Decomposing body mass index gaps between Mediterranean countries: A counterfactual quantile regression analysis
AbstractWide cross-country variation in obesity rates has been reported between European Union member states. Although the existing cross-country differences have not been analyzed in depth, they contain important information on health production determinants. In this paper we apply a methodology for conducting standardized cross-country comparisons of body mass index (BMI). We draw on estimations of the marginal density function of BMI for Italy and Spain in 2003, two countries with similar GDP and socio-economic conditions. We produce different counterfactual distribution estimates using covariates (health production inputs) specified in a quantile regression. Our findings suggest that Spain-to-Italy BMI gaps among females are largely explained by cross-country variation in the returns to each covariate, especially for younger women. We find that adverse underlying determinants do not explain the gap observed in particular between younger Spanish females and their Italian counterfactuals; behavioural differences appear to be the key. We tentatively conclude that Spanish policy on obesity should target mainly younger females.
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Bibliographic InfoArticle provided by Elsevier in its journal Economics & Human Biology.
Volume (Year): 7 (2009)
Issue (Month): 3 (December)
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Web page: http://www.elsevier.com/locate/inca/622964
BMI Country weight gap Quantile regression Counterfactual decomposition Mediterranean countries Italy Spain;
Other versions of this item:
- Joan Costa-Font & Daniele Fabbri & Joan Gil, 2008. "Decomposing Body Mass Index Gaps Between Mediterranean Countries: A Counterfactual Quantile Regression Analysis," Working Papers 2008-11, FEDEA.
- Costa-Font, J & Fabbri, D & Gil, J, 2008. "Decomposing Bodymass Index gaps between Mediterranean countries: A Counterfactual Quantile Regression Analysis," Health, Econometrics and Data Group (HEDG) Working Papers 08/02, HEDG, c/o Department of Economics, University of York.
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
- J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination
- J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
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- Morris, Stephen, 2007. "The impact of obesity on employment," Labour Economics, Elsevier, vol. 14(3), pages 413-433, June.
- Angel López-Nicolás & Jaume García & Pedro J. Hernández, 2001.
"How wide is the gap? An investigation of gender wage differences using quantile regression,"
Springer, vol. 26(1), pages 149-167.
- Jaume Garcia & Pedro J. Hernández & Ángel López Nicolás, 1998. "How wide is the gap? An investigation of gender wage differences using quantile regression," Economics Working Papers 287, Department of Economics and Business, Universitat Pompeu Fabra.
- Christopher J. Ruhm, 2007.
"Current and Future Prevalence of Obesity and Severe Obesity in the United States,"
NBER Working Papers
13181, National Bureau of Economic Research, Inc.
- Ruhm Christopher J, 2007. "Current and Future Prevalence of Obesity and Severe Obesity in the United States," Forum for Health Economics & Policy, De Gruyter, vol. 10(2), pages 1-28, September.
- John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
- José Mata & José A. F. Machado, 2005. "Counterfactual decomposition of changes in wage distributions using quantile regression," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 20(4), pages 445-465.
- 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.
- 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.
- Pierre-Carl Michaud & Arthur van Soest & Tatiana Andreyeva, 2007.
"Cross-Country Variation in Obesity Patterns among Older Americans and Europeans,"
495, RAND Corporation Publications Department.
- Michaud Pierre-Carl & van Soest Arthur H.O. & Andreyeva Tatiana, 2007. "Cross-Country Variation in Obesity Patterns among Older Americans and Europeans," Forum for Health Economics & Policy, De Gruyter, vol. 10(2), pages 1-32, December.
- Pierre-Carl Michaud & Arthur van Soest & Tatiana Andreyeva, 2007. "Cross-Country Variation in Obesity Patterns among Older Americans and Europeans," Social and Economic Dimensions of an Aging Population Research Papers 185, McMaster University.
- Albrecht, James & Björklund, Anders & Vroman, Susan, 2001.
"Is There a Glass Ceiling in Sweden?,"
IZA Discussion Papers
282, Institute for the Study of Labor (IZA).
- Koenker,Roger, 2005.
Cambridge University Press, number 9780521845731, December.
- Gruber, Jonathan & Frakes, Michael, 2006. "Does falling smoking lead to rising obesity?," Journal of Health Economics, Elsevier, vol. 25(2), pages 183-197, March.
- Wiji Arulampalam & Alison L. Booth & Mark L. Bryan, 2007.
"Is There a Glass Ceiling over Europe? Exploring the Gender Pay Gap across the Wage Distribution,"
Industrial and Labor Relations Review,
ILR Review, Cornell University, ILR School, vol. 60(2), pages 163-186, January.
- Arulampalam, Wiji & Booth, Alison L. & Bryan, Mark L., 2004. "Is There a Glass Ceiling over Europe? Exploring the Gender Pay Gap across the Wages Distribution," IZA Discussion Papers 1373, Institute for the Study of Labor (IZA).
- Wiji Arulampalam & Alison Booth & Mark L. Bryan, 2006. "Is There a Glass Ceiling over Europe? Exploring the Gender Pay Gap across the Wages Distribution," CEPR Discussion Papers 510, Centre for Economic Policy Research, Research School of Economics, Australian National University.
- David M. Cutler & Adriana Lleras-Muney, 2006. "Education and Health: Evaluating Theories and Evidence," NBER Working Papers 12352, National Bureau of Economic Research, Inc.
- Morris, Stephen, 2006. "Body mass index and occupational attainment," Journal of Health Economics, Elsevier, vol. 25(2), pages 347-364, March.
- Kan, Kamhon & Tsai, Wei-Der, 2004.
"Obesity and risk knowledge,"
Journal of Health Economics,
Elsevier, vol. 23(5), pages 907-934, September.
- Brunello, Giorgio & Michaud, Pierre-Carl & Sanz-de-Galdeano, Anna, 2008.
"The Rise in Obesity across the Atlantic: An Economic Perspective,"
IZA Discussion Papers
3529, Institute for the Study of Labor (IZA).
- Giorgio Brunello & Pierre-Carl Michaud & Anna Sanz de Galdeano, 2008. "The Rise in Obesity Across the Atlantic: An Economic Perspective," Working Papers 2008-21, FEDEA.
- Giorgio Brunello & Pierre-Carl Michaud & Anna Sanz-de-Galdeano, 2008. "The Rise in Obesity Across the Atlantic: An Economic Perspective," Working Papers 586, RAND Corporation Publications Department.
- Koenker, Roger W & Bassett, Gilbert, Jr, 1978. "Regression Quantiles," Econometrica, Econometric Society, vol. 46(1), pages 33-50, January.
- Gil, Joan & Mora, Toni, 2011.
"The determinants of misreporting weight and height: The role of social norms,"
Economics & Human Biology,
Elsevier, vol. 9(1), pages 78-91, January.
- Joan Gil & Toni Mora, 2009. "The Determinants of Misreporting Weight and Height: The Role of Social Norms," Working Papers 2009-01, FEDEA.
- David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003.
"Why Have Americans Become More Obese?,"
Harvard Institute of Economic Research Working Papers
1994, Harvard - Institute of Economic Research.
- Costa-Font, Joan & Gil, Joan, 2005. "Obesity and the incidence of chronic diseases in Spain: A seemingly unrelated probit approach," Economics & Human Biology, Elsevier, vol. 3(2), pages 188-214, July.
- Anna Sanz De Galdeano, 2005.
"The Obesity Epidemic in Europe,"
CSEF Working Papers
143, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
- Cutler, David & Shapiro, Jesse & Glaeser, Edward, 2003. "Why Have Americans Become More Obese," Scholarly Articles 2640583, Harvard University Department of Economics.
- Joan Costa-Font & Joan Gil, .
"Social interactions and the contemporaneous determinants of individuals’ weight,"
- Joan Costa-Font & Joan Gil, 2004. "Social interactions and the contemporaneous determinants of individuals' weight," Applied Economics, Taylor & Francis Journals, vol. 36(20), pages 2253-2263.
- Costa-Font, Joan & Gil, Joan, 2008. "What lies behind socio-economic inequalities in obesity in Spain A decomposition approach," Food Policy, Elsevier, vol. 33(1), pages 61-73, February.
- Arendt, Jacob Nielsen, 2005. "Does education cause better health? A panel data analysis using school reforms for identification," Economics of Education Review, Elsevier, vol. 24(2), pages 149-160, April.
- Paul Contoyannis & John Wildman, 2007. "Using relative distributions to investigate the body mass index in England and Canada," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 929-944.
- Gerdtham, Ulf-G & Lundborg, Petter & Lyttkens, Carl Hampus & Nystedt, Paul, 2012. "Do Socioeconomic Factors Really Explain Income-Related Inequalities in Health? Applying a Twin Design to Standard Decomposition Analysis," Working Papers 2012:21, Lund University, Department of Economics.
- Natina Yaduma & Mika Kortelainen & Ada Wossink, 2013. "The Environmental Kuznets Curve at Different Levels of Economic Development: A Counterfactual Quantile Regression Analysis for CO2 Emissions," The School of Economics Discussion Paper Series 1322, Economics, The University of Manchester.
- L. Pieroni & D. Lanari & L. Salmasi, 2013.
"Food prices and overweight patterns in Italy,"
The European Journal of Health Economics,
Springer, vol. 14(1), pages 133-151, February.
- Luca Pieroni & Donatella Lanari & Luca Salmasi, 2010. "Food Prices and Overweight Patterns in Italy," EERI Research Paper Series EERI_RP_2010_40, Economics and Econometrics Research Institute (EERI), Brussels.
- Pieroni, Luca & Lanari, Donatella & Salmasi, Luca, 2010. "Food Prices and Overweight Patterns in Italy," MPRA Paper 23744, University Library of Munich, Germany.
- 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.
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