The Influence of Socioeconomic and Environmental Factors on Health and Obesity in Rural Appalachia
AbstractA recursive system of ordered self assessed health (SAH) and a binary indicator of obesity were used to investigate the impact of socioeconomic and environmental factors on health and obesity in the predominantly rural Appalachian state of West Virginia. Behavioral Risk Factor Surveillance System (BRFSS) data together with county specific socioeconomic and built environment indicators were used in estimation. Results indicate that an individual’s risk of being obese increases at a decreasing rate with per capita income and age. Marginal impacts show that as the level of education attainment increases, the probability of being obese decreases by 3%. Physical inactivity increases the risk of being obese by 9%, while smoking reduces the risk of being obese by 14%. Fruit and vegetable consumption lowers the probability of being obese by 2%, while each hour increase in commuting time raises the probability of being obese by 2.4%. In addition, individuals living in economically distressed counties are less likely to have good health. Intervention measures which stimulate human capital development and better land use planning are essential policy elements to improving health and reducing the incidence of obesity in rural Appalachia.
Download InfoIf 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 InfoPaper provided by Regional Research Institute, West Virginia University in its series Working Papers with number 200612.
Length: 33 pages
Date of creation: 2006
Date of revision:
Contact details of provider:
Postal: 886 Chestnut Ridge Road, P.O. Box 6825, Morgantown, WV 26506-6825
Phone: 304 293 2896
Fax: 304 293 6699
Web page: http://rri.wvu.edu/research/working-papers/
More information through EDIRC
health; obesity; human capital; land use; rural;
Find related papers by JEL classification:
- R11 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Regional Economic Activity: Growth, Development, Environmental Issues, and Changes
- R52 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Regional Government Analysis - - - Land Use and Other Regulations
- P28 - Economic Systems - - Socialist Systems and Transition Economies - - - Natural Resources; Environment
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.:
- Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
- Cutler, David M & Richardson, Elizabeth, 1998.
"The Value of Health: 1970-1990,"
American Economic Review,
American Economic Association, vol. 88(2), pages 97-100, May.
- Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, vol. 74, pages 132.
- Tomas Philipson, 2001. "The world-wide growth in obesity: an economic research agenda," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 1-7.
- Kenkel, Donald S, 1991.
"Health Behavior, Health Knowledge, and Schooling,"
Journal of Political Economy,
University of Chicago Press, vol. 99(2), pages 287-305, April.
- Sickles, Robin C & Yazbeck, Abdo, 1998. "On the Dynamics of Demand for Leisure and the Production of Health," Journal of Business & Economic Statistics, American Statistical Association, vol. 16(2), pages 187-97, April.
- Heckman, James J, 1978.
"Dummy Endogenous Variables in a Simultaneous Equation System,"
Econometric Society, vol. 46(4), pages 931-59, July.
- James J. Heckman, 1977. "Dummy Endogenous Variables in a Simultaneous Equation System," NBER Working Papers 0177, National Bureau of Economic Research, Inc.
- Mark C. Berger & J. Paul Leigh, 1989. "Schooling, Self-Selection, and Health," Journal of Human Resources, University of Wisconsin Press, vol. 24(3), pages 433-455.
- Christopher J. Ruhm, 2000.
"Are Recessions Good For Your Health?,"
The Quarterly Journal of Economics,
MIT Press, vol. 115(2), pages 617-650, May.
- Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
- Shin-Yi Chou & Michael Grossman & Henry Saffer, 2002.
"An Economic Analysis of Adult Obesity: Results from the Behavioral Risk Factor Surveillance System,"
NBER Working Papers
9247, National Bureau of Economic Research, Inc.
- Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May.
- Mancino, Lisa & Lin, Biing-Hwan & Ballenger, Nicole, 2003. "The Role Of Economics In Eating Choices And Weight Outcomes," Agricultural Information Bulletins 33781, United States Department of Agriculture, Economic Research Service.
- Lee, Lung-Fei, 1982. "Health and Wage: A Simultaneous Equation Model with Multiple Discrete Indicators," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 23(1), pages 199-221, February.
- Kan, Kamhon & Tsai, Wei-Der, 2004.
"Obesity and risk knowledge,"
Journal of Health Economics,
Elsevier, vol. 23(5), pages 907-934, September.
- Jonathan Gruber & Michael Frakes, 2005. "Does Falling Smoking Lead to Rising Obesity?," NBER Working Papers 11483, National Bureau of Economic Research, Inc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Randall Jackson).
If references are entirely missing, you can add them using this form.