Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health
Abstract
We use British panel data to explore the exogenous impact of income on a number of individual health outcomes: general health status, mental health, physical health problems, and health behaviours (drinking and smoking). Lottery winnings allow us to make causal statements regarding the effect of income on health, as the amount won is largely exogenous. These positive income shocks have no significant effect on general health, but a large positive effect on mental health. This result seems paradoxical on two levels. First, there is a well-known status gradient in health in cross-section data, and, second, general health should partly reflect mental health, so that we may expect both variables to move in the same direction. We propose a solution to the first apparent paradox by underlining the endogeneity of income. For the second, we show that exogenous income is associated with greater risky health behaviours: lottery winners smoke more and engage in more social drinking. General health will pick up both mental health and the effect of these behaviours, and so may not improve following a positive income shock. This paper presents the first microeconomic analogue of previous work which has highlighted the negative health consequences of good macroeconomic conditions.Download Info
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.Bibliographic Info
Paper provided by Fondazione Eni Enrico Mattei in its series Working Papers with number 2009.96.Length:
Date of creation: Nov 2009
Date of revision:
Handle: RePEc:fem:femwpa:2009.96
Contact details of provider:
Postal: Corso Magenta, 63 - 20123 Milan
Phone: 0039-2-52036934
Fax: 0039-2-52036946
Email:
Web page: http://www.feem.it/
More information through EDIRC
Related research
Keywords: Income; Self-assessed health; Mental health; Smoking; Drinking;Other versions of this item:
- Apouey, Bénédicte & Clark, Andrew E., 2010. "Winning Big but Feeling No Better? The Effect of Lottery Prizes on Physical and Mental Health," IZA Discussion Papers 4730, Institute for the Study of Labor (IZA).
- Bénédicte Apouey & Andrew E. Clark, 2009. "Winning big but feeling no better? The effect of lottery prizes on physical and mental health," PSE Working Papers halshs-00566789, HAL.
- D1 - Microeconomics - - Household Behavior
- I1 - Health, Education, and Welfare - - Health
- I3 - Health, Education, and Welfare - - Welfare and Poverty
This paper has been announced in the following NEP Reports:
- NEP-ALL-2010-01-16 (All new papers)
- NEP-HEA-2010-01-16 (Health Economics)
- NEP-LTV-2010-01-16 (Unemployment, Inequality & Poverty)
References
References listed on IDEASPlease report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Kuhn, Peter J & Kooreman, Peter & Soetevent, Adriaan & Kapteyn, Arie, 2008.
"The Own and Social Effects of an Unexpected Income Shock: Evidence from the Dutch Postcode Lottery,"
University of California at Santa Barbara, Economics Working Paper Series
qt07k895v4, Department of Economics, UC Santa Barbara.
- Peter Kuhn & Peter Kooreman & Adriaan R. Stoetevent & Arie Kapteyn, 2008. "The Own and Social Effects of an Unexpected Income Shock: Evidence from the Dutch Postcode Lottery," Working Papers 574, RAND Corporation Publications Department.
- Peter J. Kuhn & Peter Kooreman & Adriaan R. Soetevent & Arie Kapteyn, 2008. "The Own and Social Effects of an Unexpected Income Shock: Evidence from the Dutch Postcode Lottery," NBER Working Papers 14035, National Bureau of Economic Research, Inc.
- Andrew Henley, 2004. "House Price Shocks, Windfall Gains and Hours of Work: British Evidence," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 66(4), pages 439-456, 09.
- Ruhm, Christopher J., 2003.
"Healthy Living in Hard Times,"
IZA Discussion Papers
711, Institute for the Study of Labor (IZA).
- Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
- Christopher J. Ruhm, 2003. "Healthy Living in Hard Times," NBER Working Papers 9468, National Bureau of Economic Research, Inc.
- Andrew E. Clark, 2003.
"Unemployment as a Social Norm: Psychological Evidence from Panel Data,"
Journal of Labor Economics,
University of Chicago Press, vol. 21(2), pages 289-322, April.
- Andrew Clark, 2001. "Unemployment As A Social Norm: Psychological Evidence from Panel Data," DELTA Working Papers 2001-17, DELTA (Ecole normale supérieure).
- Jonathan Meer & Douglas L. Miller & Harvey S. Rosen, 2003.
"Exploring the Health-Wealth Nexus,"
NBER Working Papers
9554, National Bureau of Economic Research, Inc.
- Meer, Jonathan & Miller, Douglas L. & Rosen, Harvey S., 2003. "Exploring the health-wealth nexus," Journal of Health Economics, Elsevier, vol. 22(5), pages 713-730, September.
- Andrew J. Oswald & Rainer Winkelmann, 2008. "Delay and Deservingness after Winning the Lottery," Working Papers 0815, University of Zurich, Socioeconomic Institute.
- Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-27, May.
- Peter Kuhn & Peter Kooreman & Adriaan R. Soetevent & Arie Kapteyn, 2008. "The Own and Social Effects of an Unexpected Income Shock," Tinbergen Institute Discussion Papers 08-048/1, Tinbergen Institute, revised 05 May 2010.
- Clark, Andrew E & Oswald, Andrew J, 1994. "Unhappiness and Unemployment," Economic Journal, Royal Economic Society, vol. 104(424), pages 648-59, May.
- John Ermisch & Marco Francesconi & David J. Pevalin, 2004. "Parental partnership and joblessness in childhood and their influence on young people's outcomes," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 167(1), pages 69-101.
- Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
- Adda, Jérôme & Banks, James & Gaudecker, Hans-Martin von, 2008.
"The Impact of Income Shocks on Health: Evidence from Cohort Data,"
IZA Discussion Papers
3329, Institute for the Study of Labor (IZA).
- Jér�me Adda & James Banks & Hans-Martin von Gaudecker, 2009. "The Impact of Income Shocks on Health: Evidence from Cohort Data," Journal of the European Economic Association, MIT Press, vol. 7(6), pages 1361-1399, December.
- Jérome Adda & James Banks & Hans-Martin von Gaudecker, 2007. "The Impact of Income Shocks on Health: Evidence from Cohort Data," MEA discussion paper series 07146, Munich Center for the Economics of Aging (MEA) at the Max Planck Institute for Social Law and Social Policy.
- Jerome Adda & James Banks & Hans-Martin von Gaudecker, 2007. "The impact of income shocks on health: evidence from cohort data," IFS Working Papers W07/05, Institute for Fiscal Studies.
- Christopher J. Ruhm, 2001. "Economic Expansions Are Unhealthy: Evidence from Microdata," NBER Working Papers 8447, National Bureau of Economic Research, Inc.
- Christopher J. Ruhm, 2000.
"Are Recessions Good For Your Health?,"
The Quarterly Journal of Economics,
MIT Press, vol. 115(2), pages 617-650, May.
- Christopher J. Ruhm, 1996. "Are Recessions Good For Your Health?," NBER Working Papers 5570, National Bureau of Economic Research, Inc.
- Taylor, Mark P, 2001.
"Self-Employment and Windfall Gains in Britain: Evidence from Panel Data,"
Economica,
London School of Economics and Political Science, vol. 68(272), pages 539-65, November.
- Taylor, Mark P, 1999. "Self-Employment and Windfall Gains in Britain: Evidence From Panel Data," CEPR Discussion Papers 2084, C.E.P.R. Discussion Papers.
- Gardner, Jonathan & Oswald, Andrew J., 2006.
"Money and Mental Wellbeing: A Longitudinal Study of Medium-Sized Lottery Wins,"
IZA Discussion Papers
2233, Institute for the Study of Labor (IZA).
- Gardner, Jonathan & Oswald, Andrew J., 2007. "Money and mental wellbeing: A longitudinal study of medium-sized lottery wins," Journal of Health Economics, Elsevier, vol. 26(1), pages 49-60, January.
- Gardner, Jonathan & Oswald, Andrew J., 2006. "Money and Mental Wellbeing : A Longitudinal Study of Medium-Sized Lottery Wins," The Warwick Economics Research Paper Series (TWERPS) 754, University of Warwick, Department of Economics.
- Guido W. Imbens & Donald B. Rubin & Bruce I. Sacerdote, 2001. "Estimating the Effect of Unearned Income on Labor Earnings, Savings, and Consumption: Evidence from a Survey of Lottery Players," American Economic Review, American Economic Association, vol. 91(4), pages 778-794, September.
- Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005.
"The causal effect of income on health: Evidence from German reunification,"
Journal of Health Economics,
Elsevier, vol. 24(5), pages 997-1017, September.
- Paul Frijters, 2005. "The causal effect of income on health: Evidence from German reunification," Paul Frijters Discussion Papers 2005-2, School of Economics and Finance, Queensland University of Technology.
- N Powdthavee, 2008.
"Ill-Health as a Household Norm: Evidence from Other People's Health Problems,"
Discussion Papers
08/21, Department of Economics, University of York.
- Powdthavee, Nattavudh, 2009. "Ill-health as a household norm: Evidence from other people's health problems," Social Science & Medicine, Elsevier, vol. 68(2), pages 251-259, January.
- James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
- van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
- Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
- Lindh, Thomas & Ohlsson, Henry, 1996. "Self-Employment and Windfall Gains: Evidence from the Swedish Lottery," Economic Journal, Royal Economic Society, vol. 106(439), pages 1515-26, November.
Citations
Blog mentions
As found by EconAcademics.org, the blog aggregator for Economics research:- Lottery wins and health
by Economic Logician in Economic Logic on 2010-02-03 15:06:00
Cited by:
- John Gathergood & Eleonora Fichera, .
"House Prices, Home Equity and Health,"
Discussion Papers
12/07, University of Nottingham, School of Economics.
- Fichera, E.; & Gathergood, J.;, 2013. "House Prices, Home Equity and Health," Health, Econometrics and Data Group (HEDG) Working Papers 13/01, HEDG, c/o Department of Economics, University of York.
- Djemaï, Elodie, . "HIV-Related Risk Taking Behavior and Income Uncertainty : Empirical Evidence from Sub-Saharan Africa," Open Access publications from Université Paris-Dauphine urn:hdl:123456789/7310, Université Paris-Dauphine.
- Martin Halla & Martina Zweimüller, 2011.
"The Effect of Health on Income: Quasi-Experimental Evidence from Commuting Accidents,"
NRN working papers
2011-03, The Austrian Center for Labor Economics and the Analysis of the Welfare State, Johannes Kepler University Linz, Austria, revised Feb 2012.
- Martin Halla & Martina Zweimüller, 2011. "The Effect of Health on Income: Quasi-Experimental Evidence from Commuting Accidents," Economics working papers 2011-04, Department of Economics, Johannes Kepler University Linz, Austria, revised Feb 2012.
- Halla, Martin & Zweimüller, Martina, 2011. "The Effect of Health on Income: Quasi-Experimental Evidence from Commuting Accidents," IZA Discussion Papers 5833, Institute for the Study of Labor (IZA).
- Manuel Bagues & Berta Esteve-Volart, 2011. "Politicians' Luck of the Draw: Evidence from the Spanish Christmas Lottery," Working Papers 2011-01, FEDEA.
- Libertad González, 2011.
"The Effects of a Universal Child Benefit,"
Working Papers
574, Barcelona Graduate School of Economics.
- Libertad González Luna, 2011. "The effects of a universal child benefit," Economics Working Papers 1281, Department of Economics and Business, Universitat Pompeu Fabra.
- Gonzalez, Libertad, 2011. "The Effects of a Universal Child Benefit," IZA Discussion Papers 5994, Institute for the Study of Labor (IZA).
- Abigail Mcknight & Brian Nolan, 2012. "GINI Intermediate Report WP 4: Social Impacts of Inequalities," GINI Discussion Papers wp4, AIAS, Amsterdam Institute for Advanced Labour Studies.
- Pischke, Jörn-Steffen, 2011.
"Money and Happiness: Evidence from the Industry Wage Structure,"
CEPR Discussion Papers
8409, C.E.P.R. Discussion Papers.
- Jörn-Steffen Pischke, 2011. "Money and Happiness: Evidence from the Industry Wage Structure," CEP Discussion Papers dp1051, Centre for Economic Performance, LSE.
- Jörn-Steffen Pischke, 2011. "Money and Happiness: Evidence from the Industry Wage Structure," NBER Working Papers 17056, National Bureau of Economic Research, Inc.
- Pischke, Jörn-Steffen, 2011. "Money and Happiness: Evidence from the Industry Wage Structure," IZA Discussion Papers 5705, Institute for the Study of Labor (IZA).
- Powdthavee, Nattavudh & Boyce, Christopher J. & Wood, Alex M., 2011. "Can Money Change Who We Are? Estimating the Effects of Unearned Income on Measures of Incentive-Enhancing Personality Traits," IZA Discussion Papers 6131, Institute for the Study of Labor (IZA).
Lists
This item is featured on the following reading lists or Wikipedia pages:Statistics
Access and download statisticsCorrections
When requesting a correction, please mention this item's handle: RePEc:fem:femwpa:2009.96For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (barbara racah).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.

