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Self-assessed health as a key determinant of lifestyles: An application to tobacco consumption in Argentina

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Author Info
Mariana Conte Grand
Vanesa D´Elia

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Abstract

The relationship between lifestyle choices and health has been widely studied in the epidemiological and economic literature. In the last years, empirical research was directed towards the use of recursive systems with structural equations for a health production function and reduced form equations for lifestyles. As a result, behaviors toward health are taken to be determined by exogenous socio-economic variables. In this article, we show that health is a key determinant of health habits. When people feel well, they adopt less healthy behaviors. We use maximum simulated likelihood for a multivariate 5 equation probit model. In that model, lifestyles (diet, exercise, alcohol consumption and smoking) are a function of exogenous socioeconomic variables and self-reported health. Self-reported health varies with socio-economic characteristics and depends on health indicators that are the consequence of lifestyles undertaken in the past (i.e., overweight, blood pressure, diabetes and cholesterol levels). Data is that of adults in Argentina´s 2005 Risk Factors National Survey. We find that health partial effects on lifestyle are much larger having accounted for health endogeneity. Accounting for unobservable variables that jointly determine all lifestyles does not change much the magnitude of our results. Our findings are robust to different specifications.

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Publisher Info
Paper provided by Universidad del CEMA in its series CEMA Working Papers: Serie Documentos de Trabajo. with number 375.

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Length: 27 pages
Date of creation: Jul 2008
Date of revision:
Handle: RePEc:cem:doctra:375

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Related research
Keywords: lifestyles; health;

Find related papers by JEL classification:
I10 - Health, Education, and Welfare - - Health - - - General
I12 - Health, Education, and Welfare - - Health - - - Health Production

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References listed on IDEAS
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    Other versions:
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    Other versions:
  5. Wilde, Joachim, 2000. "Identification of multiple equation probit models with endogenous dummy regressors," Economics Letters, Elsevier, vol. 69(3), pages 309-312, December. [Downloadable!] (restricted)
  6. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September. [Downloadable!] (restricted)
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  7. Janet Currie & Rosemary Hyson, 1999. "Is the Impact of Health Shocks Cushioned by Socioeconomic Status? The Case of Low Birthweight," NBER Working Papers 6999, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  8. Knapp, Laura Greene & Seaks, Terry G, 1998. "A Hausman Test for a Dummy Variable in Probit," Applied Economics Letters, Taylor and Francis Journals, vol. 5(5), pages 321-23, May. [Downloadable!] (restricted)
  9. Ahmed Khwaja & Frank Sloan & Sukyung Chung, 2006. "The Effects of Spousal Health on the Decision to Smoke: Evidence on Consumption Externalities, Altruism and Learning Within the Household," Journal of Risk and Uncertainty, Springer, vol. 32(1), pages 17-35, January. [Downloadable!] (restricted)
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