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Educational attainment, time preference, and health-related behaviors: A mediation analysis from the J-SHINE survey

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  • Takagi, Daisuke
  • Kondo, Naoki
  • Takada, Misato
  • Hashimoto, Hideki

Abstract

Evidence consistently shows that low education is associated with unhealthy behaviors. A recent study in behavioral economics argued that high time preferences – the tendency to prefer immediate gain to later reward – explain the limited self-control of individuals in making preventive health-related choices. The aim of this study was to examine the mediating effect of time preference on the associations between education and smoking, binge drinking and overweight in young and middle-aged adults living in a Japanese metropolitan area, using a quantitatively measured time discount rate. A population-based probabilistic sample of residents of 25–50 years of age living in four municipalities within Japanese metropolitan areas where economic disparity is relatively large was obtained from the Japanese Study on Stratification, Health, Income, and Neighborhood (J-SHINE). Respondents answered the questionnaire items using a computer-aided personal instrument (CAPI). Data from 3457 respondents were used in this study. Time preferences measured as categorical responses were converted into a continuous number of time discount rates by using the maximum likelihood method. Smoking habit, binge drinking, and body mass index were regressed on educational attainment with demographics and other confounders. The mediating effects of the time discount rate were examined with the bootstrapping method. Results showed that the time discount rate did not mediate the association between education and binge drinking and BMI. Even for smoking, the mediating effect of time discount rate was quite limited, indicating that the proportion of total effect of education mediated was only 4.3% for men and 3.0% for women. The results suggest that modifying time preferences through educational intervention has only limited efficacy in closing disparities in health-related behaviors, and that other mediators fostered by schooling, such as knowledge/skills, group norms and supportive peers/networks, may be more important as modifiable mediators in the link between education and smoking.

Suggested Citation

  • Takagi, Daisuke & Kondo, Naoki & Takada, Misato & Hashimoto, Hideki, 2016. "Educational attainment, time preference, and health-related behaviors: A mediation analysis from the J-SHINE survey," Social Science & Medicine, Elsevier, vol. 153(C), pages 116-122.
    • Handle: RePEc:eee:socmed:v:153:y:2016:i:c:p:116-122
    DOI: 10.1016/j.socscimed.2016.01.054
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    as
    1. Andrew M. Jones & Joses M. Kirigia, 1999. "Health knowledge and smoking among South African women," Health Economics, John Wiley & Sons, Ltd., vol. 8(2), pages 165-169, March.
    2. Francisco Perez-Arce, 2011. "The Effect of Education on Time Preferences," Working Papers 844, RAND Corporation.
    3. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1.
    4. Patrick Peretti-Watel & Olivier L’haridon & Valérie Seror, 2013. "Time preferences, socioeconomic status and smokers' behaviour, attitudes and risk awareness," Post-Print halshs-00801330, HAL.
    5. Chaloupka, Frank, 1991. "Rational Addictive Behavior and Cigarette Smoking," Journal of Political Economy, University of Chicago Press, vol. 99(4), pages 722-742, August.
    6. Kimball, Miles S & Sahm, Claudia R & Shapiro, Matthew D, 2008. "Imputing Risk Tolerance From Survey Responses," Journal of the American Statistical Association, American Statistical Association, vol. 103(483), pages 1028-1038.
    7. Burks, Stephen & Carpenter, Jeffrey & Götte, Lorenz & Rustichini, Aldo, 2012. "Which measures of time preference best predict outcomes: Evidence from a large-scale field experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 84(1), pages 308-320.
    8. David P. Mackinnon & James H. Dwyer, 1993. "Estimating Mediated Effects in Prevention Studies," Evaluation Review, , vol. 17(2), pages 144-158, April.
    9. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    10. Myong‐Il Kang & Shinsuke Ikeda, 2014. "Time Discounting And Smoking Behavior: Evidence From A Panel Survey," Health Economics, John Wiley & Sons, Ltd., vol. 23(12), pages 1443-1464, December.
    11. 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.
    12. Victor R. Fuchs, 2018. "Schooling and Health: The Cigarette Connection," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 9, pages 99-113, World Scientific Publishing Co. Pte. Ltd..
    13. Shane Frederick & George Loewenstein & Ted O'Donoghue, 2002. "Time Discounting and Time Preference: A Critical Review," Journal of Economic Literature, American Economic Association, vol. 40(2), pages 351-401, June.
    14. Florence Jusot & Myriam Khlat, 2013. "The role of time and risk preferences in smoking inequalities: A population-based study," Post-Print hal-01526058, HAL.
    15. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    16. Abel, Thomas & Frohlich, Katherine L., 2012. "Capitals and capabilities: Linking structure and agency to reduce health inequalities," Social Science & Medicine, Elsevier, vol. 74(2), pages 236-244.
    17. Marjon van der Pol, 2011. "Health, education and time preference," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 917-929, August.
    18. Ikeda, Shinsuke & Kang, Myong-Il & Ohtake, Fumio, 2010. "Hyperbolic discounting, the sign effect, and the body mass index," Journal of Health Economics, Elsevier, vol. 29(2), pages 268-284, March.
    19. Erik Hanushek & F. Welch (ed.), 2006. "Handbook of the Economics of Education," Handbook of the Economics of Education, Elsevier, edition 1, volume 1, number 1, June.
    20. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852.
    21. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    22. repec:dau:papers:123456789/11397 is not listed on IDEAS
    23. Erik Hanushek & F. Welch (ed.), 2006. "Handbook of the Economics of Education," Handbook of the Economics of Education, Elsevier, edition 1, volume 2, number 2, June.
    24. 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.
    25. Khwaja, Ahmed & Silverman, Dan & Sloan, Frank, 2007. "Time preference, time discounting, and smoking decisions," Journal of Health Economics, Elsevier, vol. 26(5), pages 927-949, September.
    26. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Chapters, in: Economic Aspects of Health, pages 93-120, National Bureau of Economic Research, Inc.
    27. anonymous, 2011. "Stories of connecting," Annual Report, Federal Reserve Bank of Boston.
    28. repec:cup:judgdm:v:8:y:2013:i:3:p:236-249 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

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