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The heterogeneity of the cigarette price effect on body mass index

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  • Wehby, George L.
  • Courtemanche, Charles J.

Abstract

Previous studies estimate the average effect of cigarette price on body mass index (BMI), with recent research showing that their different methodologies all point to a negative effect after several years. This literature, however, ignores the possibility that the effect could vary throughout the BMI distribution or across socioeconomic and demographic groups due to differences in underlying obesity risks or preferences for health. We evaluate heterogeneity in the long-run impact of cigarette price on BMI by performing quantile regressions and stratifying the sample by race, education, age, and sex. Cigarette price has a highly heterogeneous negative effect that is more than three times as strong at high BMI levels – where weight loss is most beneficial for health – than at low levels. The effects are also strongest for blacks, college graduates, middle-aged adults, and women. We also assess the implications for disparities, conduct robustness checks, and evaluate potential mechanisms.

Suggested Citation

  • Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
  • Handle: RePEc:eee:jhecon:v:31:y:2012:i:5:p:719-729
    DOI: 10.1016/j.jhealeco.2012.05.007
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    Cited by:

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    2. John Cawley & Davide Dragone & Stephanie Von Hinke Kessler Scholder, 2016. "The Demand for Cigarettes as Derived from the Demand for Weight Loss: A Theoretical and Empirical Investigation," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 8-23, January.
    3. D. Dragone & F. Manaresi & L. Savorelli, 2013. "Tobacco Taxes and Smoking Bans Impact Differently on Obesity and Eating Habits," Working Papers wp878, Dipartimento Scienze Economiche, Universita' di Bologna.
    4. Kai Hong & Peter A. Savelyev & Kegon T. K. Tan, 2020. "Understanding the Mechanisms Linking College Education with Longevity," Journal of Human Capital, University of Chicago Press, vol. 14(3), pages 371-400.
    5. Amin, Vikesh & Flores, Carlos A. & Flores-Lagunes, Alfonso, 2020. "The impact of BMI on mental health: Further evidence from genetic markers," Economics & Human Biology, Elsevier, vol. 38(C).
    6. Sen Choudhury, Rebecca & Conway, Karen Smith, 2020. "The effect of tobacco policies on youth physical activity," Economics & Human Biology, Elsevier, vol. 38(C).
    7. Davide Dragone & Francesco Manaresi & Luca Savorelli, 2016. "Obesity and Smoking: can we Kill Two Birds with one Tax?," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1464-1482, November.
    8. Courtemanche, Charles & Tchernis, Rusty & Ukert, Benjamin, 2018. "The effect of smoking on obesity: Evidence from a randomized trial," Journal of Health Economics, Elsevier, vol. 57(C), pages 31-44.
    9. Adrianna Bella & Temesgen Kifle & Kam Ki Tang, 2021. "Smoke gets in your shape: The effects of smoking on body weight in Indonesia," Discussion Papers Series 646, School of Economics, University of Queensland, Australia.
    10. Michael Kvasnicka & Thomas Siedler & Nicolas R. Ziebarth, 2018. "The health effects of smoking bans: Evidence from German hospitalization data," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1738-1753, November.
    11. George Wehby & Allen Wilcox & Rolv Lie, 2013. "The impact of cigarette quitting during pregnancy on other prenatal health behaviors," Review of Economics of the Household, Springer, vol. 11(2), pages 211-233, June.
    12. MORIKAWA Masayuki, 2018. "Smoking, Obesity, and Labor Market Outcomes: Evidence from Japan," Discussion papers 18023, Research Institute of Economy, Trade and Industry (RIETI).
    13. Celidoni, Martina & Pieroni, Luca & Salmasi, Luca, 2014. "Side-effects of anti-smoking policies on health behaviors. Evidence from the US," MPRA Paper 58312, University Library of Munich, Germany.
    14. Costa-Font, Joan & Salmasi, Luca & Zaccagni, Sarah, 2021. "More Than a Ban on Smoking? Behavioural Spillovers of Smoking Bans in the Workplace," IZA Discussion Papers 14299, Institute of Labor Economics (IZA).
    15. George L. Wehby & Kwame A. Nyarko & Jorge S. Lopez‐Camelo, 2014. "Fetal Health Shocks And Early Inequalities In Health Capital Accumulation," Health Economics, John Wiley & Sons, Ltd., vol. 23(1), pages 69-92, January.
    16. D. Dragone & F. Manaresi & L. Savorelli, 2013. "Obesity and smoking: can we catch two birds with one tax?," Working Papers wp873, Dipartimento Scienze Economiche, Universita' di Bologna.
    17. Joshua C. Hall & Brad R. Humphreys & Jane E. Ruseski, 2018. "Economic Freedom and Exercise: Evidence from State Outcomes," Southern Economic Journal, John Wiley & Sons, vol. 84(4), pages 1050-1066, April.
    18. Aliaksandr Amialchuk & Kateryna Bornukova & Mir M. Ali, 2018. "Will a Decline in Smoking Increase Body Weights? Evidence from Belarus," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 44(2), pages 190-210, April.
    19. Davide, Dragone & Francesco, Manaresi & Luca, Savorelli, 2013. "Obesity and smoking: can we catch two birds with one tax?," SIRE Discussion Papers 2013-31, Scottish Institute for Research in Economics (SIRE).
    20. Joshua C. Hall & Brad R. Humphreys & Jane E. Ruseski, 2015. "Economic Freedom and Participation in Physical Activity," Working Papers 15-17, Department of Economics, West Virginia University.
    21. Karen Smith Conway & David P. Niles, 2017. "Cigarette Taxes, Smoking—and Exercise?," Health Economics, John Wiley & Sons, Ltd., vol. 26(8), pages 1019-1036, August.
    22. Erik Nesson, 2017. "Heterogeneity in Smokers' Responses to Tobacco Control Policies," Health Economics, John Wiley & Sons, Ltd., vol. 26(2), pages 206-225, February.

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    More about this item

    Keywords

    Obesity; Body mass index; Smoking; Cigarette prices; Quantile regression;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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