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Killing by Lung Cancer or by Diabetes? The Trade-off Between Smoking and Obesity

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  • Sergi Jiménez-Martín
  • Federico A.
  • José M Labeaga

Abstract

As the prevalence of smoking has decreased to below 20%, health practitioners interest has shifted towards the prevalence of obesity, and reducing it is one of the major health challenges in decades to come. In this paper we study the impact that the final product of the anti-smoking campaign, that is, smokers quitting the habit, had on average weight in the population. To these ends, we use data from the Behavioral Risk Factors Surveillance System, a large series of independent representative cross-sectional surveys. We construct a synthetic panel that allows us to control for unobserved heterogeneity and we exploit the exogenous changes in taxes and regulations to instrument the endogenous decision to give up the habit of smoking. Our estimates, are very close to estimates issued in the'90s by the US Department of Health, and indicate that a 10% decrease in the incidence of smoking leads to an average weight increase of 2.2 to 3 pounds, depending on choice of specification. In addition, we find evidence that the effect over shoots in the short run, although a significant part remains even after two years. However, when we split the sample between men and women, we only find a significant effect for men. Finally, the implicit elasticity of quitting smoking to the probability of becoming obese is calculated at 0.58. This implies that the net benefit from reducing the incidence of smoking by 1% is positive even though the cost to society is $0.6 billions.

Suggested Citation

  • Sergi Jiménez-Martín & Federico A. & José M Labeaga, 2010. "Killing by Lung Cancer or by Diabetes? The Trade-off Between Smoking and Obesity," Working Papers 465, Barcelona School of Economics.
  • Handle: RePEc:bge:wpaper:465
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    1. Hamermesh, Daniel S & Biddle, Jeff E, 1994. "Beauty and the Labor Market," American Economic Review, American Economic Association, vol. 84(5), pages 1174-1194, December.
    2. Richard Blundell & Alan Duncan & Costas Meghir, 1998. "Estimating Labor Supply Responses Using Tax Reforms," Econometrica, Econometric Society, vol. 66(4), pages 827-862, July.
    3. Arellano, Manuel & Bover, Olympia, 1995. "Another look at the instrumental variable estimation of error-components models," Journal of Econometrics, Elsevier, vol. 68(1), pages 29-51, July.
    4. Dora Costa & Richard H. Steckel, 1997. "Long-Term Trends in Health, Welfare, and Economic Growth in the United States," NBER Chapters, in: Health and Welfare during Industrialization, pages 47-90, National Bureau of Economic Research, Inc.
    5. Tomas Philipson & Richard Posner, 2008. "Is the Obesity Epidemic a Public Health Problem? A Decade of Research on the Economics of Obesity," NBER Working Papers 14010, National Bureau of Economic Research, Inc.
    6. Jonathan Gruber, 2001. "Tobacco at the Crossroads: The Past and Future of Smoking Regulation in the United States," Journal of Economic Perspectives, American Economic Association, vol. 15(2), pages 193-212, Spring.
    7. Smith Trenton G. & Stoddard Christiana & Barnes Michael G, 2009. "Why the Poor Get Fat: Weight Gain and Economic Insecurity," Forum for Health Economics & Policy, De Gruyter, vol. 12(2), pages 1-31, June.
    8. Zoltán J. Ács & Alan Lyles (ed.), 2007. "Obesity, Business and Public Policy," Books, Edward Elgar Publishing, number 3922.
    9. Andrew Clark & Fabrice Etilé, 2003. "Health Changes and Smoking: An Economic Analysis," DELTA Working Papers 2003-13, DELTA (Ecole normale supérieure).
    10. Deaton, Angus, 1985. "Panel data from time series of cross-sections," Journal of Econometrics, Elsevier, vol. 30(1-2), pages 109-126.
    11. Farrelly, M.C. & Pechacek, T.F. & Thomas, K.Y. & Nelson, D., 2008. "The impact of tobacco control programs on adult smoking," American Journal of Public Health, American Public Health Association, vol. 98(2), pages 304-309.
    12. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    13. Charles L. Baum, 2009. "The effects of cigarette costs on BMI and obesity," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 3-19, January.
    14. Vincenzo Atella & Noemi Pace & Daniela Vuri, 2007. "Wages and Weight in Europe: Evidence using Quantile Regression Model," CHILD Working Papers wp23_07, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY.
    15. Jérôme Adda & Francesca Cornaglia, 2006. "Taxes, Cigarette Consumption, and Smoking Intensity," American Economic Review, American Economic Association, vol. 96(4), pages 1013-1028, September.
    16. Abay Asfaw, 2006. "The Role of Food Price Policy in Determining the Prevalence of Obesity: Evidence from Egypt," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 28(3), pages 305-312.
    17. 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.
    18. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2006. "Reply to Jonathan Gruber and Michael Frakes," Journal of Health Economics, Elsevier, vol. 25(2), pages 389-393, March.
    19. Courtemanche, Charles, 2009. "Rising cigarette prices and rising obesity: Coincidence or unintended consequence?," Journal of Health Economics, Elsevier, vol. 28(4), pages 781-798, July.
    20. 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.
    21. Dolores Collado, M., 1997. "Estimating dynamic models from time series of independent cross-sections," Journal of Econometrics, Elsevier, vol. 82(1), pages 37-62.
    22. Carbone, Jared C. & Kverndokk, Snorre & Rogeberg, Ole Jorgen, 2005. "Smoking, health, risk, and perception," Journal of Health Economics, Elsevier, vol. 24(4), pages 631-653, July.
    23. Abay Asfaw, 2006. "The Role of Food Price Policy in Determining the Prevalence of Obesity: Evidence from Egypt ," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 28(3), pages 305-312.
    24. Michael Grossman, 1993. "Policy Watch: Alcohol and Cigarette Taxes," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 211-222, Fall.
    25. John Cawley, 2000. "Body Weight and Women's Labor Market Outcomes," NBER Working Papers 7841, National Bureau of Economic Research, Inc.
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    1. Ferrando, Sandra, 2017. "Risky consumption among adolescents: A survey for Spain," MPRA Paper 79465, University Library of Munich, Germany.

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