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Smoking Cessation and Lifestyle Changes

In: Frontiers in Health Policy Research, Volume 6

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  • Gabriel Picone
  • Frank Sloan

Abstract

We used the first five waves of the Health and Retirement Study (HRS) to study three distinct but possibly interrelated phenomena: smoking cessation, changes in alcohol consumption, and changes in weight. The HRS is well suited for our study because it contains smoking and drinking behavior measures; weight; detailed financial, demographic, and health data; and health conditions existing at baseline and those newly occurring. Men who quit smoking within two years before the interview reduced daily alcohol consumption by about 0.1 to 0.15. Smoking cessation did not affect alcohol consumption for women. Unlike men, for whom there was no interaction between smoking cessation and problem drinking, female problem drinkers who quit smoking during the last two years reduced daily alcohol consumption by about 0.3 to 0.4 drinks per day on average, but the effect was only temporary. Quitting or starting heavy drinking had no effect on smoking cessation for either gender. Smoking cessation led to an increase in body mass index (BMI), both for men and for women. Furthermore, the effect increased with duration of smoking cessation. For men, BMI increased by 0.28 in the first two years after smoking cessation, but by almost 0.7 among male smokers who had quit more than two years previously. For females, the short-run effect of smoking cessation was larger, but the long-run effect was about the same as for men. A 0.7 increase in BMI is equivalent to about a five-pound increase in weight for a person who is 5 feet, 11 inches tall. Overall, our longitudinal analysis of HRS data shows that smoking cessation is negatively associated with alcohol consumption and positively associated with weight gain. The specific nature of the link between smoking cessation and alcohol consumption differs between the genders.

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This chapter was published in:

  • David M. Cutler & Alan M. Garber, 2003. "Frontiers in Health Policy Research, Volume 6," NBER Books, National Bureau of Economic Research, Inc, number cutl03-1, January.
    This item is provided by National Bureau of Economic Research, Inc in its series NBER Chapters with number 9866.

    Handle: RePEc:nbr:nberch:9866

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    References

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    1. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, University of Chicago Press, vol. 96(4), pages 675-700, August.
    2. 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.
    3. 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.
    4. Andrew Clark & Fabrice Etilé, 2001. "Do Health Changes Affect Smoking? Evidence from British Panel Data," DELTA Working Papers 2001-16, DELTA (Ecole normale supérieure).
    5. Goldbaum, David, 2000. "Life Cycle Consumption of a Harmful and Addictive Good," Economic Inquiry, Western Economic Association International, Western Economic Association International, vol. 38(3), pages 458-69, July.
    6. Jonathan Gruber & Botond Köszegi, 2001. "Is Addiction "Rational"? Theory And Evidence," The Quarterly Journal of Economics, MIT Press, MIT Press, vol. 116(4), pages 1261-1303, November.
    7. Douglas, Stratford, 1998. "The Duration of the Smoking Habit," Economic Inquiry, Western Economic Association International, Western Economic Association International, vol. 36(1), pages 49-64, January.
    8. Dee, Thomas S., 1999. "The complementarity of teen smoking and drinking," Journal of Health Economics, Elsevier, vol. 18(6), pages 769-793, December.
    9. Chaloupka, Frank J. & Warner, Kenneth E., 2000. "The economics of smoking," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 29, pages 1539-1627 Elsevier.
    10. James P. Ziliak & Thomas J. Kniesner, 1998. "The Importance of Sample Attrition in Life Cycle Labor Supply Estimation," Journal of Human Resources, University of Wisconsin Press, vol. 33(2), pages 507-530.
    11. William N. Evans & Matthew C. Farrelly, 1998. "The Compensating Behavior of Smokers: Taxes, Tar, and Nicotine," RAND Journal of Economics, The RAND Corporation, vol. 29(3), pages 578-595, Autumn.
    12. Jones, Andrew M., 1994. "Health, addiction, social interaction and the decision to quit smoking," Journal of Health Economics, Elsevier, vol. 13(1), pages 93-110, March.
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    Cited by:
    1. Donald S. Kenkel & Dean R. Lillard & Alan D. Mathios, 2004. "Accounting for misclassification error in retrospective smoking data," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1031-1044.
    2. Courtemanche, Charles, 2009. "Rising cigarette prices and rising obesity: Coincidence or unintended consequence?," Journal of Health Economics, Elsevier, vol. 28(4), pages 781-798, July.
    3. Gabriel A. Picone & Frank Sloan & Justin G. Trogdon, 2004. "The effect of the tobacco settlement and smoking bans on alcohol consumption," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1063-1080.

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