Journal of Health Economics最新文献

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Expression of Concern: “Estimating the Effects of Tobacco-21 on Youth Tobacco Use and Sales” [Journal of Health Economics Volume 94, March 2024, 102860]
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2025-01-01
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引用次数: 0
Biological age and predicting future health care utilisation 生物年龄和预测未来的医疗保健利用。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2025-01-01 DOI: 10.1016/j.jhealeco.2024.102956
Apostolos Davillas , Andrew M. Jones
{"title":"Biological age and predicting future health care utilisation","authors":"Apostolos Davillas ,&nbsp;Andrew M. Jones","doi":"10.1016/j.jhealeco.2024.102956","DOIUrl":"10.1016/j.jhealeco.2024.102956","url":null,"abstract":"<div><div>We explore the role of epigenetic biological age in predicting subsequent health care utilisation. We use longitudinal data from the UK Understanding Society panel, capitalising on the availability of baseline epigenetic biological age measures along with data on general practitioner (GP) consultations, outpatient (OP) visits, and hospital inpatient (IP) care collected 5–12 years from baseline. Using least absolute shrinkage and selection operator (LASSO) regression analyses and accounting for participants’ pre-existing health conditions, baseline biological underlying health, and socio-economic predictors we find that biological age is selected as a predictor of future GP consultations and IP care, while chronological rather than biological age is selected for future OP visits. Post-selection prediction analysis and Shapley-Shorrocks decompositions, comparing our preferred prediction models to models that replace biological age with chronological age, suggest that biological ageing has a stronger role in the models predicting future IP care as opposed to “gatekeeping” GP consultations.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"99 ","pages":"Article 102956"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822825","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 light of life: The effects of sunlight on suicide 生命之光:阳光对自杀的影响。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2025-01-01 DOI: 10.1016/j.jhealeco.2024.102947
Shinsuke Tanaka , Tetsuya Matsubayashi
{"title":"The light of life: The effects of sunlight on suicide","authors":"Shinsuke Tanaka ,&nbsp;Tetsuya Matsubayashi","doi":"10.1016/j.jhealeco.2024.102947","DOIUrl":"10.1016/j.jhealeco.2024.102947","url":null,"abstract":"<div><div>This study examines the causal effects of sunlight exposure on suicide rates. Leveraging county-month-year data on solar insolation and suicide rates in the U.S. from 1979 to 2004, we provide first robust evidence that insufficient sunlight increases suicide rates. We also find that insufficient sunlight increases Google searches containing depressive language, suggesting a potential adverse impact on mental well-being. Importantly, our findings favor a biological pathway over alternative mechanisms. The estimated effect of sunlight on suicide, often exceeding other interventions in magnitude, sheds new light on sunlight as a significant risk factor in suicide incidence.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"99 ","pages":"Article 102947"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822794","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
Is supported employment effective for Disability Insurance recipients with mental health conditions? Evidence from a randomized experiment in Belgium 支持就业对有精神健康问题的残疾保险受助人有效吗?来自比利时随机实验的证据。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-12-26 DOI: 10.1016/j.jhealeco.2024.102958
Sébastien Fontenay , Ilan Tojerow
{"title":"Is supported employment effective for Disability Insurance recipients with mental health conditions? Evidence from a randomized experiment in Belgium","authors":"Sébastien Fontenay ,&nbsp;Ilan Tojerow","doi":"10.1016/j.jhealeco.2024.102958","DOIUrl":"10.1016/j.jhealeco.2024.102958","url":null,"abstract":"<div><div>We conduct a randomized experiment (n = 600) to evaluate a Supported Employment (SE) program that, through intensive job coaching and follow-along support, aims to increase work activity of Belgian Disability Insurance (DI) recipients with mental health conditions. The control group gets regular vocational rehabilitation. After a 30-month follow-up period, we find that SE increases the probability of working while claiming DI by 7.5 percentage points and reduces the amount of DI benefit received by 110 euros per month (−9.5 percent).</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"100 ","pages":"Article 102958"},"PeriodicalIF":3.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903843","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 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
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