Journal of Health Economics最新文献

The Road to Healthier Diet: Benefits of the “Five Vertical and Seven Horizontal” National Trunk Highway System in China 健康饮食之路：中国“五纵七横”国家干线公路系统的益处

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1016/j.jhealeco.2026.103139

Xuyuan Zheng , Qinglin Lin , Gang Xie , Xiaohua Yu , Chengfang Liu

{"title":"The Road to Healthier Diet: Benefits of the “Five Vertical and Seven Horizontal” National Trunk Highway System in China","authors":"Xuyuan Zheng , Qinglin Lin , Gang Xie , Xiaohua Yu , Chengfang Liu","doi":"10.1016/j.jhealeco.2026.103139","DOIUrl":"10.1016/j.jhealeco.2026.103139","url":null,"abstract":"<div><div>Billions of people worldwide still lack access to healthy diets, with a high concentration in rural areas of developing countries. This paper examines how major transportation investments can improve dietary quality among rural households, leveraging the staggered rollout of the “Five Vertical and Seven Horizontal” National Trunk Highway System (5V7H), the country’s largest expressway network completed by 2007. Using a staggered difference-in-differences design, we find that the 5V7H access increases the Dietary Diversity Score (DDS) and Chinese Healthy Eating Index (CHEI) of rural residents by 0.326 and 2.197 points, respectively. These benefits are more prominent among households with more children, access to refrigerators, or meal preparers with better nutrition knowledge, and less so among households with more diversified agricultural production. We further show that the 5V7H connection improves rural residents’ dietary quality primarily through demand-side channels, including promoting off-farm employment, raising household income, and enhancing dietary literacy. In contrast, the contributions of supply-side channels, such as improved market access or lower food prices, are modest. Overall, our findings highlight the benefits of large-scale transportation infrastructure in facilitating the transition to healthier diets in rural areas of developing countries.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"107 ","pages":"Article 103139"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health insurance portability and coverage: Evidence from China's cross-regional instant reimbursement reform. 医疗保险可移植性和覆盖面：来自中国跨区域即时报销改革的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-04-25 DOI: 10.1016/j.jhealeco.2026.103136

Huang Chen, Yunxiao Wang, Yang Yue

引用次数: 0

Subsidizing contraception: Effects on contraceptive coverage, abortions, and births 补贴避孕：对避孕覆盖、堕胎和生育的影响。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-11 DOI: 10.1016/j.jhealeco.2026.103112

Sarah Rosenberg

{"title":"Subsidizing contraception: Effects on contraceptive coverage, abortions, and births","authors":"Sarah Rosenberg","doi":"10.1016/j.jhealeco.2026.103112","DOIUrl":"10.1016/j.jhealeco.2026.103112","url":null,"abstract":"<div><div>Expanding health insurance can either increase or decrease pregnancies and births, depending on how it affects access to contraception and the financial costs of childbearing. I study the Affordable Care Act’s Medicaid expansion using difference-in-differences models and state-level data on contraceptive provision, births, and abortions, synthesizing analysis of these outcomes to distinguish the role of subsidized contraception. The expansion led to a substantial increase in contraceptive provision, particularly for short-acting hormonal methods. Teen birth rates fell significantly by 5%, a reduction that owes to increased parental eligibility, while effects on overall birth rates are not distinguishable from zero. Estimated effects on abortion are imprecise but suggestive of reductions for teens. Simulations based on contraceptive provision imply that subsidized contraception led to reductions in the pregnancy and birth rate of approximately 1% to 2%. These findings indicate that Medicaid’s contraceptive subsidies modestly reduced pregnancies, abortions, and births, but also suggest that financial barriers to reproductive health care are not a primary driver of fertility behavior overall.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103112"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of immunotherapy on reductions in cancer mortality: Evidence from Medicare 免疫疗法对降低癌症死亡率的影响：来自医疗保险的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.jhealeco.2026.103115

Danea Horn , Abby Alpert , Mark Duggan , Mireille Jacobson

{"title":"The impact of immunotherapy on reductions in cancer mortality: Evidence from Medicare","authors":"Danea Horn , Abby Alpert , Mark Duggan , Mireille Jacobson","doi":"10.1016/j.jhealeco.2026.103115","DOIUrl":"10.1016/j.jhealeco.2026.103115","url":null,"abstract":"<div><div>Immunotherapy is a breakthrough innovation in cancer care, but it is also among the most expensive treatments, with costs exceeding $150,000 per patient. We study the introduction of immune checkpoint inhibitors (ICIs), the most widely used class of immunotherapy drugs. In 2022, ICIs accounted for 44% of the $17.5 billion Medicare Part B cancer drug spending. We focus on metastatic melanoma, the first approved indication for ICIs. While overall cancer mortality rates declined since the 1990s, melanoma mortality rates increased through the early 2010s. Following the first ICI approvals in 2011 and 2014, melanoma mortality declined sharply. Using traditional Medicare claims, we estimate the impact of the introduction of ICIs on healthcare utilization, costs, and 1-year survival for patients with metastatic melanoma, relative to metastatic colorectal cancer (CRC), where ICIs were not approved until 2017. Variation in approval timing allows us to isolate the effect of ICIs from broader cancer care trends. We find that ICIs reduced 1-year mortality by 6.2%. Since about 1 in 5 metastatic melanoma patients received ICIs, this implies a 28.0% reduction among treated patients. The introduction of ICIs also reduced chemotherapy and radiation use, but increased Medicare spending by 59.3% or about 260% among ICI-treated patients. Accounting for life expectancy gains beyond one year, the benefits of ICIs for melanoma patients appear comparable, or potentially even greater, than the substantial added Medicare costs. Nonetheless, ICI use remains relatively low given large survival benefits and few alternative treatments, suggesting that costs and other barriers limit patient access.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103115"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accelerating birth timing to access cash transfers? Evidence from households in extreme poverty 加快生育时间以获得现金转移？来自极端贫困家庭的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-03 DOI: 10.1016/j.jhealeco.2025.103098

Pedro Carneiro , Lucy Kraftman , Imran Rasul , Francesca Salvati , Molly Scott

{"title":"Accelerating birth timing to access cash transfers? Evidence from households in extreme poverty","authors":"Pedro Carneiro , Lucy Kraftman , Imran Rasul , Francesca Salvati , Molly Scott","doi":"10.1016/j.jhealeco.2025.103098","DOIUrl":"10.1016/j.jhealeco.2025.103098","url":null,"abstract":"<div><div>There has been a sustained rise in cash transfer programs to the poor, and burgeoning interest in interventions promoting early childhood development. We draw together these trends to study whether open enrolment interventions targeting cash transfers to pregnant mothers unintentionally induce those not pregnant to accelerate birth timing in order to start receiving the cash. Our study context is rural Northern Nigeria, where households have high demand for liquidity because they are reliant on volatile earnings from agriculture, are subject to frequent natural and man-made aggregate shocks, and reside in communities with imperfect credit markets. Our evidence comes from an evaluation of an intervention providing high-valued unconditional cash transfers to pregnant mothers, with four years of open enrolment. We examine how this impacts pregnancy timing among 1700 women not pregnant at baseline. We document relatively weak distortionary impacts on pregnancy timing over the four year period of open enrolment. The reasons are women retain full control over the use of cash transfers, they have productive investment opportunities in their own businesses, and they choose to invest in those rather than transfer cash to husbands. This constellation of factors allows women to internalize the marginal benefits and costs of accelerating birth timing, and place a brake on the incentives households otherwise have to accelerate birth timing. On external validity, we draw together 45 DHS surveys to classify countries into those more or less likely to see distortionary effects on birth timing from open enrolment interventions targeting cash transfers to pregnant mothers.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103098"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community health teams and health utilization in El Salvador 萨尔瓦多的社区保健队和保健利用

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-24 DOI: 10.1016/j.jhealeco.2026.103110

Antonella Bancalari , Pedro Bernal , Pablo Celhay , Sebastian Martinez , Maria Deni Sánchez

引用次数: 0

Housing affordability and domestic violence: The case of San Francisco’s rent control policies 住房负担能力和家庭暴力：旧金山房租控制政策的案例

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.jhealeco.2025.103101

Eilidh Geddes , Nicole Holz

{"title":"Housing affordability and domestic violence: The case of San Francisco’s rent control policies","authors":"Eilidh Geddes , Nicole Holz","doi":"10.1016/j.jhealeco.2025.103101","DOIUrl":"10.1016/j.jhealeco.2025.103101","url":null,"abstract":"<div><div>Over a third of women in the United States experience intimate partner violence (IPV); existing research demonstrates that household finances are one important driver of such violence. We study the effects of rent control on IPV to develop understanding of the financial causes of IPV. Rent control may lessen financial stressors within a relationship and decrease strain that leads to violence. Conversely, it may make leaving the relationship more costly, shifting the bargaining power in the relationship and leading to more violence. We leverage the 1994 expansion of rent control in San Francisco as a natural experiment to study this question. This expansion created variation across ZIP codes in the number of rental units that were newly rent controlled. We exploit this variation in a continuous difference-in-difference design. We estimate an elasticity of -0.08 between the number of newly rent controlled units and assaults on women resulting in hospitalization. This effect translates to a nearly 10% decrease in assaults on women for the average ZIP code. This relationship is not explained by changes in neighborhood composition or overall crime, consistent with the effects being driven by individual level changes in IPV.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103101"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unhooking the past: Early-life exposure to hookworm eradication and later-life longevity 摆脱过去：早年接触钩虫根除和晚年长寿。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-07 DOI: 10.1016/j.jhealeco.2026.103120

Hamid Noghanibehambari, Jason Fletcher

{"title":"Unhooking the past: Early-life exposure to hookworm eradication and later-life longevity","authors":"Hamid Noghanibehambari, Jason Fletcher","doi":"10.1016/j.jhealeco.2026.103120","DOIUrl":"10.1016/j.jhealeco.2026.103120","url":null,"abstract":"<div><div>This study examines the long-term effects of the Rockefeller Sanitary Commission’s (RSC) hookworm eradication campaign, initiated in the American South in the 1910s, on old-age longevity. Utilizing Social Security Administration death records linked to the 1940 full-count census, we employ a two-way fixed effect approach to examine the effects of early-life exposure to the eradication campaign on later-life outcomes. We find that individuals exposed to the RSC campaign during in-utero and early life experience an increase of approximately 1.3 months in longevity for a one–standard-deviation increase in county-level treatment intensity. The effects are substantially larger among nonwhites, children of illiterate mothers, and those born in urban areas. Moreover, we provide evidence of dynamic complementarity in the effects of hookworm eradication on longevity, with larger effects observed in counties exposed to the Rosenwald school construction movement and in states with more stringent child labor laws. Using the 1940 census and World War II enlistment data, we provide suggestive evidence of improvements in educational attainment, income, and cognitive ability as possible pathways. Our findings contribute to the literature on the lasting effects of early-life public health interventions and underscore the importance of such programs in addressing present-day global health challenges.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103120"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effects of delayed remuneration on doctor labour supply: Evidence from the English NHS 延迟报酬对医生劳动力供给的影响：来自英国国民健康保险制度的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.jhealeco.2026.103119

Carol Propper , George Stoye , Max Warner

引用次数: 0

The effects of wealth shocks on public and private long-term care insurance 财富冲击对公共和私人长期护理保险的影响

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2025-11-26 DOI: 10.1016/j.jhealeco.2025.103086

Joan Costa-Font , Richard G Frank , Nilesh Raut

引用次数: 0