Does smoking affect body weight and obesity in China?
AbstractAn inverse relationship between smoking and body weight has been documented in the medical literature, but the effect of cigarette smoking on obesity remains inconclusive. In addition, the evidence is mixed on whether rising obesity rates are an unintended consequence of successful anti-smoking policies. This study re-examines these relationships using data from China, the largest consumer and manufacturer of tobacco in the world that is also experiencing a steady rise in obesity rates. We focus on the impact of the total number of cigarettes smoked per day on individuals' body mass index (BMI) and on the likelihood of being overweight and obese. Instrumental variables estimation is used to correct for the endogeneity of cigarette smoking. We find a moderate negative and significant relationship between cigarette smoking and BMI. Smoking is also negatively related to being overweight and obese, but the marginal effects are small and statistically insignificant for being obese. Quantile regression analyses reveal that the association between smoking and BMI is quite weak among subjects whose BMIs are at the high end of the distribution but are considerably stronger among subjects in the healthy weight range. Ordered probit regression analyses also confirm these findings. Our results thus reconcile an inverse average effect of smoking on body weight with the absence of any significant effect on obesity. From a policy perspective these findings suggest that, while smoking cessation may lead to moderate weight gain among subjects of healthy weight, the effects on obese subjects are modest and should not be expected to lead to a large increase in obesity prevalence rates.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Economics & Human Biology.
Volume (Year): 7 (2009)
Issue (Month): 3 (December)
Contact details of provider:
Web page: http://www.elsevier.com/locate/inca/622964
Cigarette smoking Body weight Obesity China;
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Peter Arcidiacono & Holger Sieg & Frank Sloan, 2007.
"Living Rationally Under The Volcano? An Empirical Analysis Of Heavy Drinking And Smoking,"
International Economic Review,
Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 48(1), pages 37-65, 02.
- Peter Arcidiacono & Holger Sieg & Frank Sloan, . "Living Rationally Under the Volcano? An Empirical Analysis of Heavy Drinking and Smoking," GSIA Working Papers 2003-02, Carnegie Mellon University, Tepper School of Business.
- Peter Arcidiacono & Holger Sieg & Frank Sloan, 2001. "Living Rationally Under the Volcano? An Empirical Analysis of Heavy Drinking and Smoking," NBER Working Papers 8602, National Bureau of Economic Research, Inc.
- Trogdon, Justin G. & Nonnemaker, James & Pais, Joanne, 2008. "Peer effects in adolescent overweight," Journal of Health Economics, Elsevier, vol. 27(5), pages 1388-1399, September.
- Cawley, John & Markowitz, Sara & Tauras, John, 2004.
"Lighting up and slimming down: the effects of body weight and cigarette prices on adolescent smoking initiation,"
Journal of Health Economics,
Elsevier, vol. 23(2), pages 293-311, March.
- John Cawley & Sara Markowitz & John Tauras, 2003. "Lighting Up and Slimming Down: The Effects of Body Weight and Cigarette Prices on Adolescent Smoking Initiation," NBER Working Papers 9561, National Bureau of Economic Research, Inc.
- Charles L. Baum, 2009. "The effects of cigarette costs on BMI and obesity," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 3-19.
- Smith, Richard J & Blundell, Richard W, 1986. "An Exogeneity Test for a Simultaneous Equation Tobit Model with an Application to Labor Supply," Econometrica, Econometric Society, vol. 54(3), pages 679-85, May.
- Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004.
"An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System,"
Journal of Health Economics,
Elsevier, vol. 23(3), pages 565-587, May.
- Shin-Yi Chou & Michael Grossman & Henry Saffer, 2002. "An Economic Analysis of Adult Obesity: Results from the Behavioral Risk Factor Surveillance System," NBER Working Papers 9247, National Bureau of Economic Research, Inc.
- Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
- Rivers, Douglas & Vuong, Quang H., 1988. "Limited information estimators and exogeneity tests for simultaneous probit models," Journal of Econometrics, Elsevier, vol. 39(3), pages 347-366, November.
- Erdal Tekin & Sara Markowitz, 2008. "The Relationship between Suicidal Behavior and Productive Activities of Young Adults," Southern Economic Journal, Southern Economic Association, vol. 75(2), pages 300-331, October.
- John Cawley & Richard V. Burkhauser, 2006.
"Beyond BMI: The Value of More Accurate Measures of Fatness and Obesity in Social Science Research,"
NBER Working Papers
12291, National Bureau of Economic Research, Inc.
- Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
- Hana Ross & Frank J. Chaloupka & Melanie Wakefield, 2006.
"Youth Smoking Uptake Progress: Price and Public Policy Effects,"
Eastern Economic Journal,
Eastern Economic Association, vol. 32(2), pages 355-367, Spring.
- Ross, Hana PhD & Chaloupka, Frank J. PhD & Wakefield, Melanie PhD, 2003. "Youth Smoking Uptake Progress: Price and Public Policy Effects," University of California at San Francisco, Center for Tobacco Control Research and Education qt59d1z56k, Center for Tobacco Control Research and Education, UC San Francisco.
- Jeffrey M Wooldridge, 2010.
"Econometric Analysis of Cross Section and Panel Data,"
MIT Press Books,
The MIT Press,
edition 2, volume 1, number 0262232588, January.
- Jeffrey M. Wooldridge, 2001. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262232197, January.
- Roger Koenker & Kevin F. Hallock, 2001.
Journal of Economic Perspectives,
American Economic Association, vol. 15(4), pages 143-156, Fall.
- Emery, Sherry & White, Martha M. & Pierce, John P., 2001. "Does cigarette price influence adolescent experimentation?," Journal of Health Economics, Elsevier, vol. 20(2), pages 261-270, March.
- Mikael Bask & Maria Melkersson, 2004.
"Rationally addicted to drinking and smoking?,"
Taylor & Francis Journals, vol. 36(4), pages 373-381.
- Sokbae 'Simon' Lee, 2004.
"Endogeneity in quantile regression models: a control function approach,"
CeMMAP working papers
CWP08/04, Centre for Microdata Methods and Practice, Institute for Fiscal Studies.
- Lee, Sokbae, 2007. "Endogeneity in quantile regression models: A control function approach," Journal of Econometrics, Elsevier, vol. 141(2), pages 1131-1158, December.
- Sokbae Lee, 2004. "Endogeneity in Quantile Regression Models: A Control Function Approach," Econometric Society 2004 North American Summer Meetings 521, Econometric Society.
- John Cawley & Sara Markowitz & John Tauras, 2006. "Obesity, Cigarette Prices, Youth Access Laws, and Adolescent Smoking Initiation," Eastern Economic Journal, Eastern Economic Association, vol. 32(1), pages 149-170, Winter.
- Morris, Stephen, 2007. "The impact of obesity on employment," Labour Economics, Elsevier, vol. 14(3), pages 413-433, June.
- Terza, Joseph V. & Basu, Anirban & Rathouz, Paul J., 2008. "Two-stage residual inclusion estimation: Addressing endogeneity in health econometric modeling," Journal of Health Economics, Elsevier, vol. 27(3), pages 531-543, May.
- James Nonnemaker & Eric Finkelstein & Mark Engelen & Thomas Hoerger & Matthew Farrelly, 2009. "Have Efforts To Reduce Smoking Really Contributed To The Obesity Epidemic?," Economic Inquiry, Western Economic Association International, vol. 47(2), pages 366-376, 04.
- Morris, Stephen, 2006. "Body mass index and occupational attainment," Journal of Health Economics, Elsevier, vol. 25(2), pages 347-364, March.
- Gruber, Jonathan & Frakes, Michael, 2006. "Does falling smoking lead to rising obesity?," Journal of Health Economics, Elsevier, vol. 25(2), pages 183-197, March.
- Sandra L. Decker & Amy Ellen Schwartz, 2000. "Cigarettes and Alcohol: Substitutes or Complements?," NBER Working Papers 7535, National Bureau of Economic Research, Inc.
- repec:ese:iserwp:2010-41 is not listed on IDEAS
- Pieroni, Luca & Salmasi, Luca, 2010.
"Body weight and socio-economic determinants: quantile estimations from the British Household Panel Survey,"
26434, University Library of Munich, Germany.
- Liu, Hong & Fang, Hai & Zhao, Zhong, 2013.
"Urban–rural disparities of child health and nutritional status in China from 1989 to 2006,"
Economics & Human Biology,
Elsevier, vol. 11(3), pages 294-309.
- Liu, Hong & Fang, Hai & Zhao, Zhong, 2012. "Urban-Rural Disparities of Child Health and Nutritional Status in China from 1989 to 2006," IZA Discussion Papers 6528, Institute for the Study of Labor (IZA).
- Wehby, George L. & Murray, Jeffrey C. & Wilcox, Allen & Lie, Rolv T., 2012. "Smoking and body weight: Evidence using genetic instruments," Economics & Human Biology, Elsevier, vol. 10(2), pages 113-126.
- Mir M. Ali, 2012. "Social Learning Theory, Cigarette Taxes and Adolescent Smoking Behavior," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), Justus-Liebig University Giessen, Department of Statistics and Economics, vol. 232(6), pages 633-651, November.
- Aliaksandr Amialchuk & Kateryna Bornukova & Mir M. Ali, 2012. "Smoking and Obesity Revisited: Evidence from Belarus," BEROC Working Paper Series 19, Belarusian Economic Research and Outreach Center (BEROC).
- Loh, Chung-Ping A. & Li, Qiang, 2013. "Peer effects in adolescent bodyweight: Evidence from rural China," Social Science & Medicine, Elsevier, vol. 86(C), pages 35-44.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.