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The direct and spillover effects of diabetes diagnosis on lifestyle behaviours

Author

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  • Rhys Llewellyn Thomas
  • Emmanouil Mentzakis

Abstract

Using blood sample data we exploit an arbitrary cut‐off of diabetes risk and through a fuzzy regression kink design we estimate the effect of a diabetes diagnosis on own and partner health‐related behaviours. Diabetes diagnosis increases the probability of exercising, both for those diagnosed with diabetes and their partner. We also conduct mediation analysis which suggests that joint household participation is the channel behind this effect. Our results have significant implications for the understanding of the channels that induce behavioural change, and household decision making, as well as, for the evaluation of diabetes related policies.

Suggested Citation

  • Rhys Llewellyn Thomas & Emmanouil Mentzakis, 2024. "The direct and spillover effects of diabetes diagnosis on lifestyle behaviours," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 952-970, May.
    • Handle: RePEc:wly:hlthec:v:33:y:2024:i:5:p:952-970
    DOI: 10.1002/hec.4803
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    References listed on IDEAS

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    1. David Card & David S. Lee & Zhuan Pei & Andrea Weber, 2015. "Inference on Causal Effects in a Generalized Regression Kink Design," Econometrica, Econometric Society, vol. 83, pages 2453-2483, November.
    2. repec:spo:wpmain:info:hdl:2441/361levbcs399s9oa154em6h9jl is not listed on IDEAS
    3. Emily Oster, 2018. "Diabetes and Diet: Purchasing Behavior Change in Response to Health Information," American Economic Journal: Applied Economics, American Economic Association, vol. 10(4), pages 308-348, October.
    4. Clark, Andrew & Etile, Fabrice, 2002. "Do health changes affect smoking? Evidence from British panel data," Journal of Health Economics, Elsevier, vol. 21(4), pages 533-562, July.
    5. Eve Wittenberg & Lyndon P. James & Lisa A. Prosser, 2019. "Spillover Effects on Caregivers’ and Family Members’ Utility: A Systematic Review of the Literature," PharmacoEconomics, Springer, vol. 37(4), pages 475-499, April.
    6. Dong, Yingying, 2010. "Jumpy or Kinky? Regression Discontinuity without the Discontinuity," MPRA Paper 25461, University Library of Munich, Germany.
    7. Hut, Stefan & Oster, Emily, 2022. "Changes in household diet: Determinants and predictability," Journal of Public Economics, Elsevier, vol. 208(C).
    8. Jason Fletcher & Ryne Marksteiner, 2017. "Causal Spousal Health Spillover Effects and Implications for Program Evaluation," American Economic Journal: Economic Policy, American Economic Association, vol. 9(4), pages 144-166, November.
    9. Clark, Andrew E. & Etile, Fabrice, 2006. "Don't give up on me baby: Spousal correlation in smoking behaviour," Journal of Health Economics, Elsevier, vol. 25(5), pages 958-978, September.
    10. Hareth Al‐Janabi & Job Van Exel & Werner Brouwer & Caroline Trotter & Linda Glennie & Laurie Hannigan & Joanna Coast, 2016. "Measuring Health Spillovers for Economic Evaluation: A Case Study in Meningitis," Health Economics, John Wiley & Sons, Ltd., vol. 25(12), pages 1529-1544, December.
    11. Itzik Fadlon & Torben Heien Nielsen, 2019. "Family Health Behaviors," American Economic Review, American Economic Association, vol. 109(9), pages 3162-3191, September.
    12. Arnaud Dupuy & Alfred Galichon, 2014. "Personality Traits and the Marriage Market," Journal of Political Economy, University of Chicago Press, vol. 122(6), pages 1271-1319.
    13. Kim, Hyuncheol Bryant & Lee, Suejin A. & Lim, Wilfredo, 2019. "Knowing is not half the battle: Impacts of information from the National Health Screening Program in Korea," Journal of Health Economics, Elsevier, vol. 65(C), pages 1-14.
    14. Aljoscha Janssen & Elle Parslow, 2021. "Pregnancy persistently reduces alcohol purchases: Causal evidence from scanner data," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 231-247, February.
    15. Lisa Farrell & Michael A. Shields, 2002. "Investigating the economic and demographic determinants of sporting participation in England," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 165(2), pages 335-348, June.
    16. Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, vol. 74(2), pages 132-132.
    17. Iizuka, Toshiaki & Nishiyama, Katsuhiko & Chen, Brian & Eggleston, Karen, 2021. "False alarm? Estimating the marginal value of health signals," Journal of Public Economics, Elsevier, vol. 195(C).
    18. Orphanides, Athanasios & Zervos, David, 1995. "Rational Addiction with Learning and Regret," Journal of Political Economy, University of Chicago Press, vol. 103(4), pages 739-758, August.
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