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Temperature and non-communicable diseases: Evidence from Indonesia's primary health care system

Author

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  • Manuela K. Fritz
Abstract
Increasing ambient temperatures will severely affect human health in the decades to come and will exacerbate a variety of chronic health conditions. In this paper, I examine the temperature- morbidity relationship in the tropical climate environment of Indonesia with a focus on chronic, non-communicable diseases, namely diabetes, cardiovascular and respiratory diseases. Drawing on detailed individual level data from the Indonesian national health insurance scheme JKN and linking it with meteorological data on daily temperature realizations on a one spatial level, I estimate the e ect of high ambient temperatures on the daily number of primary health care visits. Exploiting the panel structure of the data and using a distributed lag model, I and that all-cause, diabetes and cardiovascular disease morbidity substantially increase at days with high mean temperatures. Specifically, on a day with a mean temperature above 29.5°C, the daily visits for diabetes and cardiovascular diseases increase by 29% and 19%, respectively, and these increases are permanent and not offset by visit displacement. Contrarily, I do not and any effects on respiratory disease morbidity. Heterogeneity analyses suggest that elderly and women suffer more severely from high temperatures. Back-of-the-envelope cost calculations indicate a substantial financial burden for the Indonesian health care system due to increasing temperatures.

Suggested Citation

  • Manuela K. Fritz, 2021. "Temperature and non-communicable diseases: Evidence from Indonesia's primary health care system," Working Papers 206, Bavarian Graduate Program in Economics (BGPE).
    • Handle: RePEc:bav:wpaper:206_fritz
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    References listed on IDEAS

    as
    1. Karlsson, Martin & Ziebarth, Nicolas R., 2018. "Population health effects and health-related costs of extreme temperatures: Comprehensive evidence from Germany," Journal of Environmental Economics and Management, Elsevier, vol. 91(C), pages 93-117.
    2. Barreca, Alan I., 2012. "Climate change, humidity, and mortality in the United States," Journal of Environmental Economics and Management, Elsevier, vol. 63(1), pages 19-34.
    3. Olivier Deschênes & Michael Greenstone, 2011. "Climate Change, Mortality, and Adaptation: Evidence from Annual Fluctuations in Weather in the US," American Economic Journal: Applied Economics, American Economic Association, vol. 3(4), pages 152-185, October.
    4. Sharon Maccini & Dean Yang, 2009. "Under the Weather: Health, Schooling, and Economic Consequences of Early-Life Rainfall," American Economic Review, American Economic Association, vol. 99(3), pages 1006-1026, June.
    5. Melissa Dell & Benjamin F. Jones & Benjamin A. Olken, 2014. "What Do We Learn from the Weather? The New Climate-Economy Literature," Journal of Economic Literature, American Economic Association, vol. 52(3), pages 740-798, September.
    6. Jennifer Manne-Goehler & Pascal Geldsetzer & Kokou Agoudavi & Glennis Andall-Brereton & Krishna K Aryal & Brice Wilfried Bicaba & Pascal Bovet & Garry Brian & Maria Dorobantu & Gladwell Gathecha & Mon, 2019. "Health system performance for people with diabetes in 28 low- and middle-income countries: A cross-sectional study of nationally representative surveys," PLOS Medicine, Public Library of Science, vol. 16(3), pages 1-21, March.
    7. Corey White, 2017. "The Dynamic Relationship between Temperature and Morbidity," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 4(4), pages 1155-1198.
    8. Mullins, Jamie T. & White, Corey, 2019. "Temperature and mental health: Evidence from the spectrum of mental health outcomes," Journal of Health Economics, Elsevier, vol. 68(C).
    9. Nickell, Stephen J, 1981. "Biases in Dynamic Models with Fixed Effects," Econometrica, Econometric Society, vol. 49(6), pages 1417-1426, November.
    10. Janine Wichmann & Zorana Andersen & Matthias Ketzel & Thomas Ellermann & Steffen Loft, 2011. "Apparent Temperature and Cause-Specific Emergency Hospital Admissions in Greater Copenhagen, Denmark," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-7, July.
    11. Olivier Deschênes & Enrico Moretti, 2009. "Extreme Weather Events, Mortality, and Migration," The Review of Economics and Statistics, MIT Press, vol. 91(4), pages 659-681, November.
    12. Delavane Diaz & Frances Moore, 2017. "Quantifying the economic risks of climate change," Nature Climate Change, Nature, vol. 7(11), pages 774-782, November.
    13. Tamma Carleton & Amir Jina & Michael Delgado & Michael Greenstone & Trevor Houser & Solomon Hsiang & Andrew Hultgren & Robert E Kopp & Kelly E McCusker & Ishan Nath & James Rising & Ashwin Rode & Hee , 2023. "Valuing the Global Mortality Consequences of Climate Change Accounting for Adaptation Costs and Benefits," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 137(4), pages 2037-2105.
    14. Alan Barreca & Karen Clay & Olivier Deschenes & Michael Greenstone & Joseph S. Shapiro, 2016. "Adapting to Climate Change: The Remarkable Decline in the US Temperature-Mortality Relationship over the Twentieth Century," Journal of Political Economy, University of Chicago Press, vol. 124(1), pages 105-159.
    15. Maximilian Auffhammer, 2018. "Quantifying Economic Damages from Climate Change," Journal of Economic Perspectives, American Economic Association, vol. 32(4), pages 33-52, Fall.
    16. Rochelle Green & Rupa Basu & Brian Malig & Rachel Broadwin & Janice Kim & Bart Ostro, 2010. "The effect of temperature on hospital admissions in nine California counties," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(2), pages 113-121, April.
    17. Wang, Limin & Kanji, Shireen & Bandyopadhyay, Sushenjit, 2009. "The health impact of extreme weather events in Sub-Saharan Africa," Policy Research Working Paper Series 4979, The World Bank.
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    More about this item

    Keywords

    Health; Non-Communicable Diseases; Temperature; Climate Change; Indonesia.;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • Q50 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - General
    • Q51 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Valuation of Environmental Effects
    • Q54 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Environmental Economics - - - Climate; Natural Disasters and their Management; Global Warming

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