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Health Selection and the Effect of Smoking on Mortality


  • Jerome Adda
  • Valerie Lechene


We show that individuals who are in poorer health, independently from smoking, are more likely to start smoking and to smoke more cigarettes than those with better non-smoking health. We present evidence of selection, relying on extensive data on morbidity and mortality. We show that health based selection into smoking has in- creased over the last fifty years with knowledge of its health effects. We show that the effect of smoking on mortality is higher for high educated individuals and for individuals in good non-smoking health.

Suggested Citation

  • Jerome Adda & Valerie Lechene, 2012. "Health Selection and the Effect of Smoking on Mortality," Economics Working Papers ECO2012/02, European University Institute.
  • Handle: RePEc:eui:euiwps:eco2012/02

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    References listed on IDEAS

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    Cited by:

    1. Howdon, Daniel & Jones, Andrew M., 2015. "A discrete latent factor model for smoking, cancer and mortality," Economics & Human Biology, Elsevier, vol. 18(C), pages 57-73.
    2. Andrew Jones & Audrey Laporte & Nigel Rice & Eugenio Zucchelli, 2014. "A Synthesis of the Grossman and Becker-Murphy Models of Health and Addiction: Theoretical and Empirical Implications," Working Papers 140007, Canadian Centre for Health Economics.

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    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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