Journal of Health Economics最新文献

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Financial incentives and COVID-19 vaccinations: Evidence from a conditional cash transfer program 财政激励与COVID-19疫苗接种:来自有条件现金转移支付计划的证据
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-19 DOI: 10.1016/j.jhealeco.2025.103063
Jakub Červený , Tomáš Hellebrandt , Peter Kravec
{"title":"Financial incentives and COVID-19 vaccinations: Evidence from a conditional cash transfer program","authors":"Jakub Červený ,&nbsp;Tomáš Hellebrandt ,&nbsp;Peter Kravec","doi":"10.1016/j.jhealeco.2025.103063","DOIUrl":"10.1016/j.jhealeco.2025.103063","url":null,"abstract":"<div><div>This paper investigates the effects of a nationwide conditional cash transfer program aimed at increasing COVID-19 vaccine uptake in Slovakia. Due to relatively low vaccination rates and the overcrowding of hospitals during the COVID-19 pandemic, the Slovak government decided to offer €200 or €300 cash transfers to individuals aged 60 or older, conditional on taking any of the available vaccines at the time. The eligibility requirements resulted in a discontinuity in treatment assignment at the age threshold. Our results suggest that the program significantly increased vaccination rates in the population. However, overall costs related to the intervention do not appear to outweigh the benefits.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103063"},"PeriodicalIF":3.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158636","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 PhD studies on mental health—a longitudinal population study 博士研究对心理健康的影响——一项纵向人口研究。
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-19 DOI: 10.1016/j.jhealeco.2025.103070
Sanna Bergvall , Clara Fernström , Eva Ranehill , Anna Sandberg
{"title":"The impact of PhD studies on mental health—a longitudinal population study","authors":"Sanna Bergvall ,&nbsp;Clara Fernström ,&nbsp;Eva Ranehill ,&nbsp;Anna Sandberg","doi":"10.1016/j.jhealeco.2025.103070","DOIUrl":"10.1016/j.jhealeco.2025.103070","url":null,"abstract":"<div><div>Recent self-reported and cross-sectional survey evidence documents high levels of mental health problems among PhD students. We study the relationship between PhD studies and mental health care utilization using Swedish administrative records of prescriptions for psychiatric medication for the full population of PhD students. We find that prior to starting their PhD studies, prospective students use psychiatric medication at a rate similar to a matched sample of individuals with a master’s degree. However, following the start of their PhD studies, psychiatric medication use among PhD students increases substantially. This upward trend continues throughout the course of PhD studies, and by the fifth year medication use has increased by 40 percent compared to pre-PhD levels. After the fifth year, when most students in our sample graduate, the psychiatric medication use declines notably. Heterogeneity analyses indicate that the increase in medication use occurs broadly across different student subgroups and academic disciplines, with the exception of students in the medical and health sciences.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103070"},"PeriodicalIF":3.6,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207947","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
Seasonal allergies and mental health: Do small health shocks affect suicidality? 季节性过敏和心理健康:小的健康冲击会影响自杀吗?
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-16 DOI: 10.1016/j.jhealeco.2025.103069
Joelle Abramowitz , Shooshan Danagoulian , Owen Fleming
{"title":"Seasonal allergies and mental health: Do small health shocks affect suicidality?","authors":"Joelle Abramowitz ,&nbsp;Shooshan Danagoulian ,&nbsp;Owen Fleming","doi":"10.1016/j.jhealeco.2025.103069","DOIUrl":"10.1016/j.jhealeco.2025.103069","url":null,"abstract":"<div><div>Suicide rates increased 37% in the US from 2000 to 2018; while structural factors are extensively studied, short-term triggers remain less understood. We examine the impact of small exogenous shocks – allergies triggered by seasonal pollen – on suicides. Pollen allergies diminish cognitive function and disrupt sleep—predictors of suicidality. Combining disparate datasets across 34 localities in the United States from 2006 to 2018, we use a specification with granular fixed effects to identify the effect of pollen on suicides from daily variation in each. We find that as pollen levels rise, the count of suicides in a county increases – up to 7.4% more suicides when pollen levels at their highest levels. We find that individuals with a known mental health condition or treatment have 8.6% higher incidence of suicides on days with highest pollen. We also show that this effect is not spurious – Google searches for allergy and depression symptoms increase substantively as pollen levels rise. These estimates are robust to multiple specifications. As climate change extends and intensifies the pollen season, we expect its impact to more than double the number of suicides by the end of the century. These results point toward the importance of relatively small exogenous shocks on suicidality and the potential for relatively inexpensive and routine health care measures such as allergy testing and treatment to improve mental health.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103069"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109323","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
When do supply-side drug control policies save lives? Evidence from pharmacy methadone restrictions 供给侧药物管制政策何时能拯救生命?来自药房美沙酮限制的证据
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-16 DOI: 10.1016/j.jhealeco.2025.103067
J. Travis Donahoe , Coleman Drake
{"title":"When do supply-side drug control policies save lives? Evidence from pharmacy methadone restrictions","authors":"J. Travis Donahoe ,&nbsp;Coleman Drake","doi":"10.1016/j.jhealeco.2025.103067","DOIUrl":"10.1016/j.jhealeco.2025.103067","url":null,"abstract":"<div><div>The literature commonly finds that supply-side drug control policies are an ineffective response to drug epidemics because they cause substitution to more dangerous illicit drugs. We document a policy that was implemented in response to the intertwined methadone and prescription opioid epidemics in the U.S. in the early 2000s and that sharply contradicts this. In 2008, the U.S. Drug Enforcement Administration and drug manufacturers halted shipments of highly potent methadone formulations to all pharmacies nationwide due to concerns over their involvement in rising overdose death rates. However, rather than causing substitution to illicit drugs, we show this response caused substitution to safer methadone products and prevented roughly 1,600 overdose deaths over a two-year period. Findings underscore that supply-side drug control policies can be effective responses to drug epidemics in contexts where they are appropriately targeted to push consumers towards safer rather than more harmful substances.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103067"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158637","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
Polluted air, healthier diets: Household food consumption patterns in response to air quality in China 空气污染,饮食健康:中国家庭食物消费模式对空气质量的响应
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-16 DOI: 10.1016/j.jhealeco.2025.103068
Wei Huang , Keyan Xiang , Xi Yu , Hong Zou
{"title":"Polluted air, healthier diets: Household food consumption patterns in response to air quality in China","authors":"Wei Huang ,&nbsp;Keyan Xiang ,&nbsp;Xi Yu ,&nbsp;Hong Zou","doi":"10.1016/j.jhealeco.2025.103068","DOIUrl":"10.1016/j.jhealeco.2025.103068","url":null,"abstract":"<div><div>This study examines how air pollution affects household food consumption using high-frequency data from over 30,000 households in 25 Chinese cities (2014–2019). Employing an instrumental variable approach based on wind direction, we find that a one-standard-deviation increase in PM2.5 raises weekly expenditure on healthy foods, such as fruits, vegetables, and dairy, by 9.3 yuan, or 11 % of the within-household standard deviation. Spending on less healthy foods remains unaffected, suggesting targeted adjustments toward nutrient-dense foods. These changes improve nutrient intake but are immediate and transitory, with no evidence of lasting dietary shifts. The effects are stronger for higher-income households and those with elderly members, reflecting health concerns and financial flexibility, while lower-income households show constrained responses. Air pollution also reduces dining out expenditures, indicating a substitution toward home-prepared meals. These findings highlight air pollution’s welfare costs, socioeconomic disparities, and the need for equitable public health policies.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103068"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158635","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
Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia 医生是否助长了医疗服务中的社会经济不平等?突尼斯的审计实验。
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-16 DOI: 10.1016/j.jhealeco.2025.103066
Rym Ghouma , Mylène Lagarde , Timothy Powell-Jackson
{"title":"Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia","authors":"Rym Ghouma ,&nbsp;Mylène Lagarde ,&nbsp;Timothy Powell-Jackson","doi":"10.1016/j.jhealeco.2025.103066","DOIUrl":"10.1016/j.jhealeco.2025.103066","url":null,"abstract":"<div><div>In this paper, we explore an important but understudied driver of health inequalities: whether doctors treat patients from different socioeconomic backgrounds differently during a clinical encounter. We design an audit experiment in Tunisia, sending standardised patients with the same symptoms to 130 public and private primary care doctors for consultation. Informed by in-depth qualitative work, we vary the attitude and appearance of the patients so that they appear to be “poor” or “middle-class”. We find no evidence that doctors manage patients differently, but they respond to the socioeconomic profile of patients by prescribing fewer expensive drugs and giving out more free drugs to poorer patients. We also show significant differences in communication between patients: doctors are more likely to provide more explanation to richer patients about the diagnosis, the drugs prescribed and the treatment plan. These differences are not explained by time constraints as doctors spent comparable time with both types of patients. To the extent that differences in communication with patients can lead to differences in patients’ health decisions, our results suggest that doctors could contribute indirectly to health inequalities.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103066"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214319","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
Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage 医疗保健中的算法决策:来自医疗保险优势急症后护理的证据
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-08 DOI: 10.1016/j.jhealeco.2025.103055
Jeffrey Marr
{"title":"Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage","authors":"Jeffrey Marr","doi":"10.1016/j.jhealeco.2025.103055","DOIUrl":"10.1016/j.jhealeco.2025.103055","url":null,"abstract":"<div><div>Health insurers use predictive algorithms to determine the necessary level of care and deny services they deem unnecessary. Using a difference-in-differences design, I study the partnership of a large Medicare Advantage insurer with a firm that uses a predictive algorithm to aid post-acute care coverage decisions. This partnership led to an immediate and sustained 13 percent decline in the length of skilled nursing facility stays. This effect was partially driven by large declines in longer skilled nursing facility stays (over 30 days). Despite reductions in health care use, I do not observe changes in health outcomes following the adoption of the predictive algorithm.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103055"},"PeriodicalIF":3.6,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020601","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 effect of peers’ genetic predisposition to depression on own mental health 同伴抑郁遗传易感性对自身心理健康的影响。
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-07 DOI: 10.1016/j.jhealeco.2025.103053
Yeongmi Jeong
{"title":"The effect of peers’ genetic predisposition to depression on own mental health","authors":"Yeongmi Jeong","doi":"10.1016/j.jhealeco.2025.103053","DOIUrl":"10.1016/j.jhealeco.2025.103053","url":null,"abstract":"<div><div>This paper studies how peers’ genetic predisposition to depression affects own mental health during adolescence and early adulthood using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). I exploit variation within schools and across grades in same-gender grademates’ average polygenic score—a linear index of genetic variants—for major depressive disorder (the MDD score). An increase in peers’ genetic risk for depression has immediate negative impacts on own mental health. A one standard deviation increase in same-gender grademates’ average MDD score significantly increases the probability of being depressed by 1.9 and 3.8 percentage points for adolescent girls (a 7.2% increase) and boys (a 25% increase), respectively. The effects persist into adulthood for females, but not males. I explore several potential mechanisms underlying the effects and find that an increase in peers’ genetic risk for depression in adolescence worsens friendship, increases substance use, and leads to lower socioeconomic status. These effects are stronger for females than males. Overall, the results suggest that there are important social-genetic effects in the context of mental health.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103053"},"PeriodicalIF":3.6,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082310","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
Corrigendum to “Ridesharing and substance use disorder treatment” [Journal of Health Economics Volume 99, January 2025, 102941] “拼车和药物使用障碍治疗”的勘误表[卫生经济学杂志,第99卷,2025年1月,102941]。
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-01 DOI: 10.1016/j.jhealeco.2025.103031
Conor Lennon , Johanna Catherine Maclean , Keith Teltser
{"title":"Corrigendum to “Ridesharing and substance use disorder treatment” [Journal of Health Economics Volume 99, January 2025, 102941]","authors":"Conor Lennon ,&nbsp;Johanna Catherine Maclean ,&nbsp;Keith Teltser","doi":"10.1016/j.jhealeco.2025.103031","DOIUrl":"10.1016/j.jhealeco.2025.103031","url":null,"abstract":"","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103031"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709684","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 earned income tax credits on intergenerational health mobility in the United States. 劳动所得税抵免对美国代际健康流动性的影响。
IF 3.6 2区 经济学
Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jhealeco.2025.103048
Katie Jajtner, Yang Wang
{"title":"The effects of earned income tax credits on intergenerational health mobility in the United States.","authors":"Katie Jajtner, Yang Wang","doi":"10.1016/j.jhealeco.2025.103048","DOIUrl":"10.1016/j.jhealeco.2025.103048","url":null,"abstract":"<p><p>Intergenerational health mobility is an important marker of health opportunity and equity, yet empirical research in this field remains sparse, particularly concerning the effects of public policies. We present the first empirical evidence of the effects of the Earned Income Tax Credits (EITC), one of the largest and most effective anti-poverty programs in the US, on intergenerational health mobility. We use self-reported health status from the Panel Study of Income Dynamics and explore temporal, geographic, and family structure variations in childhood exposure to maximum EITC benefits. We find that the EITC generally improved intergenerational health mobility, especially upward health mobility.</p>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"103048"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812642","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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