Emma Aguila , William H. Dow , Felipe Menares , Susan W. Parker , Jorge Peniche , Soomin Ryu
{"title":"Do conditional cash transfers reduce hypertension?","authors":"Emma Aguila , William H. Dow , Felipe Menares , Susan W. Parker , Jorge Peniche , Soomin Ryu","doi":"10.1016/j.ehb.2024.101370","DOIUrl":"10.1016/j.ehb.2024.101370","url":null,"abstract":"<div><p><em>Progresa,</em> an anti-poverty conditional cash transfer program, has been a model for similar programs in more than 60 countries. Numerous studies have found positive impacts on schooling, the nutritional and health status of children and adolescents, and household consumption. However, the effects on the health of older adult beneficiaries have been particularly understudied. In this paper we analyze the effects of <em>Progresa</em> on middle-aged and older adult health, focusing on a high prevalence chronic condition: hypertension. Our results show that <em>Progresa</em> had significant benefits in terms of improved hypertension diagnosis and use of treatment drugs. However, we did not find significant changes in uncontrolled hypertension as measured by systolic and diastolic blood pressure biomarkers in household survey data. Thus, while cash transfer programs may facilitate financial access to healthcare visits and the ability to buy prescribed medicines, by itself the program might not improve hypertension outcomes without complementary healthcare system follow-up to ensure dosage titration and medication adherence.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101370"},"PeriodicalIF":2.5,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000224/pdfft?md5=eb25b76f227590353b4afc5ccf36f4b2&pid=1-s2.0-S1570677X24000224-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139921895","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}
{"title":"The relationship between Marriage and Body Mass Index in China:Evidence from the China Health and Nutrition Survey","authors":"Shiwen Quan , Huiyun Zhang","doi":"10.1016/j.ehb.2024.101368","DOIUrl":"10.1016/j.ehb.2024.101368","url":null,"abstract":"<div><p>This study investigates the impact of marriage on the body mass index (BMI) of individuals aged 18–45 in China. We used data from ten rounds of the China Health and Nutrition Survey spanning from 1989 to 2015, and applied Difference-in-Differences (DID) model to examine the impact of marriage on BMI. Our findings reveal that marriage has a significant positive effect on BMI, especially among males, with post-marriage elevation of male BMI continuing to increase over time. Moreover, marriage is associated with a 5.2% increase in the prevalence of overweight and a 2.5% rise in the incidence of obesity among males. While energy intake levels for Chinese women did not undergo significant changes after marriage, nor did their energy expenditure levels, men experienced a marked alteration in energy balance, characterized by an increase in caloric intake and a decrease in physical activity. Furthermore, our study confirms significant period differences in the effect of marriage on BMI, with post-marriage elevation of male BMI continuing to rise over time. In contrast, there was no clear trend for female BMI after marriage. Our research highlights the importance of promoting physical fitness and health management within families while fostering intimate relationships through marriage. Public health policies should consider the potential impact of marriage as an intervention window for addressing individuals' weight management needs. Distinct post-marriage body management plans should be designed for both genders.</p></div>","PeriodicalId":50554,"journal":{"name":"Economics & Human Biology","volume":"53 ","pages":"Article 101368"},"PeriodicalIF":2.5,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1570677X24000200/pdfft?md5=449a4d2fbbdf936ec3356d1a13b162a1&pid=1-s2.0-S1570677X24000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882560","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}
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 , Federico Belotti , Matilde Giaccherini , Gerardo Medea , Antonio Nicolucci , Paolo Sbraccia , 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}
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 , Ruochen Sun , Jody L. Sindelar , 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}
{"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 , Chu Zhuang , 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}
{"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}
{"title":"Income insecurity and mental health in pandemic times","authors":"Dirk Foremny , Pilar Sorribas-Navarro , 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}
{"title":"Rational self-medication","authors":"Michael E. Darden , 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}
Nathalie Müller , Francesco Fallucchi , Marc Suhrcke
{"title":"Peer effects in weight-related behaviours of young people: A systematic literature review","authors":"Nathalie Müller , Francesco Fallucchi , 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}
{"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}