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Risking Your Health : Causes, Consequences, and Interventions to Prevent Risky Behaviors

Author

Listed:
  • Damien de Walque
Abstract
Behaviors that pose risks for an individual’s health and that also represent important threats for public health, such as drug use, smoking, alcohol, unhealthy eating causing obesity, and unsafe sex, are highly prevalent in low income countries, even though they are traditionally associated with richer countries. Individual choices are an important part of the risky behaviors. Risking Your Health: Causes, Consequences, and Interventions to Prevent Risky Behaviors explore how those choices are formed and what are their consequences. Why do people engage in risky behaviors? Many different explanations have been proposed by psychology, sociology, economics or public health. One trait common to all these behaviors is that there is a disconnect – a function of both delay and uncertainty - between the pleasure or satisfaction provided by them and their consequences. Another characteristic of risky behaviors is that they rarely occur in isolation. Peer-pressure, parental influences, networks and social norms often play an important role in initiating, continuing, or quitting those behaviors. Even if they might often be the first to suffer, the consequences of risky behaviors are also rarely limited to the individuals engaging in them. In certain cases, such as second-hand smoking or HIV transmission, the link is direct. In other cases, the link is less direct but not necessarily less real: the long term health consequences of many of these behaviors are costly to treat and could stretch households’ finances and worsen poverty. Finally, these risky behaviors have consequences for society as a whole since they often trigger a non-trivial amount of public health expenditures and lead to declines in aggregate productivity through premature death and morbidity. Changing behaviors is tricky -- public health interventions via legislation with strong enforcement mechanisms can be more effective than simple communication campaigns informing consumers about the risks associated with certain behaviors, since translating knowledge into concrete changes in behavior seems to be hard to achieve. Economic mechanisms such as taxes (especially on alcohol and tobacco products), subsidies (such as free condoms), and conditional/unconditional cash transfers are also used to reduce risky behaviors (for example in HIV prevention). Of great interest to policy makers, academics and practitioners, this book assesses the efficiency of those interventions designed to reduce the prevalence of behaviors that endanger health.

Suggested Citation

  • Damien de Walque, 2014. "Risking Your Health : Causes, Consequences, and Interventions to Prevent Risky Behaviors," World Bank Publications - Books, The World Bank Group, number 16305.
    • Handle: RePEc:wbk:wbpubs:16305
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    File URL: https://openknowledge.worldbank.org/bitstream/handle/10986/16305/9780821399064.pdf?sequence=1
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    References listed on IDEAS

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    1. Jérôme Adda & Brendon McConnell & Imran Rasul, 2014. "Crime and the Depenalization of Cannabis Possession: Evidence from a Policing Experiment," Journal of Political Economy, University of Chicago Press, vol. 122(5), pages 1130-1202.
    2. Blecher, Evan, 2008. "The impact of tobacco advertising bans on consumption in developing countries," Journal of Health Economics, Elsevier, vol. 27(4), pages 930-942, July.
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    Cited by:

    1. Oriana Bandiera & Niklas Buehren & Robin Burgess & Markus Goldstein & Selim Gulesci & Imran Rasul & Munshi Sulaiman, 2020. "Women's Empowerment in Action: Evidence from a Randomized Control Trial in Africa," American Economic Journal: Applied Economics, American Economic Association, vol. 12(1), pages 210-259, January.
    2. Mohammad H. Sepahvand & Roujman Shahbazian, 2021. "Sibling correlation in risk attitudes: evidence from Burkina Faso," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 19(1), pages 45-72, March.
    3. Jon Nelson, 2015. "Binge drinking and alcohol prices: a systematic review of age-related results from econometric studies, natural experiments and field studies," Health Economics Review, Springer, vol. 5(1), pages 1-13, December.
    4. Nelson, Jon P., 2014. "Binge Drinking, Alcohol Prices, And Alcohol Taxes," Working Papers 164652, American Association of Wine Economists.

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