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Folic acid advisories, a public health challenge?

Daniel Herrera-Araujo

Health, Econometrics and Data Group (HEDG) Working Papers from HEDG, c/o Department of Economics, University of York

Abstract: Neural tube defects are neurological conditions affecting 1 in 1000 foetuses in France each year. If a foetus is affected there is a 90% chance of the pregnancy being terminated. Increasing folic acid intake over 400μg per day two months before and two months after conception reduces prevalence rates by 80%. Two types of government interventions exist to increase intake and reduce prevalence rates: (1) fortification of staple food, which increases population intake indiscriminately; (2) social marketing seeking to increase intake of conceiving women through information provision. France opted for the latter and has implemented it since mid-2005. This paper sets up a quasi-experimental setting to measure the impact of the french social marketing campaign on consumption using a reduced form approach. I combine a detailed scanner data on grocery purchases with a dataset on macro- and micro- nutrients. Identification exploits the variation in the usefulness of folic acid information between households: households that are conceiving or want to conceive a child use it, while those that are not conceiving do not. Results suggest evidence of a positive impact of the information policy on folic acid household availability and preferences. A value per statistical life for children is found to be at least of e 17 millions.

Keywords: folic acid; health information; structural demand estimation; public health (search for similar items in EconPapers)
JEL-codes: C21 D12 I12 I18 J17 (search for similar items in EconPapers)
Date: 2015-09
New Economics Papers: this item is included in nep-hea
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Related works:
Journal Article: Folic acid advisories: a public health challenge? (2016) Downloads
Working Paper: Folic acid advisories: a public health challenge? (2016)
Working Paper: Folic acid advisories: a public health challenge? (2016)
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