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The effect of weight on mental health: New evidence using genetic IVs

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  • Willage, Barton

Abstract

Average body mass index (BMI) and depression prevalence grew over the last several decades, increasing medical expenditures. There is a strong correlation between obesity and depression but limited evidence on the causal effect of weight on mental health. I use an index of genetic risk for high BMI as a source of exogenous variation in weight to provide novel evidence on the effect of weight on mental health. This is one of the first studies to use genetics as an instrument for BMI and to examine the causal relationship between weight and depression. Results are mixed; I find a meaningful and significant effect of weight on suicidal ideation but no effects on counseling and an index of depression. The effect on suicidal ideation is concentrated in white females. From respondent and interviewer opinions of respondent attractiveness, social stigma is a mechanism through which weight affects mental health for white women.

Suggested Citation

  • Willage, Barton, 2018. "The effect of weight on mental health: New evidence using genetic IVs," Journal of Health Economics, Elsevier, vol. 57(C), pages 113-130.
    • Handle: RePEc:eee:jhecon:v:57:y:2018:i:c:p:113-130
    DOI: 10.1016/j.jhealeco.2017.11.003
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    1. Edward C. Norton & Euna Han, 2008. "Genetic information, obesity, and labor market outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1089-1104, September.
    2. Petri Böckerman & John Cawley & Jutta Viinikainen & Terho Lehtimäki & Suvi Rovio & Ilkka Seppälä & Jaakko Pehkonen & Olli Raitakari, 2019. "The effect of weight on labor market outcomes: An application of genetic instrumental variables," Health Economics, John Wiley & Sons, Ltd., vol. 28(1), pages 65-77, January.
    3. Gary Solon & Steven J. Haider & Jeffrey M. Wooldridge, 2015. "What Are We Weighting For?," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 301-316.
    4. David M. Cutler & Edward L. Glaeser & Karen E. Norberg, 2001. "Explaining the Rise in Youth Suicide," NBER Chapters, in: Risky Behavior among Youths: An Economic Analysis, pages 219-270, National Bureau of Economic Research, Inc.
    5. von Hinke, Stephanie & Davey Smith, George & Lawlor, Debbie A. & Propper, Carol & Windmeijer, Frank, 2016. "Genetic markers as instrumental variables," Journal of Health Economics, Elsevier, vol. 45(C), pages 131-148.
    6. Joseph Sabia & Daniel Rees, 2015. "Body weight, mental health capital, and academic achievement," Review of Economics of the Household, Springer, vol. 13(3), pages 653-684, September.
    7. Susan Averett & Sanders Korenman, 1996. "The Economic Reality of the Beauty Myth," Journal of Human Resources, University of Wisconsin Press, vol. 31(2), pages 304-330.
    8. repec:iza:izawol:journl:y:2014:p:32 is not listed on IDEAS
    9. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    10. Ding, Weili & Lehrer, Steven F. & Rosenquist, J.Niels & Audrain-McGovern, Janet, 2009. "The impact of poor health on academic performance: New evidence using genetic markers," Journal of Health Economics, Elsevier, vol. 28(3), pages 578-597, May.
    11. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    12. Böckerman, Petri & Viinikainen, Jutta & Vainiomäki, Jari & Hintsanen, Mirka & Pitkänen, Niina & Lehtimäki, Terho & Pehkonen, Jaakko & Rovio, Suvi & Raitakari, Olli, 2017. "Stature and long-term labor market outcomes: Evidence using Mendelian randomization," Economics & Human Biology, Elsevier, vol. 24(C), pages 18-29.
    13. Christian A. Gregory & Christopher J. Ruhm, 2011. "Where Does the Wage Penalty Bite?," NBER Chapters, in: Economic Aspects of Obesity, pages 315-347, National Bureau of Economic Research, Inc.
    14. John Cawley, 2007. "The Labor Market Impact of Obesity," Chapters, in: Zoltán J. Ács & Alan Lyles (ed.), Obesity, Business and Public Policy, chapter 5, Edward Elgar Publishing.
    15. Susan L. Averett, 2019. "Obesity and labor market outcomes," IZA World of Labor, Institute of Labor Economics (IZA), pages 1-32, August.
    16. A. Colin Cameron & Douglas L. Miller, 2015. "A Practitioner’s Guide to Cluster-Robust Inference," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 317-372.
    17. Hamermesh, Daniel S & Soss, Neal M, 1974. "An Economic Theory of Suicide," Journal of Political Economy, University of Chicago Press, vol. 82(1), pages 83-98, Jan.-Feb..
    18. Fletcher, Jason M. & Lehrer, Steven F., 2011. "Genetic lotteries within families," Journal of Health Economics, Elsevier, vol. 30(4), pages 647-659, July.
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