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The pharmacist will see you now: Pharmacist prescribed contraceptives and fertility rates 药剂师现在要见你了：药剂师开了避孕药具和生育率。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-12-18 DOI: 10.1016/j.jhealeco.2024.102942
Daniel Grossman , Arijit Ray , Allyssa Wadsworth
{"title":"The pharmacist will see you now: Pharmacist prescribed contraceptives and fertility rates","authors":"Daniel Grossman ,&nbsp;Arijit Ray ,&nbsp;Allyssa Wadsworth","doi":"10.1016/j.jhealeco.2024.102942","DOIUrl":"10.1016/j.jhealeco.2024.102942","url":null,"abstract":"<div><div>Policies that increase contraceptive access for young women and their partners are a potentially low-cost way of reducing unintended pregnancies and improving later life outcomes. Several states have recently implemented laws that allow pharmacists to prescribe contraceptives to women without the need to see a physician. We study the effect of these state laws on fertility rates. Using US Natality files for 2014–2020, we employ a difference-in-differences strategy using the 13 states that had enacted a law until the first quarter of 2020 as the treated group, and the 15 policy-implementing states post-2020 quarter 1 as the control group. We find approximately 0.5 fewer births per 1000 women aged 15–49 per quarter occur post law implementation, compared to control states. The effect of the policy appears to be focused among women aged 25–34 and 40–44 and women with a high school education or less.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"100 ","pages":"Article 102942"},"PeriodicalIF":3.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899834","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
How does undervaluation in medical savings accounts (MSAs) affect healthcare utilization? Evidence from administrative data in China 医疗储蓄账户（msa）的低估如何影响医疗保健利用？来自中国行政数据的证据
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-12-01 DOI: 10.1016/j.jhealeco.2024.102946
Wei Huang , Xiaoyan Lei , Yuqi Ta
{"title":"How does undervaluation in medical savings accounts (MSAs) affect healthcare utilization? Evidence from administrative data in China","authors":"Wei Huang ,&nbsp;Xiaoyan Lei ,&nbsp;Yuqi Ta","doi":"10.1016/j.jhealeco.2024.102946","DOIUrl":"10.1016/j.jhealeco.2024.102946","url":null,"abstract":"<div><div>This study examines how the undervaluation of funds in Medical Savings Accounts (MSAs) influences healthcare utilization in China. Given that MSA funds are restricted to healthcare expenses, individuals may undervalue these funds relative to cash, leading to potential overuse of health care. Through an event study approach using administrative data, we find significant reductions in healthcare utilization after MSA balances are depleted—outpatient care expenses drop by 49 percent, and drugstore purchases decrease by 41 percent. These effects persist across socioeconomic groups, indicating that liquidity constraints are not a major factor. Our back-of-the-envelope calculations suggest that insured individuals undervalue MSA funds by 40–70 %. This research sheds light on the behavioral impacts of MSAs and the broader implications of perceived price distortions in health insurance.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102946"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748179","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
Put a bet on it: Can self-funded commitment contracts curb fitness procrastination? 赌一把自费承诺合同能否遏制健身拖延症？
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-11-12 DOI: 10.1016/j.jhealeco.2024.102943
Devon Spika , Linnea Wickström Östervall , Ulf Gerdtham , Erik Wengström
{"title":"Put a bet on it: Can self-funded commitment contracts curb fitness procrastination?","authors":"Devon Spika ,&nbsp;Linnea Wickström Östervall ,&nbsp;Ulf Gerdtham ,&nbsp;Erik Wengström","doi":"10.1016/j.jhealeco.2024.102943","DOIUrl":"10.1016/j.jhealeco.2024.102943","url":null,"abstract":"<div><div>We investigate the use of a highly scalable intervention to help individuals achieve their physical activity goals: self-funded commitment contracts. Using a randomised experiment, we compare the effect of soft (non-incentivised) and hard (incentivised) contracts among 1629 members of a gym in Stockholm, Sweden. We find a significant positive impact of being offered a hard contract on monthly visits to the gym and the probability of meeting one’s contract goal. Relative to the control group, being offered a hard contract significantly increases gym visits by 21%, while being offered a soft contract leads to an 8% increase.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102943"},"PeriodicalIF":3.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689562","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
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 ,&nbsp;Birgitta Rabe","doi":"10.1016/j.jhealeco.2024.102937","DOIUrl":"10.1016/j.jhealeco.2024.102937","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 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":"OA","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
What’s in the water? Long-run effects of fluoridation on health and economic self-sufficiency 水里有什么？氟化对健康和经济自给自足的长期影响。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-10-18 DOI: 10.1016/j.jhealeco.2024.102934
Adam Roberts
{"title":"What’s in the water? Long-run effects of fluoridation on health and economic self-sufficiency","authors":"Adam Roberts","doi":"10.1016/j.jhealeco.2024.102934","DOIUrl":"10.1016/j.jhealeco.2024.102934","url":null,"abstract":"<div><div>Community water fluoridation has been named one of the 10 greatest public health achievements of the 20th century for its role in improving dental health. Fluoride has large negative effects at high doses, clear benefits at low levels, and an unclear optimal dosage level. I leverage county-level variation in the timing of fluoride adoption, combined with restricted U.S. Census data that link over 29 million individuals to their county of birth, to estimate the causal effects of childhood fluoride exposure. Children exposed to community water fluoridation from age zero to five are worse off as adults on indices of economic self-sufficiency (−1.9% of a SD) and physical ability and health (−1.2% of a SD). They are also significantly less likely to graduate high school (−1.5 percentage points) or serve in the military (−1.0 percentage points). These findings challenge existing conclusions about safe levels of fluoride exposure.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"98 ","pages":"Article 102934"},"PeriodicalIF":3.4,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689565","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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