IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp11336.html
   My bibliography  Save this paper

Parental Beliefs about Returns to Child Health Investments

Author

Listed:
  • Biroli, Pietro

    (University of Bologna)

  • Boneva, Teodora

    (University of Bonn)

  • Raja, Akash

    (London School of Economics)

  • Rauh, Christopher

    (University of Cambridge)

Abstract

Childhood obesity has adverse health and productivity consequences and poses negative externalities to health services. Its increase in recent decades can be traced back to unhealthy habits acquired in the household. We investigate whether parental beliefs play a role by eliciting beliefs about the returns to a recommended-calorie diet and regular exercise using hypothetical investment scenarios. We show that perceived returns are predictive of health investments and outcomes, and that less educated parents perceive the returns to health investments to be lower, thus contributing to the socioeconomic inequality in health outcomes and the intergenerational transmission of obesity.

Suggested Citation

  • Biroli, Pietro & Boneva, Teodora & Raja, Akash & Rauh, Christopher, 2018. "Parental Beliefs about Returns to Child Health Investments," IZA Discussion Papers 11336, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp11336
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp11336.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. John Cawley, 2007. "The Economics of Childhood Obesity Policy," Chapters, in: Zoltán J. Ács & Alan Lyles (ed.), Obesity, Business and Public Policy, chapter 3, Edward Elgar Publishing.
    2. Pedro Carneiro & Karsten T. Hansen & James J. Heckman, 2003. "Estimating Distributions of Treatment Effects with an Application to the Returns to Schooling and Measurement of the Effects of Uncertainty on College," NBER Working Papers 9546, National Bureau of Economic Research, Inc.
    3. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    4. Áureo De Paula & Gil Shapira & Petra E. Todd, 2014. "How Beliefs About Hiv Status Affect Risky Behaviors: Evidence From Malawi," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(6), pages 944-964, September.
    5. Katja Maria Kaufmann, 2014. "Understanding the income gradient in college attendance in Mexico: The role of heterogeneity in expected returns," Quantitative Economics, Econometric Society, vol. 5(3), pages 583-630, November.
    6. Carneiro, Pedro & Hansen, Karsten T. & Heckman, James J., 2003. "Estimating Distributions of Treatment Effects with an Application to the Returns to Schooling and Measurement of the Effects of Uncertainty on College Choice," IZA Discussion Papers 767, Institute of Labor Economics (IZA).
    7. Rachel Griffith & Rodrigo Lluberas & Melanie Lührmann, 2016. "Gluttony and Sloth? Calories, Labor Market Activity and the Rise of Obesity," Journal of the European Economic Association, European Economic Association, vol. 14(6), pages 1253-1286.
    8. Belot, Michèle & Berlin, Noemi & James, Jonathan & Skafida, Valeria, 2018. "The Formation and Malleability of Dietary Habits: A Field Experiment with Low Income Families," IZA Discussion Papers 11317, Institute of Labor Economics (IZA).
    9. Pedro Carneiro & Karsten T. Hansen & James J. Heckman, 2003. "2001 Lawrence R. Klein Lecture Estimating Distributions of Treatment Effects with an Application to the Returns to Schooling and Measurement of the Effects of Uncertainty on College Choice," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 44(2), pages 361-422, May.
    10. Bhalotra, Sonia & Delavande, Adeline & Font-Gilabert, Paulino & Maselko, Joanna, 2020. "Maternal investments in children: the role of expected effort and returns," ISER Working Paper Series 2020-03, Institute for Social and Economic Research.
    11. 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.
    12. Prina, Silvia & Royer, Heather, 2014. "The importance of parental knowledge: Evidence from weight report cards in Mexico," Journal of Health Economics, Elsevier, vol. 37(C), pages 232-247.
    13. Suresh de Mel & David McKenzie & Christopher Woodruff, 2009. "Returns to Capital in Microenterprises: Evidence from a Field Experiment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(1), pages 423-423.
    14. Brendan Kline & Justin L. Tobias, 2008. "The wages of BMI: Bayesian analysis of a skewed treatment-response model with nonparametric endogeneity," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 23(6), pages 767-793.
    15. Dan Acland & Matthew R. Levy, 2015. "Naiveté, Projection Bias, and Habit Formation in Gym Attendance," Management Science, INFORMS, vol. 61(1), pages 146-160, January.
    16. Acland, Dan & Levy, Matthew R., 2015. "Naiveté, projection bias, and habit formation in gym attendance," LSE Research Online Documents on Economics 66147, London School of Economics and Political Science, LSE Library.
    17. Delavande, Adeline & Zafar, Basit, 2014. "University choice: the role of expected earnings, non-pecuniary outcomes and financial constraints," ISER Working Paper Series 2014-38, Institute for Social and Economic Research.
    18. Dragone, Davide & Ziebarth, Nicolas R., 2017. "Non-separable time preferences, novelty consumption and body weight: Theory and evidence from the East German transition to capitalism," Journal of Health Economics, Elsevier, vol. 51(C), pages 41-65.
    19. Orazio Attanasio & Teodora Boneva & Christopher Rauh, 2022. "Parental Beliefs about Returns to Different Types of Investments in School Children," Journal of Human Resources, University of Wisconsin Press, vol. 57(6), pages 1789-1825.
    20. Gary Charness & Uri Gneezy, 2009. "Incentives to Exercise," Econometrica, Econometric Society, vol. 77(3), pages 909-931, May.
    21. 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.
    22. Loewenstein, George & Price, Joseph & Volpp, Kevin, 2016. "Habit formation in children: Evidence from incentives for healthy eating," Journal of Health Economics, Elsevier, vol. 45(C), pages 47-54.
    23. Michael D. Hurd, 2009. "Subjective Probabilities in Household Surveys," Annual Review of Economics, Annual Reviews, vol. 1(1), pages 543-564, May.
    24. Stigler, George J & Becker, Gary S, 1977. "De Gustibus Non Est Disputandum," American Economic Review, American Economic Association, vol. 67(2), pages 76-90, March.
    25. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    26. Teodora Boneva & Christopher Rauh, 2018. "Parental Beliefs about Returns to Educational Investments—The Later the Better?," Journal of the European Economic Association, European Economic Association, vol. 16(6), pages 1669-1711.
    27. List, John A. & Samek, Anya Savikhin, 2015. "The behavioralist as nutritionist: Leveraging behavioral economics to improve child food choice and consumption," Journal of Health Economics, Elsevier, vol. 39(C), pages 135-146.
    28. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    29. Sule Alan & Teodora Boneva & Seda Ertac, 2019. "Ever Failed, Try Again, Succeed Better: Results from a Randomized Educational Intervention on Grit," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 134(3), pages 1121-1162.
    30. Charles Bellemare & Sabine Kröger & Arthur van Soest, 2008. "Measuring Inequity Aversion in a Heterogeneous Population Using Experimental Decisions and Subjective Probabilities," Econometrica, Econometric Society, vol. 76(4), pages 815-839, July.
    31. Charles F. Manski, 2004. "Measuring Expectations," Econometrica, Econometric Society, vol. 72(5), pages 1329-1376, September.
    32. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    33. Adeline Delavande, 2014. "Probabilistic Expectations in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 6(1), pages 1-20, August.
    34. Gabriella Conti & James Heckman & Sergio Urzua, 2010. "The Education-Health Gradient," American Economic Review, American Economic Association, vol. 100(2), pages 234-238, May.
    35. Adeline Delavande & Hans-Peter Kohler, 2009. "Subjective expectations in the context of HIV/AIDS in Malawi," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(31), pages 817-875.
    36. Simon Condliffe & Charles R. Link, 2008. "The Relationship between Economic Status and Child Health: Evidence from the United States," American Economic Review, American Economic Association, vol. 98(4), pages 1605-1618, September.
    37. Attanasio, Orazio P. & Kaufmann, Katja M., 2014. "Education choices and returns to schooling: Mothers' and youths' subjective expectations and their role by gender," Journal of Development Economics, Elsevier, vol. 109(C), pages 203-216.
    38. Lewis, C.E. & Smith, D.E. & Wallace, D.D. & Dale Williams, O. & Bild, D.E. & Jacobs Jr., D.R., 1997. "Seven-year trends in body weight and associations with lifestyle and behavioral characteristics in Black and White young adults: The CARDIA study," American Journal of Public Health, American Public Health Association, vol. 87(4), pages 635-642.
    39. Adeline Delavande & Jinkook Lee & Seetha Menon, 2017. "Eliciting Survival Expectations of the Elderly in Low-Income Countries: Evidence From India," Demography, Springer;Population Association of America (PAA), vol. 54(2), pages 673-699, April.
    40. Adeline Delavande & Hans-Peter Kohler, 2016. "HIV/AIDS-related Expectations and Risky Sexual Behaviour in Malawi," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 83(1), pages 118-164.
    41. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    42. Flávio Cunha & Irma Elo & Jennifer Culhane, 2013. "Eliciting Maternal Expectations about the Technology of Cognitive Skill Formation," NBER Working Papers 19144, National Bureau of Economic Research, Inc.
    43. 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.
    44. Robert Jensen, 2010. "The (Perceived) Returns to Education and the Demand for Schooling," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 125(2), pages 515-548.
    Full references (including those not matched with items on IDEAS)

    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. Michele Giannola, 2024. "Parental Investments and Intra-household Inequality in Child Human Capital: Evidence from a Survey Experiment," The Economic Journal, Royal Economic Society, vol. 134(658), pages 671-727.
    2. Bhalotra, Sonia & Delavande, Adeline & Font-Gilabert, Paulino & Maselko, Joanna, 2022. "Maternal Investments in Children : The Role of Expected Effort and Returns," CAGE Online Working Paper Series 637, Competitive Advantage in the Global Economy (CAGE).
    3. Bhalotra, Sonia & Delavande, Adeline & Font-Gilabert, Paulino & Maselko, Joanna, 2022. "Maternal Investments in Children : The Role of Expected Effort and Returns," The Warwick Economics Research Paper Series (TWERPS) 1423, University of Warwick, Department of Economics.
    4. Suzane Bellue, 2023. "Why Don’t Poor Families Move? A Spatial Equilibirum Analysis of Parental Decisions with Social Learning," CRC TR 224 Discussion Paper Series crctr224_2023_472, University of Bonn and University of Mannheim, Germany.
    5. Kiessling, Lukas, 2021. "How do parents perceive the returns to parenting styles and neighborhoods?," European Economic Review, Elsevier, vol. 139(C).
    6. Belot, Michèle & James, Jonathan & Nolen, Patrick, 2016. "Incentives and children's dietary choices: A field experiment in primary schools," Journal of Health Economics, Elsevier, vol. 50(C), pages 213-229.
    7. Teodora Boneva & Christopher Rauh, 2017. "Socio-Economic Gaps in University Enrollment: The Role of Perceived Pecuniary and Non-Pecuniary Returns," CESifo Working Paper Series 6756, CESifo.
    8. Gizem Koşar & Cormac O'Dea, 2022. "Expectations Data in Structural Microeconomic Models," Staff Reports 1018, Federal Reserve Bank of New York.
    9. Cawley, John, 2015. "An economy of scales: A selective review of obesity's economic causes, consequences, and solutions," Journal of Health Economics, Elsevier, vol. 43(C), pages 244-268.
    10. Augurzky, Boris & Bauer, Thomas K. & Reichert, Arndt R. & Schmidt, Christoph M. & Tauchmann, Harald, 2018. "Habit formation, obesity, and cash rewards," Ruhr Economic Papers 750, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    11. Lekfuangfu, Warn N. & Odermatt, Reto, 2022. "All I have to do is dream? The role of aspirations in intergenerational mobility and well-being," European Economic Review, Elsevier, vol. 148(C).
    12. Kunz, Johannes S. & Staub, Kevin E., 2020. "Early subjective completion beliefs and the demand for post-secondary education," Journal of Economic Behavior & Organization, Elsevier, vol. 177(C), pages 34-55.
    13. Nan Yang & Yong Long Lim, 2018. "Temporary Incentives Change Daily Routines: Evidence from a Field Experiment on Singapore’s Subways," Management Science, INFORMS, vol. 64(7), pages 3365-3379, July.
    14. Ralph Stinebrickner & Todd R. Stinebrickner, 2014. "A Major in Science? Initial Beliefs and Final Outcomes for College Major and Dropout," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 81(1), pages 426-472.
    15. Johannes S. Kunz & Kevin E. Staub, 2016. "Subjective Completion Beliefs and the Demand for Post-Secondary Education," SOEPpapers on Multidisciplinary Panel Data Research 878, DIW Berlin, The German Socio-Economic Panel (SOEP).
    16. Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2022. "Parental misbeliefs and household investment in children's education," Economics of Education Review, Elsevier, vol. 89(C).
    17. John Beshears & Hae Nim Lee & Katherine L. Milkman & Robert Mislavsky & Jessica Wisdom, 2021. "Creating Exercise Habits Using Incentives: The Trade-off Between Flexibility and Routinization," Management Science, INFORMS, vol. 67(7), pages 4139-4171, July.
    18. Cunha, Flávio & Elo, Irma & Culhane, Jennifer, 2022. "Maternal subjective expectations about the technology of skill formation predict investments in children one year later," Journal of Econometrics, Elsevier, vol. 231(1), pages 3-32.
    19. Adeline Delavande & Jinkook Lee & Seetha Menon, 2017. "Eliciting Survival Expectations of the Elderly in Low-Income Countries: Evidence From India," Demography, Springer;Population Association of America (PAA), vol. 54(2), pages 673-699, April.

    More about this item

    Keywords

    equality of opportunity; parental investments; health; beliefs; inequality; obesity;
    All these keywords.

    JEL classification:

    • D19 - Microeconomics - - Household Behavior - - - Other
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    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:iza:izadps:dp11336. 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: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.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.