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Are mature smokers misinformed?

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Listed:
  • Khwaja, Ahmed
  • Silverman, Dan
  • Sloan, Frank
  • Wang, Yang

Abstract

While there are many reasons to continue to smoke in spite of its consequences for health, the concern that many smoke because they misperceive the risks of smoking remains a focus of public discussion and motivates tobacco control policies and litigation. In this paper we investigate the relative accuracy of mature smokers' risk perceptions about future survival, and a range of morbidities and disabilities. Using data from the survey on smoking (SOS) conducted for this research, we compare subjective beliefs elicited from the SOS with corresponding individual-specific objective probabilities estimated from the health and retirement study. Overall, consumers in the age group studied, 50-70, are not overly optimistic in their perceptions of health risk. If anything, smokers tend to be relatively pessimistic about these risks. The finding that smokers are either well informed or pessimistic regarding a broad range of health risks suggests that these beliefs are not pivotal in the decision to continue smoking. Although statements by the tobacco companies may have been misleading and thus encouraged some to start smoking, we find no evidence that systematic misinformation about the health consequences of smoking inhibits quitting.

Suggested Citation

  • Khwaja, Ahmed & Silverman, Dan & Sloan, Frank & Wang, Yang, 2009. "Are mature smokers misinformed?," Journal of Health Economics, Elsevier, vol. 28(2), pages 385-397, March.
  • Handle: RePEc:eee:jhecon:v:28:y:2009:i:2:p:385-397
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    References listed on IDEAS

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    1. Taylor Jr., D.H. & Hasselblad, V. & Henley, S.J. & Thun, M.J. & Sloan, F.A., 2002. "Erratum: Benefits of smoking cessation for longevity (American Journal of Public Health (2002) 92 (990-996))," American Journal of Public Health, American Public Health Association, vol. 92(9), pages 1389-1389.
    2. Viscusi, W Kip, 1990. "Do Smokers Underestimate Risks?," Journal of Political Economy, University of Chicago Press, vol. 98(6), pages 1253-1269, December.
    3. Li Gan & Michael D. Hurd & Daniel L. McFadden, 2005. "Individual Subjective Survival Curves," NBER Chapters, in: Analyses in the Economics of Aging, pages 377-412, National Bureau of Economic Research, Inc.
    4. Michael D. Hurd & Kathleen McGarry, 2002. "The Predictive Validity of Subjective Probabilities of Survival," Economic Journal, Royal Economic Society, vol. 112(482), pages 966-985, October.
    5. Taylor Jr., D.H. & Hasselblad, V. & Henley, S.J. & Thun, M.J. & Sloan, F.A., 2002. "Benefits of smoking cessation for longevity," American Journal of Public Health, American Public Health Association, vol. 92(6), pages 990-996.
    6. Ahmed Khwaja & Frank Sloan & Sukyung Chung, 2007. "The relationship between individual expectations and behaviors: Mortality expectations and smoking decisions," Journal of Risk and Uncertainty, Springer, vol. 35(2), pages 179-201, October.
    7. V. Kerry Smith & Donald H. Taylor & Frank A. Sloan & F. Reed Johnson & William H. Desvousges, 2001. "Do Smokers Respond To Health Shocks?," The Review of Economics and Statistics, MIT Press, vol. 83(4), pages 675-687, November.
    8. V. Kerry Smith & Donald H. Taylor & Frank A. Sloan, 2001. "Longevity Expectations and Death: Can People Predict Their Own Demise?," American Economic Review, American Economic Association, vol. 91(4), pages 1126-1134, September.
    9. Charles F. Manski, 2004. "Measuring Expectations," Econometrica, Econometric Society, vol. 72(5), pages 1329-1376, September.
    10. W. Kip Viscusi & Jahn Hakes, 2003. "Risk ratings that do not measure probabilities," Journal of Risk Research, Taylor & Francis Journals, vol. 6(1), pages 23-43, January.
    11. Viscusi, W Kip, 1991. "Age Variations in Risk Perceptions and Smoking Decisions," The Review of Economics and Statistics, MIT Press, vol. 73(4), pages 577-588, November.
    12. Schoenbaum, M., 1997. "Do smokers understand the mortality effects of smoking? Evidence from the health and retirement survey," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 755-759.
    13. Lancaster, Tony, 1979. "Econometric Methods for the Duration of Unemployment," Econometrica, Econometric Society, vol. 47(4), pages 939-956, July.
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