Economics & Human Biology最新文献

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Lifetime costs of overweight and obesity in Italy 意大利超重和肥胖的终生代价
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-02-06 DOI: 10.1016/j.ehb.2024.101366
Vincenzo Atella , Federico Belotti , Matilde Giaccherini , Gerardo Medea , Antonio Nicolucci , Paolo Sbraccia , Andrea Piano Mortari
{"title":"Lifetime costs of overweight and obesity in Italy","authors":"Vincenzo Atella ,&nbsp;Federico Belotti ,&nbsp;Matilde Giaccherini ,&nbsp;Gerardo Medea ,&nbsp;Antonio Nicolucci ,&nbsp;Paolo Sbraccia ,&nbsp;Andrea Piano Mortari","doi":"10.1016/j.ehb.2024.101366","DOIUrl":"https://doi.org/10.1016/j.ehb.2024.101366","url":null,"abstract":"<div><p>We use longitudinal electronic clinical data on a large representative sample of the Italian population to estimate the lifetime profile costs of different BMI classes – normal weight, overweight, and obese (I, II, and III) – in a primary care setting. Our research reveals that obese patients generate the highest cost differential throughout their lives compared to normal weight patients. Moreover, we show that overweight individuals spend less than those with normal weight, primarily due to reduced expenditures beginning in early middle age. Our estimates could serve as a vital benchmark for policymakers looking to prioritize public interventions that address the obesity pandemic while considering the increasing obesity rates projected by the OECD until 2030.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101366"},"PeriodicalIF":2.5,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000182/pdfft?md5=934848c9e47eeac1280f2cf127304a42&pid=1-s2.0-S1570677X24000182-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occupational differences in the effects of retirement on hospitalizations for mental illness among female workers: Evidence from administrative data in China 退休对女职工精神疾病住院治疗影响的职业差异:来自中国行政数据的证据
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-02-05 DOI: 10.1016/j.ehb.2024.101367
Tianyu Wang , Ruochen Sun , Jody L. Sindelar , Xi Chen
{"title":"Occupational differences in the effects of retirement on hospitalizations for mental illness among female workers: Evidence from administrative data in China","authors":"Tianyu Wang ,&nbsp;Ruochen Sun ,&nbsp;Jody L. Sindelar ,&nbsp;Xi Chen","doi":"10.1016/j.ehb.2024.101367","DOIUrl":"https://doi.org/10.1016/j.ehb.2024.101367","url":null,"abstract":"<div><p>Retirement, a major transition in the life course, may affect many aspects of retirees’ well-being, including health and health care utilization. Leveraging differential statutory retirement age (SRA) by occupation for China’s urban female workers, we provide some of the first evidence on the causal effect of retirement on hospitalizations attributable to mental illness and its heterogeneity. To address endogeneity in retirement decisions, we take advantage of exogeneity of the differing SRA cut-offs for blue-collar (age 50) and white-collar (age 55) female urban employees. We apply a Fuzzy Regression Discontinuity Design (RDD) around the SRA cut-offs using nationally representative hospital inpatient claims data that cover these workers. We show that blue-collar females incur more hospitalizations for mental illness after retirement, while no similar change is found for white-collar females. Conditional on blue-collar females being hospitalized, probabilities of overall and ER admissions due to mental illness increase by 2.3 and 1.2 percentage points upon retirement, respectively. The effects are primarily driven by patients within the categories of schizophrenia, schizotypal and delusional disorders; and neurotic, stress-related and somatoform disorders. Moreover, the ‘Donut’ RDD estimates suggest that pent-up demand at retirement unlikely dominates our findings for blue-collar females. Rather, our results lend support to their worsening mental health at retirement. These findings suggest that occupational differences in mental illness and related health care utilization at retirement should be considered when optimizing retirement policy schemes.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101367"},"PeriodicalIF":2.5,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139715082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A tale of lockdown policies on the transmission of COVID-19 within and between Chinese cities: A study based on heterogeneous treatment effect 封锁政策对 COVID-19 在中国城市内部和城市之间传播的影响:基于异质性治疗效果的研究。
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-02-05 DOI: 10.1016/j.ehb.2024.101365
Jingjing Li , Chu Zhuang , Wei Zou
{"title":"A tale of lockdown policies on the transmission of COVID-19 within and between Chinese cities: A study based on heterogeneous treatment effect","authors":"Jingjing Li ,&nbsp;Chu Zhuang ,&nbsp;Wei Zou","doi":"10.1016/j.ehb.2024.101365","DOIUrl":"10.1016/j.ehb.2024.101365","url":null,"abstract":"<div><p>During the early outbreak phase of COVID-19 in China, lockdowns prevailed as the only available policy tools to mitigate the spread of infection. To evaluate the impact of lockdown policies in the context of the first phase of COVID-19 pandemic, we leverage data on daily confirmed cases per million people and related characteristics of a large set of cities. The study analyzed 369 Chinese cities, among which 188 implemented lockdowns of varying severity levels from January 23 to March 31, 2020. We use nationwide Baidu Mobility data to estimate the impact of lockdown policies on mitigating COVID-19 cases through reducing human mobility. We adopt a heterogeneous treatment effect model to quantify the effect of lockdown policies on containing confirmed case counts. Our results suggest that lockdowns substantially reduced human mobility, and larger reduction in mobility occurred within-city compared to between-city. The COVID-19 daily confirmed cases per million people decreased by 9% - 9.2% for every ten-percentage point fall in within-city travel intensity in t+7 timeframe. We also find that one city’s lockdowns can effectively reduce the spillover cases of the traveler’s destination cities. We find no evidence that stricter lockdowns are more effective at mitigating COVID-19 risks. Our findings provide practical insights about the effectiveness of NPI during the early outbreak phase of the unprecedented pandemic.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101365"},"PeriodicalIF":2.5,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000170/pdfft?md5=0b7022bc7378cf7232af7a5bcd81373c&pid=1-s2.0-S1570677X24000170-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 effect of women's decision-making on child nutritional outcomes in South Africa 南非妇女的决策对儿童营养结果的影响
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-02-02 DOI: 10.1016/j.ehb.2024.101355
Olanrewaju Adewole Adediran
{"title":"The effect of women's decision-making on child nutritional outcomes in South Africa","authors":"Olanrewaju Adewole Adediran","doi":"10.1016/j.ehb.2024.101355","DOIUrl":"10.1016/j.ehb.2024.101355","url":null,"abstract":"<div><p>Women’s decision-making is a phenomenon in children's nutritional outcomes. This study investigated the causal effect of women’s decision-making on child nutritional outcomes using a panel dataset from the South African National Income Dynamic Survey (NIDS) from 2014/15–2017. The child's nutritional outcomes comprised three anthropometric measurements, which included weight-for-height, weight-for-age, and height-for-age. The study used variables, which include daily expenditure, large purchases, where children attended school, who lived with the family, and where the household lived, to create a decision-making index using Multiple Correspondence Analysis (MCA). A control function approach (CFA) was used to control for endogeneity issues. Using this approach, the findings suggested that women’s decision-making had a significant positive effect on the child's nutritional outcomes. While women's decision-making improves a child’s weight-for-age and weight-for-height, the result was inconclusive on the child’s height-for-age. The policy implications of these findings indicate that the role of women's empowerment is important and could significantly help in achieving better child nutritional outcomes. Overall, the findings suggest the evaluation of policies that ameliorate gender inequality and children's health and well-being.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101355"},"PeriodicalIF":2.5,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000078/pdfft?md5=34ae11ccc8bd9f20bfd1c08af77d527e&pid=1-s2.0-S1570677X24000078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139667519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Income insecurity and mental health in pandemic times 大流行时期的收入无保障与心理健康
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-30 DOI: 10.1016/j.ehb.2024.101351
Dirk Foremny , Pilar Sorribas-Navarro , Judit Vall Castelló
{"title":"Income insecurity and mental health in pandemic times","authors":"Dirk Foremny ,&nbsp;Pilar Sorribas-Navarro ,&nbsp;Judit Vall Castelló","doi":"10.1016/j.ehb.2024.101351","DOIUrl":"10.1016/j.ehb.2024.101351","url":null,"abstract":"<div><p>This paper contributes to the literature on the impact of the COVID-19 outbreak on mental health by providing novel evidence of its interaction with labor market conditions and the long-term persistence of these effects. We run four waves of a large-scale representative survey in Spain between April 2020 and April 2022, and benchmark our data against a decade of pre-pandemic information. We document an increase in the share of individuals reporting depressive feelings from 16% prior to the pandemic to 46% in April 2020. We show that this effect is more pronounced for women, younger individuals and those with unstable incomes. We apply machine learning techniques, mediation analysis and event studies to document the role of the labor market as an important driver of these effects. Our results are crucial for the design of targeted policies that proof useful in overcoming the long lasting consequences of the pandemic.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101351"},"PeriodicalIF":2.5,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000030/pdfft?md5=08811b968c45df7d68a0952882f4227b&pid=1-s2.0-S1570677X24000030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139667790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rational self-medication 合理的自我药疗
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-28 DOI: 10.1016/j.ehb.2024.101350
Michael E. Darden , Nicholas W. Papageorge
{"title":"Rational self-medication","authors":"Michael E. Darden ,&nbsp;Nicholas W. Papageorge","doi":"10.1016/j.ehb.2024.101350","DOIUrl":"10.1016/j.ehb.2024.101350","url":null,"abstract":"<div><p>We develop a model of rational self-medication in which individuals use potentially dangerous or addictive substances (e.g., alcohol) to manage symptoms of illness (e.g., depression) outside of formal medical care. A model implication is that the emergence of better treatments reduces incentives to self-medicate. To investigate, we use forty years of longitudinal data from the Framingham Heart Study and leverage the exogenous introduction of selective serotonin reuptake inhibitors (SSRIs). We demonstrate an economically meaningful reduction in alcohol consumption when SSRIs became available. Our findings illustrate how the effects of medical innovation operate, in part, through changes in behavior.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101350"},"PeriodicalIF":2.5,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139579999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peer effects in weight-related behaviours of young people: A systematic literature review 青少年体重相关行为中的同伴效应:系统文献综述
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-26 DOI: 10.1016/j.ehb.2024.101354
Nathalie Müller , Francesco Fallucchi , Marc Suhrcke
{"title":"Peer effects in weight-related behaviours of young people: A systematic literature review","authors":"Nathalie Müller ,&nbsp;Francesco Fallucchi ,&nbsp;Marc Suhrcke","doi":"10.1016/j.ehb.2024.101354","DOIUrl":"10.1016/j.ehb.2024.101354","url":null,"abstract":"<div><p>Individual preferences and beliefs are perpetually shaped by environmental influences, with peers playing a key role in this dynamic process. Compelling evidence from qualitative and quantitative studies has highlighted the significant impact of peer influence on health-related decisions. This systematic literature review<span><span> critically synthesises findings from 45 studies published between 2011 and 2022, providing a comprehensive understanding of the nature of peer effects on dietary, </span>physical activity and sleep behaviours during youth. The majority of studies indicated that social norms drive directional changes in eating and physical activity. Yet, our analysis revealed a notable gap in exploring alternative mechanisms, including social comparison and social identity, despite their potential relevance. Studies, generally classified as moderate to high quality, predominantly relied on self-reported data, potentially affecting the validity and reliability of measures. Meta-regression analyses suggest a small, but significant association of sample size with the magnitude, sign and significance of the reported peer effects. Moreover, studies focusing on physical activity are more likely to report significant outcomes, whereas findings on peer influence on sleep-related studies tend to reveal less pronounced effects, compared to studies on dietary behaviours. Experimental designs do not appear to increase the likelihood of finding significant effects when compared to other study designs. In conclusion, this synthesis emphasises the need for further research into the underlying mechanisms on peer effects to better inform policy-makers in designing effective policies for improving weight-related behaviours in young people.</span></p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101354"},"PeriodicalIF":2.5,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139579546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The modification of social space as a tool for lowering social stress 将改造社交空间作为减轻社会压力的工具
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-10 DOI: 10.1016/j.ehb.2024.101349
Oded Stark
{"title":"The modification of social space as a tool for lowering social stress","authors":"Oded Stark","doi":"10.1016/j.ehb.2024.101349","DOIUrl":"10.1016/j.ehb.2024.101349","url":null,"abstract":"<div><p>The social stress experienced by an individual from having a low relative income or from having a low income-based rank is a derivative of the individual's location in social space, and is the outcome of unfavorable comparisons with other individuals in that space. (The term social space stands for the set of individuals with whose incomes or with whose income-based ranks the individual compares his income or his income-based rank.) The stress that arises from unfavorable social comparisons can cause physical and mental harm. Essentially, there are three ways to thwart unfavorable income-related comparisons experienced by an individual: to operate on the individual's income or on a characteristic (an attribute) of the individual's income; to operate on the incomes or on a characteristic of the incomes of the individual's comparators; or to modify the individual's social space. The first two approaches feature extensively in the existing literature. The third does not. In this communication, I analyze this third approach, keeping in mind its application as a policy tool for lowering social stress.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101349"},"PeriodicalIF":2.5,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139410328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 marijuana use in adolescence on college and graduate degree attainment 青少年时期吸食大麻对获得大学和研究生学位的影响
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-01 DOI: 10.1016/j.ehb.2023.101347
Aliaksandr A. Amialchuk, Brooke M. Buckingham
{"title":"The effect of marijuana use in adolescence on college and graduate degree attainment","authors":"Aliaksandr A. Amialchuk,&nbsp;Brooke M. Buckingham","doi":"10.1016/j.ehb.2023.101347","DOIUrl":"10.1016/j.ehb.2023.101347","url":null,"abstract":"<div><p>We estimate the long-term effect of using marijuana in adolescence on college and graduate degree attainment measured approximately 20 years later. We rely on the first two waves (1994–1996) and the fifth wave (2016–2018) of the National Longitudinal Study<span><span><span> of Adolescent to Adult Health and estimate instrumental variables models that exploit the network structure at the second degree by using </span>marijuana use status of friends of friends who are not themselves friends of the respondent in order to instrument for the respondent’s marijuana use. Our models also include school and grade </span>fixed effects. Marijuana use in adolescence leads to a large reduction in the likelihood of college and graduate degree attainment by the time respondents are aged 33–43 years old.</span></p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"52 ","pages":"Article 101347"},"PeriodicalIF":2.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139057639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19, deaths at home and end-of-life cancer care COVID-19,在家死亡与癌症临终关怀
IF 2.5 3区 医学
Economics & Human Biology Pub Date : 2024-01-01 DOI: 10.1016/j.ehb.2023.101338
Anastasia Arabadzhyan, Katja Grašič, Peter Sivey
{"title":"COVID-19, deaths at home and end-of-life cancer care","authors":"Anastasia Arabadzhyan,&nbsp;Katja Grašič,&nbsp;Peter Sivey","doi":"10.1016/j.ehb.2023.101338","DOIUrl":"10.1016/j.ehb.2023.101338","url":null,"abstract":"<div><p>During the COVID-19 pandemic there was a period of high excess deaths from cancer at home as opposed to in hospitals or in care homes. In this paper we aim to explore whether healthcare utilisation trajectories of cancer patients in the final months of life during the COVID-19 pandemic reveal any potential unmet healthcare need. We use English hospital records linked to data on all deaths in and out of hospital which identifies the cause and location of death.</p><p>Our analysis shows that during the periods of peak COVID-19 caseload, patients dying of cancer experienced up to 42% less hospital treatment in their final month of life compared to historical controls. We find reductions in end-of-life hospital care for cancer patients dying in hospitals, care homes/hospices and at home, however the effect is amplified by the shift to more patients dying at home. Through the first year of the pandemic in England, we estimate the number of inpatient bed-days for end-of-life cancer patients in their final month reduced by approximately 282,282, or 25%.</p><p>For outpatient appointments in the final month of life we find a reduction in face-to-face appointments and an increase in remote appointments which persists through the pandemic year and is not confined only to the periods of peak COVID-19 caseload.</p><p>Our results suggest reductions in care provision during the COVID-19 pandemic may have led to unmet need, and future emergency reorganisations of health care systems must ensure consistent care provision for vulnerable groups such as cancer patients.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"52 ","pages":"Article 101338"},"PeriodicalIF":2.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X23001193/pdfft?md5=33817fccd9dee4cff6721931620da290&pid=1-s2.0-S1570677X23001193-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138745972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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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