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Family Health Behaviors

Author

Listed:
  • Itzik Fadlon
  • Torben Heien Nielsen
Abstract
This paper studies how health behaviors and investments are shaped through family spillovers. Leveraging administrative healthcare data, we identify the effects of health shocks to individuals on their family members' consumption of preventive care and health-related behaviors. Our identification strategy utilizes the timing of shocks to construct counterfactuals for affected households using households that experience the same shock but a few years in the future. We find that spouses and adult children immediately increase their health investments and improve their health behaviors in response to family shocks, and that these effects are both significant and persistent. Notably, we show that these spillover effects are far-reaching and cascade to siblings, stepchildren, sons and daughters in-law, and even “close” coworkers. While some responses are consistent with learning new information about one's own health, evidence from cases where shocks are likely uninformative points to salience as a major operative explanation. Our results underscore the importance of one's family and social network for models of health behaviors and have potential implications for policies that aim to improve population health.

Suggested Citation

  • Itzik Fadlon & Torben Heien Nielsen, 2017. "Family Health Behaviors," NBER Working Papers 24042, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:24042
    Note: AG EH LS PE
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    1. Chad Cotti & Erik Nesson & Nathan Tefft, 2019. "Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data," Health Economics, John Wiley & Sons, Ltd., vol. 28(2), pages 219-244, February.
    2. Heather Royer & Mark Stehr & Justin Sydnor, 2015. "Incentives, Commitments, and Habit Formation in Exercise: Evidence from a Field Experiment with Workers at a Fortune-500 Company," American Economic Journal: Applied Economics, American Economic Association, vol. 7(3), pages 51-84, July.
    3. Jayachandran N. Variyam & John Cawley, 2006. "Nutrition Labels and Obesity," NBER Working Papers 11956, National Bureau of Economic Research, Inc.
    4. Uri Gneezy & Stephan Meier & Pedro Rey-Biel, 2011. "When and Why Incentives (Don't) Work to Modify Behavior," Journal of Economic Perspectives, American Economic Association, vol. 25(4), pages 191-210, Fall.
    5. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2018. "Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self‐Assessed Health," Southern Economic Journal, John Wiley & Sons, vol. 84(3), pages 660-691, January.
    6. Emily Oster, 2016. "Does Disease Cause Vaccination? Disease Outbreaks and Vaccination Response," NBER Working Papers 22464, National Bureau of Economic Research, Inc.
    7. Marianne P. Bitler & Christopher S. Carpenter, 2016. "Health Insurance Mandates, Mammography, and Breast Cancer Diagnoses," American Economic Journal: Economic Policy, American Economic Association, vol. 8(3), pages 39-68, August.
    8. Julie S. Downs & George Loewenstein & Jessica Wisdom, 2009. "Strategies for Promoting Healthier Food Choices," American Economic Review, American Economic Association, vol. 99(2), pages 159-164, May.
    9. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    10. Jessica Wisdom & Julie S. Downs & George Loewenstein, 2010. "Promoting Healthy Choices: Information versus Convenience," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 164-178, April.
    11. Michael Darden, 2017. "Smoking, Expectations, and Health: A Dynamic Stochastic Model of Lifetime Smoking Behavior," Journal of Political Economy, University of Chicago Press, vol. 125(5), pages 1465-1522.
    12. Kosali Simon & Aparna Soni & John Cawley, 2017. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(2), pages 390-417, March.
    13. Kate Ho & Ariel Pakes, 2014. "Hospital Choices, Hospital Prices, and Financial Incentives to Physicians," American Economic Review, American Economic Association, vol. 104(12), pages 3841-3884, December.
    14. Jacob Goldin & Tatiana Homonoff, 2013. "Smoke Gets in Your Eyes: Cigarette Tax Salience and Regressivity," American Economic Journal: Economic Policy, American Economic Association, vol. 5(1), pages 302-336, February.
    15. Raj Chetty & Adam Looney & Kory Kroft, 2009. "Salience and Taxation: Theory and Evidence," American Economic Review, American Economic Association, vol. 99(4), pages 1145-1177, September.
    16. Dan Acland & Matthew R. Levy, 2015. "Naiveté, Projection Bias, and Habit Formation in Gym Attendance," Management Science, INFORMS, vol. 61(1), pages 146-160, January.
    17. Acland, Dan & Levy, Matthew R., 2015. "Naiveté, projection bias, and habit formation in gym attendance," LSE Research Online Documents on Economics 66147, London School of Economics and Political Science, LSE Library.
    18. Xavier Giné & Dean Karlan & Jonathan Zinman, 2010. "Put Your Money Where Your Butt Is: A Commitment Contract for Smoking Cessation," American Economic Journal: Applied Economics, American Economic Association, vol. 2(4), pages 213-235, October.
    19. Rosemary Avery & Donald Kenkel & Dean R. Lillard & Alan Mathios, 2007. "Private Profits and Public Health: Does Advertising of Smoking Cessation Products Encourage Smokers to Quit?," Journal of Political Economy, University of Chicago Press, vol. 115(3), pages 447-481.
    20. Donald S. Kenkel & Sida Peng & Michael F. Pesko & Hua Wang, 2020. "Mostly harmless regulation? Electronic cigarettes, public policy, and consumer welfare," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1364-1377, November.
    21. Philip Babcock & Kelly Bedard & Gary Charness & John Hartman & Heather Royer, 2015. "Letting Down The Team? Social Effects Of Team Incentives," Journal of the European Economic Association, European Economic Association, vol. 13(5), pages 841-870, October.
    22. Bryan Bollinger & Phillip Leslie & Alan Sorensen, 2011. "Calorie Posting in Chain Restaurants," American Economic Journal: Economic Policy, American Economic Association, vol. 3(1), pages 91-128, February.
    23. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
    24. Loewenstein, George & Price, Joseph & Volpp, Kevin, 2016. "Habit formation in children: Evidence from incentives for healthy eating," Journal of Health Economics, Elsevier, vol. 45(C), pages 47-54.
    25. Jérôme Adda & Francesca Cornaglia, 2006. "Taxes, Cigarette Consumption, and Smoking Intensity," American Economic Review, American Economic Association, vol. 96(4), pages 1013-1028, September.
    26. Katherine L. Milkman & John Beshears & James J. Choi & David Laibson & Brigitte C. Madrian, 2011. "Using Implementation Intentions Prompts to Enhance Influenza Vaccination Rates," NBER Working Papers 17183, National Bureau of Economic Research, Inc.
    27. Stefano DellaVigna & Ulrike Malmendier, 2006. "Paying Not to Go to the Gym," American Economic Review, American Economic Association, vol. 96(3), pages 694-719, June.
    28. Andrew S. Hanks & David R. Just & Brian Wansink, "undated". "Healthy Convenience: Nudging Students Toward Healthier Choices in Lunchroom," Working Papers 2012-03, Cornell Center for Behavioral Economics in Child Nutrition Programs.
    29. Marika Cabral & Mark R. Cullen, 2017. "The Effect Of Insurance Coverage On Preventive Care," Economic Inquiry, Western Economic Association International, vol. 55(3), pages 1452-1467, July.
    30. Beshears, John Leonard & Choi, James J. & Laibson, David I. & Madrian, Brigitte & Reynolds, Gwendolyn I., 2016. "Vaccination Rates are Associated With Functional Proximity But Not Base Proximity of Vaccination Clinics," Scholarly Articles 34737827, Harvard University Department of Economics.
    31. David R. Just & Joseph Price, 2013. "Using Incentives to Encourage Healthy Eating in Children," Journal of Human Resources, University of Wisconsin Press, vol. 48(4), pages 855-872.
    32. Mariana Carrera & Heather Royer & Mark Stehr & Justin Sydnor, 2020. "The Structure of Health Incentives: Evidence from a Field Experiment," Management Science, INFORMS, vol. 66(5), pages 1890-1908, May.
    33. Cawley, John & Price, Joshua A., 2013. "A case study of a workplace wellness program that offers financial incentives for weight loss," Journal of Health Economics, Elsevier, vol. 32(5), pages 794-803.
    34. Matthew C. Farrelly & William N. Evans & Edward Montgomery, 1999. "Do Workplace Smoking Bans Reduce Smoking?," American Economic Review, American Economic Association, vol. 89(4), pages 728-747, September.
    35. Emily Oster, 2015. "Diabetes and Diet: Behavioral Response and the Value of Health," NBER Working Papers 21600, National Bureau of Economic Research, Inc.
    36. Kosali Simon & Aparna Soni & John Cawley, 2016. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the 2014 ACA Medicaid Expansions," NBER Working Papers 22265, National Bureau of Economic Research, Inc.
    37. Anca M. Grecu & Dhaval M. Dave & Henry Saffer, 2019. "Mandatory Access Prescription Drug Monitoring Programs and Prescription Drug Abuse," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(1), pages 181-209, January.
    38. Jay Bhattacharya & Alan M. Garber & Jeremy D. Goldhaber-Fiebert, 2015. "Nudges in Exercise Commitment Contracts: A Randomized Trial," NBER Working Papers 21406, National Bureau of Economic Research, Inc.
    39. Johanna Catherine Maclean & Michael F. Pesko & Steven C. Hill, 2017. "The Effect of Insurance Expansions on Smoking Cessation Medication Prescriptions: Evidence from ACA Medicaid Expansions," NBER Working Papers 23450, National Bureau of Economic Research, Inc.
    40. Downs, J.S. & Wisdom, J. & Wansink, B. & Loewenstein, G., 2013. "Supplementing menu labeling with calorie recommendations to test for facilitation effects," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 1604-1609.
    41. Andrew S. Hanks & David R. Just & Brian Wansink, 2012. "Healthy Convenience: Nudging Students Toward Healthier Choices in Lunchroom," Working Papers 03, Cornell Center for Behavioral Economics in Child Nutrition Programs.
    42. Daniel Mochon & Janet Schwartz & Josiase Maroba & Deepak Patel & Dan Ariely, 2017. "Gain Without Pain: The Extended Effects of a Behavioral Health Intervention," Management Science, INFORMS, vol. 63(1), pages 58-72, January.
    43. Jérôme Adda, 2007. "Behavior towards health risks: An empirical study using the “Mad Cow” crisis as an experiment," Journal of Risk and Uncertainty, Springer, vol. 35(3), pages 285-305, December.
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    More about this item

    JEL classification:

    • D1 - Microeconomics - - Household Behavior
    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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