bert Van Landeghem,&nbsp;Aki Tsuchiya","doi":"10.1002/hec.4890","DOIUrl":"10.1002/hec.4890","url":null,"abstract":"<p>The call for “health and wellbeing in all policies” requires a preference-based measure that collapses multi-dimensional health and wellbeing into a single index, such as equivalent income. We aim to elicit preferences of the UK general public to estimate a value set for a suite of seven commonly used wellbeing indicators including health, income, and other dimensions, in terms of equivalent income. Secondly, we examine heterogeneous preferences by gender, by age, and by income. Thirdly, we explore the stability of preferences, since the survey took place amid the pandemic, possibly affecting preferences over health and wellbeing. Effects of attrition and of time are distinguished. Data were collected online across two waves using Discrete Choice Experiments through an internet panel (<i>N</i>1 = 3362; and <i>N</i>2 = 3357). The regression coefficients for all the ordered attribute levels have the expected sign, are significant, and ordered. Equivalent income was found to vary up to 10% by gender and by age (both significant) and 4% by income (not significant), while the effect of time was up to 16% (significant). The study facilitates the calculation of overall wellbeing in terms of equivalent income based on the preferences of the UK public, where the relevant wellbeing indicators are available.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2723-2741"},"PeriodicalIF":2.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Specification of the health production function and its behavioral implications 健康生产函数的规范及其对行为的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-08-22 DOI: 10.1002/hec.4883
Kristian Bolin, Michael R. Caputo
{"title":"Specification of the health production function and its behavioral implications","authors":"Kristian Bolin,&nbsp;Michael R. Caputo","doi":"10.1002/hec.4883","DOIUrl":"10.1002/hec.4883","url":null,"abstract":"<p>The health production function of the canonical health-capital model is generalized to allow the state of health to affect the total and marginal products of health investment. If the total and marginal products of health investment are nonincreasing functions of the state of health, then the solution of the generalized model is locally qualitatively identical to that of the canonical model. Moreover, and in contrast to the canonical model, the generalized model is able to rationalize the cycling of the state of health and health investment observed in some individuals. The necessary conditions on the health production function for cyclical behavior are identified as well.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2671-2684"},"PeriodicalIF":2.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4883","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Money and mental health: The impact of intergenerational transfers on elderly people in China 金钱与心理健康:代际转移对中国老年人的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-08-13 DOI: 10.1002/hec.4887
Simon Appleton, Jinying Huang, Xuyan Lou, Minghai Zhou
{"title":"Money and mental health: The impact of intergenerational transfers on elderly people in China","authors":"Simon Appleton,&nbsp;Jinying Huang,&nbsp;Xuyan Lou,&nbsp;Minghai Zhou","doi":"10.1002/hec.4887","DOIUrl":"10.1002/hec.4887","url":null,"abstract":"<p>Using three waves of the China Health and Retirement Longitudinal Study, this paper examines whether financial transfers from adult children to elderly parents affect the latter's mental health. Both OLS and instrumental variable (IV) estimates show that financial transfers significantly attenuate depressive symptoms of elderly individuals, with a much larger size of the IV estimates. We also examine the income and cultural channels through which intergenerational transfers work and further discuss the explanatory powers of these two channels through a decomposition analysis. The results suggest the cultural channel accounts for a larger proportion of the financial transfer effect. This means that the unique beneficial impact of intergenerational financial transfers on the mental health of older adults cannot be fully substituted in the foreseeable future.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2645-2670"},"PeriodicalIF":2.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of rural hospital closures on nurse staffing levels and health care utilization at nearby hospitals 农村医院关闭对附近医院护士配备水平和医疗服务利用率的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-08-09 DOI: 10.1002/hec.4889
Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
{"title":"Effects of rural hospital closures on nurse staffing levels and health care utilization at nearby hospitals","authors":"Jing Dong,&nbsp;Siying Liu,&nbsp;Asefeh Faraz Covelli,&nbsp;Guido Cataife","doi":"10.1002/hec.4889","DOIUrl":"10.1002/hec.4889","url":null,"abstract":"<p>Our study examines the causal effect of rural hospital closures on nearby hospitals' nurse staffing levels and health care utilization. We use data from the 2014–2019 American Hospital Association Survey on nurse staffing level outcomes including licensed practical or vocational nurses (LPNs), registered nurses (RNs), and advanced practice nurses (APNs); and health care utilization outcomes, including inpatient and outpatient surgical operations and emergency department (ED) visits. Using propensity score matching and difference-in-differences (DID) methods, we find that rural hospital closures lead to an average increase of 37.3% in the number of nurses in nearby rural hospitals during the 4 years following the closure. This increase is found across all categories of nurses, including LPNs, RNs, and APNs. We also find a substantial increase in the provision of inpatient and outpatient surgical operations but there is no change in ED visits. We do not find any effects for nearby urban hospitals. Our study suggests that a large proportion of the nursing workforce relocates to nearby hospitals after a rural hospital closure, which mitigates the negative consequences of such closures and allows these nearby hospitals to provide a larger volume of highly profitable services.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2687-2707"},"PeriodicalIF":2.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4889","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Air pollution, viral spread and health outcomes evidence from strikes in France 来自法国罢工的空气污染、病毒传播和健康结果证据。
IF 2 3区 医学
Health economics Pub Date : 2024-08-06 DOI: 10.1002/hec.4884
Alexandre Godzinski, Milena Suarez Castillo
{"title":"Air pollution, viral spread and health outcomes evidence from strikes in France","authors":"Alexandre Godzinski,&nbsp;Milena Suarez Castillo","doi":"10.1002/hec.4884","DOIUrl":"10.1002/hec.4884","url":null,"abstract":"<p>To evidence the impact of air pollution on the health of urban populations, several studies use natural experiments that shift commuting from public transport to cars (or vice-versa). However, as public transport use declines, reduced interpersonal contact may lead to slower virus spread and thus lower respiratory morbidity. Using a difference-in-differences strategy, we show that respiratory hospitalisations are both positively affected by air pollution and negatively affected by viral spread following partial unavailability of public transport due to strikes in the ten most populated French cities during the period 2010–2015. Our results are in line with studies in other countries that have found a significant increase in urgent respiratory hospitalisations following a public transport strike, most likely due to car pollution, but we also find a detectable interaction with viral spread, which should not be overlooked when interpreting these studies.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2575-2617"},"PeriodicalIF":2.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From prevention to treatment: Prescription medication, information, and health behaviors 从预防到治疗:处方药、信息和健康行为。
IF 2 3区 医学
Health economics Pub Date : 2024-08-06 DOI: 10.1002/hec.4885
Danea Horn
{"title":"From prevention to treatment: Prescription medication, information, and health behaviors","authors":"Danea Horn","doi":"10.1002/hec.4885","DOIUrl":"10.1002/hec.4885","url":null,"abstract":"<p>Medical innovations may lessen the perceived risk of disease which can decrease the take-up of healthy behaviors, a phenomenon known as risk compensation. In contrast, a diagnosis provides updated information about the state of one's health which may motivate positive behavior change. In this paper, I consider how behavior changes in response to a diagnosis of cardiovascular disease (CVD) before and after the FDA approval of new classes of drugs to treat high blood pressure and high cholesterol in 1973. I find that individuals diagnosed with CVD are more likely to follow a diet and decrease body-mass index in response to the diagnosis, irrespective of medication approvals. Nonsmoking is a notable exception. Prior to medication availability, there is no change in smoking behavior in response to a CVD diagnosis. Conversely, when medication is available, there is a significant decline in smoking. The empirical complementarity of medication and smoking cessation may be driven by increased exposure to medical professionals (who emphasize the harms of smoking) or because medication decreases the risk of CVD death which heightens the importance of investing in future health.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2618-2644"},"PeriodicalIF":2.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicaid expansion and opioid prescriptions: Evidence from the Medical Expenditure Panel Survey 医疗补助扩展与阿片类药物处方:来自医疗支出小组调查的证据。
IF 2 3区 医学
Health economics Pub Date : 2024-08-05 DOI: 10.1002/hec.4886
Chandler McClellan, Asako Moriya
{"title":"Medicaid expansion and opioid prescriptions: Evidence from the Medical Expenditure Panel Survey","authors":"Chandler McClellan,&nbsp;Asako Moriya","doi":"10.1002/hec.4886","DOIUrl":"10.1002/hec.4886","url":null,"abstract":"<p>Evidence is mixed on whether increased access to insurance, specifically through the ACA's Medicaid expansion, exacerbated the opioid public health crisis through increased opioid prescribing. Using survey data on retail prescription drug fills from 2008 to 2019, we did not find a significant relationship between Medicaid expansion and opioid prescribing in the newly eligible Medicaid population. It may be that the dangers of opioids were known well enough by the time of the Medicaid expansion that lack of access to care was no longer a binding constraint on opioid prescription receipt.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2439-2449"},"PeriodicalIF":2.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-classical measurement error in instrumental variables estimation: An application to the medical care costs of obesity 工具变量估计中的非经典测量误差:肥胖症医疗成本的应用。
IF 2 3区 医学
Health economics Pub Date : 2024-07-18 DOI: 10.1002/hec.4882
Adam I. Biener, Chad Meyerhoefer, John Cawley
{"title":"Non-classical measurement error in instrumental variables estimation: An application to the medical care costs of obesity","authors":"Adam I. Biener,&nbsp;Chad Meyerhoefer,&nbsp;John Cawley","doi":"10.1002/hec.4882","DOIUrl":"10.1002/hec.4882","url":null,"abstract":"<p>Estimates of the impact of body mass index and obesity on health and labor market outcomes often use instrumental variables estimation (IV) to mitigate bias due to endogeneity. When these studies rely on survey data that include self- or proxy-reported height and weight, there is non-classical measurement error due to the tendency of individuals to under-report their own weight. Mean reverting errors in weight do not cause IV to be asymptotically biased per se, but may result in bias if instruments are correlated with additive error in weight. We demonstrate the conditions under which IV is biased when there is non-classical measurement error and derive bounds for this bias conditional on instrument strength and the severity of mean-reverting error. We show that improvements in instrument relevance alone cannot eliminate IV bias, but reducing the correlation between weight and reporting error mitigates the bias. A solution we consider is regression calibration (RC) of endogenous variables with external validation data. In simulations, we find IV estimation paired with RC can produce consistent estimates when correctly specified. Even when RC fails to match the covariance structure of reporting error, there is still a reduction in asymptotic bias.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2558-2574"},"PeriodicalIF":2.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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