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Universal free school meals and children's bodyweight. Impacts by age and duration of exposure. 普及免费校餐与儿童体重。按年龄和接触时间划分的影响。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-11-12 DOI: 10.1016/j.jhealeco.2024.102937
Angus Holford, Birgitta Rabe
{"title":"Universal free school meals and children's bodyweight. Impacts by age and duration of exposure.","authors":"Angus Holford, Birgitta Rabe","doi":"10.1016/j.jhealeco.2024.102937","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102937","url":null,"abstract":"<p><p>We study the impact on children's bodyweight of switching from means-tested to universal provision of nutritious free school meals in England. We exploit the roll-out of universal provision across Local Authorities to estimate effects at different ages and durations of exposure, based on nurse-collected, population-wide health data for state school children. Exposure to universal free lunches reduces obesity prevalence and BMI among children aged 4-5 and 10-11, but older children's bodyweights are less responsive than younger children's. We find tentative evidence that effects may be cumulative, as impacts are largest for those exposed to universal free school meals throughout primary school.</p>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"102937"},"PeriodicalIF":3.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677575","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
Universal Credit: Welfare reform and mental health 通用信贷：福利改革与心理健康。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-11-10 DOI: 10.1016/j.jhealeco.2024.102940
Mike Brewer , Thang Dang , Emma Tominey
{"title":"Universal Credit: Welfare reform and mental health","authors":"Mike Brewer ,&nbsp;Thang Dang ,&nbsp;Emma Tominey","doi":"10.1016/j.jhealeco.2024.102940","DOIUrl":"10.1016/j.jhealeco.2024.102940","url":null,"abstract":"<div><div>The UK Universal Credit (UC) welfare reform simplified the benefits system whilst strongly incentivising a return to sustainable employment. Exploiting a staggered roll-out, we estimate the differential effect of unemployment under UC versus the former system on mental health. Groups with fewer insurance possibilities – single adults and lone parents – experience a mental health deterioration of 8.4-13.9% standard deviations which persists into the subsequent year. For couples, UC partially or fully mitigates mental health consequences of unemployment. Exploring mechanisms, for single adults and lone parents, reduced benefit income and strict job search requirements dominate any positive welfare effects of the reduced administrative burden of claiming benefits.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102940"},"PeriodicalIF":3.4,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health implications of housing retrofits: Evidence from a population-wide weatherization program 住房改造对健康的影响：来自全民风化计划的证据。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-30 DOI: 10.1016/j.jhealeco.2024.102936
Steffen Künn , Juan Palacios
{"title":"Health implications of housing retrofits: Evidence from a population-wide weatherization program","authors":"Steffen Künn ,&nbsp;Juan Palacios","doi":"10.1016/j.jhealeco.2024.102936","DOIUrl":"10.1016/j.jhealeco.2024.102936","url":null,"abstract":"<div><div>This study provides the first population-representative quasi-experimental estimates on the impact of housing upgrades on occupant health. We analyze the exceptional period of renovations in East Germany following the German reunification during the 1990s. Triggered by one of the largest governmental loan programs in history, 3.6 million dwellings were renovated, focussing on upgrades to the building insulation, windows and heating systems. Using rich survey data based on the Socio-Economic Panel (SOEP) as well as administrative records of hospital admissions in Germany, we consistently show that housing weatherization upgrades sustainably reduce the demand for health care among the elderly sample of the population.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102936"},"PeriodicalIF":3.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do mandatory waiting periods for abortion increase intimate partner violence? 强制等待堕胎期是否会增加亲密伴侣间的暴力行为？
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-28 DOI: 10.1016/j.jhealeco.2024.102939
Christine Piette Durrance , Yang Wang, Barbara Wolfe
{"title":"Do mandatory waiting periods for abortion increase intimate partner violence?","authors":"Christine Piette Durrance ,&nbsp;Yang Wang,&nbsp;Barbara Wolfe","doi":"10.1016/j.jhealeco.2024.102939","DOIUrl":"10.1016/j.jhealeco.2024.102939","url":null,"abstract":"<div><div>Abortion restrictions affect access to reproductive health care. Research has demonstrated that abortion restrictions (policies that restrict access to abortion services or cause abortion clinics to close) result in reductions of and delays in abortions. We leverage two population-based datasets to investigate the effects of mandatory waiting periods (MWPs), a restrictive state abortion policy, on the prevalence of intimate partner violence (IPV), one of the most common types of crime and a highly prevalent and costly public health problem, using data from the National Incident-Based Reporting System and Uniform Crime Report - Supplemental Homicide Reports. We hypothesize that MWPs increase the prevalence of IPV through changes in financial strains, negative health consequences, and intra-household power dynamics. Using difference-in-differences, event study, and methods accounting for staggered treatment timing, we find that MWPs are associated with increases in IPV. Our findings are valuable for policymakers in today's post-<em>Dobbs</em> environment.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102939"},"PeriodicalIF":3.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631776","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
Harm reduction for addictive consumption: When does it improve health and when does it backfire? 减少成瘾性消费的危害：什么时候能改善健康，什么时候会适得其反？
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-25 DOI: 10.1016/j.jhealeco.2024.102931
John Cawley , Davide Dragone
{"title":"Harm reduction for addictive consumption: When does it improve health and when does it backfire?","authors":"John Cawley ,&nbsp;Davide Dragone","doi":"10.1016/j.jhealeco.2024.102931","DOIUrl":"10.1016/j.jhealeco.2024.102931","url":null,"abstract":"<div><div>Some harm reduction strategies encourage individuals to switch from a harmful addictive good to a less harmful addictive good; examples include e-cigarettes (substitutes for combustible cigarettes) and methadone and buprenorphine (substitutes for opioids). These have proven to be controversial. Advocates argue that people struggling with addiction benefit because they can switch to a less harmful substance, but opponents argue that this could encourage abstainers to begin using the harm-reduction method or even, eventually, the original addictive good. This paper builds on theories of addiction to model the introduction of a harm reduction method, and demonstrates the conditions under which each side is correct.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102931"},"PeriodicalIF":3.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512145","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 maternal and infant health consequences of restricted access to abortion in the United States 美国限制堕胎对母婴健康造成的后果
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-24 DOI: 10.1016/j.jhealeco.2024.102938
Graham Gardner
{"title":"The maternal and infant health consequences of restricted access to abortion in the United States","authors":"Graham Gardner","doi":"10.1016/j.jhealeco.2024.102938","DOIUrl":"10.1016/j.jhealeco.2024.102938","url":null,"abstract":"<div><div>Since the recent US Supreme Court decision in <em>Dobbs v. Jackson Women's Health Organization</em>, people across the country have experienced large sudden changes in their access to abortion care. In this paper, I look to the history of abortion access in the United States to inform predictions for this new future. I study the effects of targeted regulations on abortion providers (TRAP laws) on a variety of maternal and infant health outcomes, using variation in the timing of policy adoption across states and a direct measure of the distance to an abortion provider. I implement difference-in-differences techniques across outcomes from restricted-use microdata on the universe of US births. I find that TRAP laws lead to 11–16 % increased rates of hypertensive disorders of pregnancy. Additionally, I find evidence that TRAP laws widen existing disparities in adverse infant health outcomes across parental race. These results demonstrate the potentially wide-ranging health effects of restricting access to abortion.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102938"},"PeriodicalIF":3.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142594144","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 tobacco 21 laws on smoking and vaping: Evidence from panel data and biomarkers 烟草 21 法案对吸烟和吸食电子烟的影响：来自面板数据和生物标志物的证据
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-09 DOI: 10.1016/j.jhealeco.2024.102932
Chad Cotti , Philip DeCicca , Erik Nesson
{"title":"The effects of tobacco 21 laws on smoking and vaping: Evidence from panel data and biomarkers","authors":"Chad Cotti ,&nbsp;Philip DeCicca ,&nbsp;Erik Nesson","doi":"10.1016/j.jhealeco.2024.102932","DOIUrl":"10.1016/j.jhealeco.2024.102932","url":null,"abstract":"<div><div>We use data from the Population Assessment of Tobacco Use and Health (PATH), a longitudinal data set including self-reported and biomarker measures of tobacco use, to examine the effects of state-level tobacco 21 (T21) laws on smoking and vaping. T21 laws reduce self-reported cigarette smoking among 18-to-20 year olds, concentrated in males. Initial non-users who “age-out” of treatment are less likely to subsequently initiate self-reported smoking or vaping. Treated smokers are less likely to buy their own cigarettes and more likely to buy cigarettes in a different state. Biomarker results are mixed, and we find some evidence of a reduction in nicotine exposure but less evidence for a reduction in exposure to tobacco. Finally, we test for non-classical measurement error. T21 laws reduce the probability that clinically identified likely cigarette smokers self-report as smokers, which may increase the apparent effect of T21 laws on cigarette smoking as measured by self-reports.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102932"},"PeriodicalIF":3.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432277","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 children's access to public health insurance on their cognitive development and behavior 儿童获得公共医疗保险对其认知发展和行为的影响。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-05 DOI: 10.1016/j.jhealeco.2024.102935
Marie Hull , Ji Yan
{"title":"The impact of children's access to public health insurance on their cognitive development and behavior","authors":"Marie Hull ,&nbsp;Ji Yan","doi":"10.1016/j.jhealeco.2024.102935","DOIUrl":"10.1016/j.jhealeco.2024.102935","url":null,"abstract":"<div><div>While a large literature examines the immediate and long-run effects of public health insurance, much less is known about the impacts of total program exposure on child developmental outcomes. This paper uses an instrumental variable strategy to estimate the effect of cumulative eligibility gain on cognitive and behavioral outcomes measured at three points during childhood. Our analysis leverages substantial variation in cumulative eligibility due to the dramatic public insurance expansions between the 1980s and 2000s. We find that increased eligibility improves child cognitive skills and present suggestive evidence on better behavioral outcomes. There are notable heterogeneous effects across the subgroups of interest. Both prenatal eligibility and childhood eligibility are important for driving gains in the test scores at older ages. Improved child health is found to be a mediator of the impact of increased eligibility.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102935"},"PeriodicalIF":3.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479501","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
Medical ethics and physician motivations 医德与医生的动机。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-09-30 DOI: 10.1016/j.jhealeco.2024.102933
Brendon P. Andrews
{"title":"Medical ethics and physician motivations","authors":"Brendon P. Andrews","doi":"10.1016/j.jhealeco.2024.102933","DOIUrl":"10.1016/j.jhealeco.2024.102933","url":null,"abstract":"<div><div>This paper provides an institutional economics framework for analyzing medical ethics. An ethical policy partitions the set of physician actions into (un)ethical subsets, with unethical actions then unavailable. Individual physicians’ preferences over policies combined with a political process determine equilibrium constraints. I show that physicians’ concern for colleagues’ patients uniquely motivates their support for ethics which restrict behavior under strong assumptions. Without these assumptions, even identical physicians might ban actions they would otherwise select for reasons varying from protecting patients to differences in the costs of maintaining ethical policies. Interestingly, heightened altruism for colleagues’ patients makes the former reasoning less credible. Novel applications for ‘Provide Free Care to Physicians’ and ‘Duty to Treat in a Pandemic’ demonstrate: (i) rising physician income can explain long-run weakening of both formal ethics in the United States; and (ii) the duty to treat can deteriorate as fewer physicians are required to improve pandemic outcomes.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102933"},"PeriodicalIF":3.4,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","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 devastating dance between opioid and housing crises: Evidence from OxyContin reformulation 阿片类药物与住房危机之间毁灭性的共舞：奥施康定重新配方的证据。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-09-15 DOI: 10.1016/j.jhealeco.2024.102930
Ashley C. Bradford , Wei Fu , Shijun You
{"title":"The devastating dance between opioid and housing crises: Evidence from OxyContin reformulation","authors":"Ashley C. Bradford ,&nbsp;Wei Fu ,&nbsp;Shijun You","doi":"10.1016/j.jhealeco.2024.102930","DOIUrl":"10.1016/j.jhealeco.2024.102930","url":null,"abstract":"<div><div>Housing instability and drug misuse are two of the United States' most pressing challenges, each bearing profound health and societal consequences. A crucial yet largely underexplored question is the extent to which the opioid crisis has intensified housing instability. Our study ventures into this relatively uncharted nexus, investigating how the OxyContin reformulation, a pivotal moment in the U.S. opioid epidemic, impacted eviction rates. Employing a dose-response Difference-in-Differences model and analyzing eviction data from 2004 to 2016, we demonstrate that the OxyContin reformulation precipitated a significant increase in evictions, especially in areas with weak eviction protections or limited access to psychiatric treatment resources. Channel analyses reveal increased marijuana initiation and heightened mental and physical health issues following the reformulation. Moreover, the OxyContin reformulation leads to greater reliance on the Supplemental Nutrition Assistance Program, signaling an escalated financial strain on governmental resources. Finally, we find evidence of increased marital disruption post-reformulation. Our findings underscore the urgent need for collaborative efforts between public health and housing authorities to address both the opioid and housing crises.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102930"},"PeriodicalIF":3.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378488","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
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