{"title":"The Effect of Education on Health Behavior after Screening for Colorectal Cancer","authors":"E. Aas, T. Iversen, G. Hoff","doi":"10.1108/S0731-219920170000025007","DOIUrl":"https://doi.org/10.1108/S0731-219920170000025007","url":null,"abstract":"Abstract Misinterpretation of a negative test results in health screening may initiate less preventive effort and more future lifestyle-related disease. We predict that misinterpretation occurs more frequently among individuals with a low level of education compared with individuals with a high level of education.The empirical analyses are based on unique data from a randomized controlled screening experiment in Norway, NORCCAP (NORwegian Colorectal Cancer Prevention). The dataset consists of approximately 50,000 individuals, of whom 21,000 were invited to participate in a once only screening with sigmoidoscopy. For all individuals, we also have information on outpatient consultations and inpatient stays and education. The result of health behaviour is mainly measured by lifestyle-related diseases, such as COPD, hypertension and diabetes type 2, identified by ICD-10 codes.The results according to intention-to-treat indicate that screening does not increase the occurrence of lifestyle related diseases among individuals with a high level of education, while there is an increase for individuals with low levels of education. These results are supported by the further analyses among individuals with a negative screening test.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 1","pages":"207-242"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920170000025007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41965886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Birth Spacing and Educational Outcomes","authors":"E. Hill, David J. G. Slusky","doi":"10.1108/S0731-219920170000025001","DOIUrl":"https://doi.org/10.1108/S0731-219920170000025001","url":null,"abstract":"Virtually all parents want their children to succeed academically. How to achieve this goal, though, is far from clear. Specifically, the temporal spacing between adjacent births has been shown to affect educational outcomes. While many of these studies have produced substantial and statistically significant results, these results have been relatively narrow in their application due to data limitations. Using Colorado birth certificates matched to schooling outcomes, we investigate the relationship between birth spacing and educational attainment. We instrument birth spacing with a previous pregnancy that did not result in a live birth. We find no overall effect of spacing on either the first or second children’s grade 3-10 test scores. Stratifying by the sexes of the children, we find that when the first child is a boy and the second a girl, an extra year of spacing increases the first child’s math, reading, and writing test scores by 0.07-0.08 SD, while there is no impact on the second child. This is the first study to do such an analysis using matched large scale birth and elementary to high school administrative data, and to leverage a very large data set to stratify our results by the sexes of the children. .","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 1","pages":"3-29"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920170000025001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42575356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Causal Effects of Maternal Schooling on Child Immunization in India","authors":"P. De","doi":"10.1108/S0731-219920170000025003","DOIUrl":"https://doi.org/10.1108/S0731-219920170000025003","url":null,"abstract":"Abstract \u0000Child immunization is widely recognized as a cost-effective preventive medicine. Unfortunately, in India about 50% of the eligible children aged 12–23 months miss some essential vaccination. Though a positive association between maternal education and markers of child health like immunization has been long established, the literature has struggled to find a causal relationship, mainly because education is inextricably correlated with other socioeconomic variables like income. In this chapter, I propose a new instrument for women’s education in India using the following facts. First, due to lack of sanitary facilities in schools, particularly rural schools, large number of girls drop out of school once they reach puberty. Second, age at menarche is largely determined by biological factors and not social factors. Together, age at menarche can explain variations in schooling, yet be independent of outcome variables like child immunization. I find that additional years of maternal schooling (conditional on strictly positive years of schooling) do increase the probability of complete immunization of children.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 1","pages":"85-107"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920170000025003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48523412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unemployment Insurance and Physical Activity","authors":"J. Cylus","doi":"10.1108/S0731-219920170000025008","DOIUrl":"https://doi.org/10.1108/S0731-219920170000025008","url":null,"abstract":"Unemployment insurance (UI) reduces the opportunity cost of leisure, but it is unknown whether this additional leisure time is physically active. To obtain unbiased estimates of the effect of UI on physically active leisure participation, I exploit changes in UI program legislation across US states and time. Using nationally representative monthly data between 2003 and 2010 from the Behavioral Risk Factor Surveillance System (BRFSS) and the American Time Use Survey (ATUS), I find evidence that both state UI eligibility expansions and increases in maximum allowable state UI benefits coincide with greater probability of physical activity among the recently unemployed. Based on point estimates, state UI eligibility expansions increased the probability of physical activity participation by 8–10 percentage points among the unemployed with less than a high school education, while a 10% increase in the maximum allowable state UI benefit increased the probability of physical activity by 0.3 to 0.6 percentage points among the unemployed who have completed high school or some college.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 1","pages":"245-277"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920170000025008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46517490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educational Heterogeneity in the Association between Smoking Cessation and Health Information","authors":"D. Lillard","doi":"10.1108/S0731-219920170000025006","DOIUrl":"https://doi.org/10.1108/S0731-219920170000025006","url":null,"abstract":"Abstract \u0000I investigate the well-known educational gradient in smoking. It is well established that, at least in recent decades, people with higher levels of education are less likely to smoke and, conditional on being a smoker, are more likely to quit than are people with less education. Using longitudinal data on lifetime smoking histories, I explore whether the educational gradient changes when one accounts for differences in the amount of information smokers have about the health risks associated with smoking. At the core of the analysis is a new way to measure not only the flow of information a person receives but also a person’s stock of information in any year. I construct measures of the stock and flow of information with consumer magazine articles that discuss cigarette smoking and health. To calculate exposure, I predict individuals’ reading of particular magazines and link predicted exposure to data on individual smoking status in every year of life. The analysis sample includes many individuals who started smoking in the 1930s and 1940s – well before scientific evidence had accumulated. After replicating the education gradient in terms of smoking cessation, I show that it is mostly explained by the interaction between educational attainment and the stock of knowledge individuals possess. The findings suggest that education affects whether and how a stock of health risk information induces people to quit smoking.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 1","pages":"183-206"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920170000025006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42496372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hope Corman, Dhaval Dave, Ariel Kalil, Nancy E Reichman
{"title":"Effects of Maternal Work Incentives on Teen Drug Arrests.","authors":"Hope Corman, Dhaval Dave, Ariel Kalil, Nancy E Reichman","doi":"10.1108/s0731-219920170000025004","DOIUrl":"https://doi.org/10.1108/s0731-219920170000025004","url":null,"abstract":"<p><strong>Purpose: </strong>This study exploits differences in the implementation of welfare reform across states and over time in the United States in the attempt to identify causal effects of welfare reform on youth arrests for drug-related crimes between 1990 and 2005, the period during which welfare reform unfolded.</p><p><strong>Methodology: </strong>Using monthly arrest data from the U.S. Federal Bureau of Investigation's Uniform Crime Reports, we estimate the effects of welfare reform implementation on drug-related arrests among 15-17 year olds in the United States between 1990 and 2005. We use a difference-in-differences (DD) approach that exploits the implementation of welfare reform across states and over time to estimate effects for teens exposed to welfare reform.</p><p><strong>Findings: </strong>The findings, based on numerous different model specifications, suggest that welfare reform had no statistically significant effect on teen drug arrests. Most estimates were positive and suggestive of a small (3%) increase in arrests.</p><p><strong>Originality/value: </strong>This study investigated the effects of a broad-based policy change that altered maternal employment, family income, and other family characteristics on youth drug arrests.</p>","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"25 ","pages":"111-142"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0731-219920170000025004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35582132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Derek S. Brown, C. Poulos, F. Johnson, Linda Chamiec-Case, Mark L. Messonnier
{"title":"Adolescent girls' preferences for HPV vaccines: a discrete choice experiment.","authors":"Derek S. Brown, C. Poulos, F. Johnson, Linda Chamiec-Case, Mark L. Messonnier","doi":"10.1108/S0731-219920140000024002","DOIUrl":"https://doi.org/10.1108/S0731-219920140000024002","url":null,"abstract":"PURPOSE\u0000To measure adolescent girls' preferences over features of human papillomavirus (HPV) vaccines in order to provide quantitative estimates of the perceived benefits of vaccination and potential vaccine uptake.\u0000\u0000\u0000DESIGN/METHODOLOGY/APPROACH\u0000A discrete choice experiment (DCE) survey was developed to measure adolescent girls' preferences over features of HPV vaccines. The survey was fielded to a U.S. sample of 307 girls aged 13-17 years who had not yet received an HPV vaccine in June 2008.\u0000\u0000\u0000FINDINGS\u0000In a latent class logit model, two distinct groups were identified--one with strong preferences against vaccination which largely did not differentiate between vaccine features, and another that was receptive to vaccination and had well-defined preferences over vaccine features. Based on the mean estimates over the entire sample, we estimate that girls' valuation of bivalent and quadrivalent HPV vaccines ranged between $400 and $460 in 2008, measured as willingness-to-pay (WTP). The additional value of genital warts protection was $145, although cervical cancer efficacy was the most preferred feature. We estimate maximum uptake of 54-65%, close to the 53% reported for one dose in 2011 surveillance data, but higher than the 35% for three doses in surveillance data.\u0000\u0000\u0000RESEARCH LIMITATIONS/IMPLICATIONS\u0000We conclude that adolescent girls do form clear opinions and some place significant value on HPV vaccination, making research on their preferences vital to understanding the determinants of HPV vaccine demand.\u0000\u0000\u0000ORIGINALITY/VALUE\u0000DCE studies may be used to design more effective vaccine-promotion programs and for reassessing public health recommendations and guidelines as new vaccines are made available.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"10 1","pages":"93-121"},"PeriodicalIF":0.0,"publicationDate":"2014-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920140000024002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62306617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Warshawsky-Livne, L. Novack, A. Rosen, S. Downs, J. Shkolnik-Inbar, J. Pliskin
{"title":"Gender differences in risk attitudes.","authors":"L. Warshawsky-Livne, L. Novack, A. Rosen, S. Downs, J. Shkolnik-Inbar, J. Pliskin","doi":"10.1108/S0731-219920140000024003","DOIUrl":"https://doi.org/10.1108/S0731-219920140000024003","url":null,"abstract":"PURPOSE\u0000A rich literature has documented gender-based differences in health care utilization and outcomes. The role of risk attitude in explaining the variations is limited at best. This study examines gender differences in health utilities and risk attitudes.\u0000\u0000\u0000METHODOLOGY\u0000Data on 13 health states were collected from 629 students via questionnaires at the Ben-Gurion University of the Negev in 2005. From each respondent, we assessed utilities for a subset of health states, using Time Trade-Off and Standard Gamble. A risk attitude coefficient was calculated for each respondent as a function of their utilities for all outcomes assessed. The risk coefficient derived from a closed-form utility model for men was compared to that of women using the t-statistic.\u0000\u0000\u0000FINDINGS\u0000There was a statistically significant difference in the risk attitudes of men and women. Men had a concave utility function, representing risk aversion, while women had a near linear utility function, suggesting that women are risk neutral. PRACTICAL/SOCIAL IMPLICATIONS: Differences in risk attitude may be an important contributor to gender-based disparities in health services utilization. More research is needed to assess its full impact on decision-making in health care.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"24 1","pages":"123-40"},"PeriodicalIF":0.0,"publicationDate":"2014-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920140000024003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62306685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pesticides and health: a review of evidence on health effects, valuation of risks, and benefit-cost analysis.","authors":"D. Tago, Henrik Andersson, Nicolas Treich","doi":"10.1108/S0731-219920140000024006","DOIUrl":"https://doi.org/10.1108/S0731-219920140000024006","url":null,"abstract":"DESIGN/METHODOLOGY/APPROACH\u0000This study presents literature reviews for the period 2000-2013 on (i) the health effects of pesticides and on (ii) preference valuation of health risks related to pesticides, as well as a discussion of the role of benefit-cost analysis applied to pesticide regulatory measures.\u0000\u0000\u0000FINDINGS\u0000This study indicates that the health literature has focused on individuals with direct exposure to pesticides, i.e. farmers, while the literature on preference valuation has focused on those with indirect exposure, i.e. consumers. The discussion highlights the need to clarify the rationale for regulating pesticides, the role of risk perceptions in benefit-cost analysis, and the importance of inter-disciplinary research in this area.\u0000\u0000\u0000ORIGINALITY/VALUE\u0000This study relates findings of different disciplines (health, economics, public policy) regarding pesticides, and identifies gaps for future research.","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"24 1","pages":"203-95"},"PeriodicalIF":0.0,"publicationDate":"2014-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0731-219920140000024006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62306317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How should the health benefits of food safety programs be measured?","authors":"V Kerry Smith, Carol Mansfield, Aaron Strong","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>This chapter reports estimates of consumers' preferences for plans to improve food safety.</p><p><strong>Design/methodology/approach: </strong>The plans are distinguished based on whether they address the ex ante risk of food borne illness or the ex post effects of the illness. They are also distinguished based on whether they focus on a public good--reducing risk of illness for all consumers or allowing individual households to reduce their private risks of contracting a food borne pathogen.</p><p><strong>Findings: </strong>Based on a National Survey conducted in 2007 using the Knowledge Network internet panel, our findings indicate consumers favor ex ante risk reductions and are willing to pay approximately $250 annually to reduce the risk of food borne illness. Moreover, they prefer private to public approaches and would not support efforts to reduce the severity of cases of illness over risk reductions.</p><p><strong>Originality/value: </strong>This study is the first research that allows a comparison of survey respondents' choices between public and private mechanisms for ex ante risk reductions.</p>","PeriodicalId":79553,"journal":{"name":"Advances in health economics and health services research","volume":"24 ","pages":"161-202"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32687544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}