Advanced Search
MyIDEAS: Login to save this paper or follow this series

Caught in the Bulimic Trap? Persistence and State Dependence of Bulimia Among Young Women

Contents:

Author Info

  • John Ham

    (University of Maryland)

  • Daniela Iorio

    (Universitat Autonoma de Barcelona)

  • Michelle Sovinsky

    ()
    (University of Zurich)

Abstract

Eating disorders are an important and growing health concern, and bulimia nervosa (BN) accounts for the largest fraction of eating disorders. Health consequences of BN are substantial and especially serious given the increasingly compulsive nature of the disorder. However, remarkably little is known about the mechanisms underlying the persistent nature of BN. We use data from a unique panel data set, the National Heart, Lung, and Blood Institute Growth and Health Study, which was conducted for ten years on young women aged 9-10 at the start of the survey (in 1987). Using instrumental variable techniques, we document that unobserved heterogeneity plays a role in the persistence of BN, but, strikingly, up to two-thirds of this persistence is due to true state dependence. Our findings have important implications for public policy since they suggest that the timing of policy is crucial: preventive educational programs should be coupled with more intense (rehabilitation) treatment at the early stages of bingeing and purging behaviors. Our results are robust to different model specifications and identifying assumptions.

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.
File URL: http://humcap.uchicago.edu/RePEc/hka/wpaper/Ham_Iorio_Sovinsky_2012_bulimic_trap.pdf
File Function: First version, December, 2008
Download Restriction: no

Bibliographic Info

Paper provided by Human Capital and Economic Opportunity Working Group in its series Working Papers with number 2012-018.

as in new window
Length:
Date of creation: Aug 2012
Date of revision:
Handle: RePEc:hka:wpaper:2012-018

Note: FI
Contact details of provider:
Email:
Web page: http://www.hceconomics.org/
More information through EDIRC

Related research

Keywords: Bulimia Nervosa; State Dependence; Dynamic Panel Data Estimation;

Other versions of this item:

Find related papers by JEL classification:

This paper has been announced in the following NEP Reports:

References

References listed on IDEAS
Please 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.:
as in new window
  1. Becker, Gary S & Barro, Robert J, 1988. "A Reformulation of the Economic Theory of Fertility," The Quarterly Journal of Economics, MIT Press, vol. 103(1), pages 1-25, February.
  2. Dockner, Engelbert J & Feichtinger, Gustav, 1993. "Cyclical Consumption Patterns and Rational Addiction," American Economic Review, American Economic Association, vol. 83(1), pages 256-63, March.
  3. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters, in: Perspectives on the Economics of Aging, pages 415-526 National Bureau of Economic Research, Inc.
  4. Gary S. Becker & Michael Grossman & Kevin M. Murphy, 1990. "An Empirical Analysis of Cigarette Addiction," University of Chicago - George G. Stigler Center for Study of Economy and State 61, Chicago - Center for Study of Economy and State.
  5. Han, Zhongxian & Gau, Wu-Chyuan, 2008. "Estimation of loss reserves with lognormal development factors," Insurance: Mathematics and Economics, Elsevier, vol. 42(1), pages 389-395, February.
  6. Maxim Engers & Steven Stern, 2002. "Long-Term Care and Family Bargaining," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 43(1), pages 73-114, February.
  7. Richards, Timothy J. & Patterson, Paul M. & Tegene, Abebayehu, 2004. "Obesity and Nutrient Consumption: A Rational Addiction?," Working Papers 28539, Arizona State University, Morrison School of Agribusiness and Resource Management.
  8. Donna B. Gilleskie & Koleman S. Strumpf, 2000. "The Behavioral Dynamics of Youth Smoking," NBER Working Papers 7838, National Bureau of Economic Research, Inc.
  9. Douglas Staiger & James H. Stock, 1994. "Instrumental Variables Regression with Weak Instruments," NBER Technical Working Papers 0151, National Bureau of Economic Research, Inc.
  10. Rashad, Inas, 2006. "Structural estimation of caloric intake, exercise, smoking, and obesity," The Quarterly Review of Economics and Finance, Elsevier, vol. 46(2), pages 268-283, May.
  11. Hansen, Christian & Hausman, Jerry & Newey, Whitney, 2008. "Estimation With Many Instrumental Variables," Journal of Business & Economic Statistics, American Statistical Association, vol. 26, pages 398-422.
  12. James J. Heckman, 1989. "Choosing Among Alternative Nonexperimental Methods for Estimating the Impact of Social Programs: The Case of Manpower Training," NBER Working Papers 2861, National Bureau of Economic Research, Inc.
  13. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
  14. Jeffrey M. Wooldridge, 2005. "Simple solutions to the initial conditions problem in dynamic, nonlinear panel data models with unobserved heterogeneity," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 20(1), pages 39-54.
  15. Ivora Hinton & Jessica Howell & Elizabeth Merwin & Steven N. Stern & Sarah Turner & Ishan Williams & Melvin Wilson, 2010. "The Educational Pipeline for Health Care Professionals: Understanding the Source of Racial Differences," Journal of Human Resources, University of Wisconsin Press, vol. 45(1).
  16. Anirban Basu & James J. Heckman & Salvador Navarro-Lozano & Sergio Urzua, 2007. "Use of instrumental variables in the presence of heterogeneity and self-selection: an application to treatments of breast cancer patients," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1133-1157.
  17. Andrew M. Jones & José M. Labeaga, 2003. "Individual heterogeneity and censoring in panel data estimates of tobacco expenditure," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 18(2), pages 157-177.
  18. Hansen, Bruce E., 2008. "Uniform Convergence Rates For Kernel Estimation With Dependent Data," Econometric Theory, Cambridge University Press, vol. 24(03), pages 726-748, June.
Full references (including those not matched with items on IDEAS)

Citations

Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
as in new window

Cited by:
  1. Daniela Iorio & Michelle Sovinsky, 2012. "How bulimia nervosa relates to addictive behavior," ECON - Working Papers 095, Department of Economics - University of Zurich.
  2. Michelle S. Goeree & John C. Ham & Daniela Iorio, 2011. "Race, Social Class, and Bulimia Nervosa," Working Papers 2011-034, Human Capital and Economic Opportunity Working Group.
  3. Michelle S. Goeree & John C. Ham & and Daniela Iorio, 2009. "Caught in the Bulimic Trap? Socioeconomic Status, State Dependence, and Unobserved Heterogeneity," Working Papers 386, Barcelona Graduate School of Economics.
  4. Millimet, Daniel L. & Tchernis, Rusty, 2013. "The Origins of Early Childhood Anthropometric Persistence," IZA Discussion Papers 7657, Institute for the Study of Labor (IZA).
  5. Goeree, Michelle S. & Ham, John C. & Iorio, Daniela, 2011. "Race, Social Class, and Bulimia Nervosa," IZA Discussion Papers 5823, Institute for the Study of Labor (IZA).

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:hka:wpaper:2012-018. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jennifer Pachon).

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.