IDEAS home Printed from https://ideas.repec.org/p/diw/diwsop/diw_sp586.html
   My bibliography  Save this paper

The Effects of Smoking Bans on Self-Assessed Health: Evidence from Germany

Author

Listed:
  • Daniel Kuehnle
  • Christoph Wunder

Abstract

The 16 German federal states introduced smoking bans on different dates during 2007 and 2008. These bans restricted smoking in enclosed public places, particularly in restaurants and bars. This study examines the effects of smoking bans on self-assessed health. Using data from the Socio-Economic Panel (SOEP), difference-in-differences estimations provide evidence for health improvements for the population at large. Health benefits from the secondhand smokefree environment are equivalent to an increase in household income of approximately 30%. Further subgroup analyses show that health improvements are largest among young non-smokers (below 30 years) whereas smokers report no or even adverse health effects in response to bans. Exploiting differences in the dates of introduction and enforcement, we find no evidence that the effects of bans depend on enforcement measures.

Suggested Citation

  • Daniel Kuehnle & Christoph Wunder, 2013. "The Effects of Smoking Bans on Self-Assessed Health: Evidence from Germany," SOEPpapers on Multidisciplinary Panel Data Research 586, DIW Berlin, The German Socio-Economic Panel (SOEP).
  • Handle: RePEc:diw:diwsop:diw_sp586
    as

    Download full text from publisher

    File URL: https://www.diw.de/documents/publikationen/73/diw_01.c.427188.de/diw_sp0586.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    2. Kanaka D. Shetty & Thomas DeLeire & Chapin White & Jayanta Bhattacharya, 2011. "Changes in U.S. hospitalization and mortality rates following smoking bans," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 30(1), pages 6-28, December.
    3. Anger, Silke & Kvasnicka, Michael & Siedler, Thomas, 2011. "One last puff? Public smoking bans and smoking behavior," Journal of Health Economics, Elsevier, vol. 30(3), pages 591-601, May.
    4. Christopher Carpenter & Sabina Postolek & Casey Warman, 2011. "Public-Place Smoking Laws and Exposure to Environmental Tobacco Smoke (ETS)," American Economic Journal: Economic Policy, American Economic Association, vol. 3(3), pages 35-61, August.
    5. Greene,William H. & Hensher,David A., 2010. "Modeling Ordered Choices," Cambridge Books, Cambridge University Press, number 9780521142373.
    6. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    7. Jérôme Adda & Francesca Cornaglia, 2010. "The Effect of Bans and Taxes on Passive Smoking," American Economic Journal: Applied Economics, American Economic Association, vol. 2(1), pages 1-32, January.
    8. Irvine Ian J & Nguyen Hai V, 2011. "Toxic Choices: The Theory and Impact of Smoking Bans," Forum for Health Economics & Policy, De Gruyter, vol. 14(2), pages 1-36, July.
    9. Lechner, Michael, 2011. "The Estimation of Causal Effects by Difference-in-Difference Methods," Foundations and Trends(R) in Econometrics, now publishers, vol. 4(3), pages 165-224, November.
    10. repec:zbw:rwirep:0173 is not listed on IDEAS
    11. J.J. Ehrhardt & W.E. Saris & R. Veenhoven, 2000. "Stability of Life-satisfaction over Time," Journal of Happiness Studies, Springer, vol. 1(2), pages 177-205, June.
    12. Andrew M. Jones & Audrey Laporte & Nigel Rice & Eugenio Zucchelli, 2015. "Do Public Smoking Bans have an Impact on Active Smoking? Evidence from the UK," Health Economics, John Wiley & Sons, Ltd., vol. 24(2), pages 175-192, February.
    13. Origo Federica & Lucifora Claudio, 2013. "The Effect of Comprehensive Smoking Bans in European Workplaces," Forum for Health Economics & Policy, De Gruyter, vol. 16(1), pages 1-27, March.
    14. Paul Frijters & Michael A. Shields & Stephen Wheatley Price & Jenny Williams, 2011. "Quantifying the cost of passive smoking on child health: evidence from children's cotinine samples," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(1), pages 195-212, January.
    15. Frederica Origo & Claudio Lucifora, 2010. "Smoking Bans in European Workplaces," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(3), pages 36-42, October.
    16. Jean‐Robert Tyran & Lars P. Feld, 2006. "Achieving Compliance when Legal Sanctions are Non‐deterrent," Scandinavian Journal of Economics, Wiley Blackwell, vol. 108(1), pages 135-156, March.
    17. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
    18. Janet Currie, 2009. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 87-122, March.
    19. Greene,William H. & Hensher,David A., 2010. "Modeling Ordered Choices," Cambridge Books, Cambridge University Press, number 9780521194204.
    20. Kvasnicka, Michael, 2010. "Public Smoking Bans, Youth Access Laws, and Cigarette Sales at Vending Machines," Ruhr Economic Papers 173, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    21. Michael Kvasnicka & Harald Tauchmann, 2012. "Much ado about nothing? Smoking bans and Germany's hospitality industry," Applied Economics, Taylor & Francis Journals, vol. 44(35), pages 4539-4551, December.
    22. Stephen G. Donald & Kevin Lang, 2007. "Inference with Difference-in-Differences and Other Panel Data," The Review of Economics and Statistics, MIT Press, vol. 89(2), pages 221-233, May.
    23. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    24. Jennifer Beam Dowd & Megan Todd, 2011. "Does Self-reported Health Bias the Measurement of Health Inequalities in U.S. Adults? Evidence Using Anchoring Vignettes From the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(4), pages 478-489.
    25. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(1), pages 249-275.
    26. Petri Böckerman & Pekka Ilmakunnas, 2009. "Unemployment and self‐assessed health: evidence from panel data," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 161-179, February.
    27. Frederica Origo & Claudio Lucifora, 2010. "Smoking Bans in European Workplaces," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(03), pages 36-42, October.
    28. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    29. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    30. Wildman, John & Hollingsworth, Bruce, 2013. "Public smoking bans and self-assessed health: Evidence from Great Britain," Economics Letters, Elsevier, vol. 118(1), pages 209-212.
    31. Scott Adams & Chad Cotti & Daniel Fuhrmann, 2013. "The short-term impact of smoke-free workplace laws on fatal heart attacks," Applied Economics, Taylor & Francis Journals, vol. 45(11), pages 1381-1393, April.
    32. Jérôme Adda & Francesca Cornaglia, 2010. "Passive smoking: the effect of bans and taxes," CentrePiece - The magazine for economic performance 315, Centre for Economic Performance, LSE.
    33. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    34. Sargent, R P & Shepard, R M & Glantz, Stanton A. Ph.D., 2004. "Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study," University of California at San Francisco, Center for Tobacco Control Research and Education qt3276d6r6, Center for Tobacco Control Research and Education, UC San Francisco.
    35. Gert G. Wagner & Joachim R. Frick & Jürgen Schupp, 2007. "The German Socio-Economic Panel Study (SOEP) – Scope, Evolution and Enhancements," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 139-169.
    36. WHO World Health Organization, 2013. "Who Report On The Global Tobacco Epidemic, 2013," University of California at San Francisco, Center for Tobacco Control Research and Education qt5t06910t, Center for Tobacco Control Research and Education, UC San Francisco.
    37. Marco D. Huesch & Truls Østbye & Michael K. Ong, 2012. "Measuring The Effect Of Policy Interventions At The Population Level: Some Methodological Concerns," Health Economics, John Wiley & Sons, Ltd., vol. 21(10), pages 1234-1249, October.
    38. Udo Schneider & Christian Pfarr & Brit Schneider & Volker Ulrich, 2012. "I feel good! Gender differences and reporting heterogeneity in self-assessed health," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(3), pages 251-265, June.
    39. repec:ces:ifodic:v:8:y:2010:i:3:p:14566921 is not listed on IDEAS
    40. Welsch, Heinz, 2006. "Environment and happiness: Valuation of air pollution using life satisfaction data," Ecological Economics, Elsevier, vol. 58(4), pages 801-813, July.
    41. Bärnighausen, Till & Sauerborn, Rainer, 2002. "One hundred and eighteen years of the German health insurance system: are there any lessons for middle- and low-income countries?," Social Science & Medicine, Elsevier, vol. 54(10), pages 1559-1587, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Michael Kvasnicka & Thomas Siedler & Nicolas R. Ziebarth, 2018. "The health effects of smoking bans: Evidence from German hospitalization data," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1738-1753, November.
    2. Cornelia Chadi, 2022. "Smoking Bans, Leisure Time and Subjective Well-being," Journal of Happiness Studies, Springer, vol. 23(8), pages 3765-3797, December.
    3. Stefan Kohler & Philipp Minkner, 2014. "Smoke-Free Laws and Direct Democracy Initiatives on Smoking Bans in Germany: A Systematic Review and Quantitative Assessment," IJERPH, MDPI, vol. 11(1), pages 1-16, January.
    4. Wissmann, Daniel, 2020. "Finally a Smoking Gun," Discussion Papers in Economics 73026, University of Munich, Department of Economics.
    5. Kuehnle, Daniel, 2019. "How effective are pictorial warnings on tobacco products? New evidence on smoking behaviour using Australian panel data," Journal of Health Economics, Elsevier, vol. 67(C).
    6. Josten, Cecily & Lordan, Grace, 2020. "The interaction between personality and health policy: Empirical evidence from the UK smoking bans," Economics & Human Biology, Elsevier, vol. 38(C).
    7. M. A. Kaneva, 2021. "Health Capital Estimates for Russian Regions in 2004–2018," Regional Research of Russia, Springer, vol. 11(4), pages 524-532, October.
    8. Odermatt, Reto & Stutzer, Alois, 2015. "Smoking bans, cigarette prices and life satisfaction," Journal of Health Economics, Elsevier, vol. 44(C), pages 176-194.
    9. van Ours, Jan C. & Palali, Ali, 2017. "The Impact of Tobacco Control Policies on Smoking Initiation in Europe," CEPR Discussion Papers 12201, C.E.P.R. Discussion Papers.
    10. René Petilliot, 2018. "The (Short-Term) Individual Welfare Consequences of an Alcohol Ban," SOEPpapers on Multidisciplinary Panel Data Research 979, DIW Berlin, The German Socio-Economic Panel (SOEP).
    11. Sen Zeng & Haruko Noguchi & Satoru Shimokawa, 2019. "Partial Smoking Ban and Secondhand Smoke Exposure in Japan," IJERPH, MDPI, vol. 16(15), pages 1-13, August.
    12. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    13. Petilliot, René, 2018. "The (short-term) individual welfare consequences of an alcohol ban," FZG Discussion Papers 67, University of Freiburg, Research Center for Generational Contracts (FZG).
    14. Angela Daley & Muntasir Rahman & Barry Watson, 2021. "A breath of fresh air: The effect of public smoking bans on Indigenous youth," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1517-1539, June.
    15. Jan (J.C.) van Ours & Ali Palali, 2017. "The Impact of Tobacco Control Policies on Smoking Initiation in Europe," Tinbergen Institute Discussion Papers 17-074/V, Tinbergen Institute.
    16. Awaworyi Churchill, Sefa & Smyth, Russell, 2021. "Energy poverty and health: Panel data evidence from Australia," Energy Economics, Elsevier, vol. 97(C).
    17. Anthony Lepinteur, 2021. "The asymmetric experience of gains and losses in job security on health," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2217-2229, September.
    18. Miaoqing Yang & Eugenio Zucchelli, 2018. "The impact of public smoking bans on well‐being externalities: Evidence from a policy experiment," Scottish Journal of Political Economy, Scottish Economic Society, vol. 65(3), pages 224-247, July.
    19. Michael A. Catalano & Donna B. Gilleskie, 2021. "Impacts of local public smoking bans on smoking behaviors and tobacco smoke exposure," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1719-1744, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cornelia Chadi, 2022. "Smoking Bans, Leisure Time and Subjective Well-being," Journal of Happiness Studies, Springer, vol. 23(8), pages 3765-3797, December.
    2. Michael Kvasnicka & Thomas Siedler & Nicolas R. Ziebarth, 2018. "The health effects of smoking bans: Evidence from German hospitalization data," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1738-1753, November.
    3. Miaoqing Yang & Eugenio Zucchelli, 2018. "The impact of public smoking bans on well‐being externalities: Evidence from a policy experiment," Scottish Journal of Political Economy, Scottish Economic Society, vol. 65(3), pages 224-247, July.
    4. Nguyen, Hai V., 2013. "Do smoke-free car laws work? Evidence from a quasi-experiment," Journal of Health Economics, Elsevier, vol. 32(1), pages 138-148.
    5. Gregor Pfeifer & Mirjam Reutter & Kristina Strohmaier, 2020. "Goodbye Smokers’ Corner: Health Effects of School Smoking Bans," Journal of Human Resources, University of Wisconsin Press, vol. 55(3), pages 1068-1104.
    6. Sameem, Sediq, 2020. "Are U.S. lung cancer mortality rates converging?," The Quarterly Review of Economics and Finance, Elsevier, vol. 76(C), pages 190-197.
    7. Stefan Boes & Joachim Marti & Johanna Catherine Maclean, 2015. "The Impact of Smoking Bans on Smoking and Consumer Behavior: Quasi‐Experimental Evidence from Switzerland," Health Economics, John Wiley & Sons, Ltd., vol. 24(11), pages 1502-1516, November.
    8. Odermatt, Reto & Stutzer, Alois, 2015. "Smoking bans, cigarette prices and life satisfaction," Journal of Health Economics, Elsevier, vol. 44(C), pages 176-194.
    9. Miaoqing Yang & Eugenio Zucchelli, 2015. "The impact of public smoking bans on well-being externalities: evidence from a natural experiment," Working Papers 85310008, Lancaster University Management School, Economics Department.
    10. Angela Daley & Muntasir Rahman & Barry Watson, 2021. "A breath of fresh air: The effect of public smoking bans on Indigenous youth," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1517-1539, June.
    11. Fabrizio Mazzonna & Paola Salari, 2018. "Can a smoking ban save your heart?," Health Economics, John Wiley & Sons, Ltd., vol. 27(10), pages 1435-1449, October.
    12. Abel Brodeur, 2012. "Smoking, Income and Subjective Well-Being: Evidence from Smoking Bans," Working Papers halshs-00664269, HAL.
    13. Odermatt, Reto & Stutzer, Alois, 2018. "Tobacco Control Policies and Smoking Behavior in Europe: More Than Trends?," Working papers 2018/24, Faculty of Business and Economics - University of Basel.
    14. Wildman, John & Hollingsworth, Bruce, 2013. "Public smoking bans and self-assessed health: Evidence from Great Britain," Economics Letters, Elsevier, vol. 118(1), pages 209-212.
    15. van Ours, Jan C. & Palali, Ali, 2017. "The Impact of Tobacco Control Policies on Smoking Initiation in Europe," CEPR Discussion Papers 12201, C.E.P.R. Discussion Papers.
    16. Jan (J.C.) van Ours & Ali Palali, 2017. "The Impact of Tobacco Control Policies on Smoking Initiation in Europe," Tinbergen Institute Discussion Papers 17-074/V, Tinbergen Institute.
    17. Anger, Silke & Kvasnicka, Michael & Siedler, Thomas, 2011. "One Last Puff? Public Smoking Bans and Smoking Behavior," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 30(3), pages 591-601.
    18. Bharadwaj, Prashant & Johnsen, Julian V. & Løken, Katrine V., 2014. "Smoking bans, maternal smoking and birth outcomes," Journal of Public Economics, Elsevier, vol. 115(C), pages 72-93.
    19. Marco D. Huesch & Truls Østbye & Michael K. Ong, 2012. "Measuring The Effect Of Policy Interventions At The Population Level: Some Methodological Concerns," Health Economics, John Wiley & Sons, Ltd., vol. 21(10), pages 1234-1249, October.
    20. Jones, A. M. & Laporte, A. & Rice, N. & Zucchelli, E., 2014. "A synthesis of the Grossman and Becker-Murphy models of health and addiction: theoretical and empirical implications," Health, Econometrics and Data Group (HEDG) Working Papers 14/07, HEDG, c/o Department of Economics, University of York.

    More about this item

    Keywords

    Smoking bans; self-assessed health; difference-in-differences;
    All these keywords.

    JEL classification:

    • D4 - Microeconomics - - Market Structure, Pricing, and Design
    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • I10 - Health, Education, and Welfare - - Health - - - General

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:diw:diwsop:diw_sp586. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Bibliothek (email available below). General contact details of provider: https://edirc.repec.org/data/sodiwde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.