IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/15001.html
   My bibliography  Save this paper

The Impact of State-Level Nutrition-Education Program Funding on BMI: Evidence from the Behavioral Risk Factor Surveillance System

Author

Listed:
  • Kerry Anne McGeary

Abstract

Currently, there is insufficient evidence regarding which policies will improve nutrition, reduce BMI, the probability of obesity and the probability of overweight nationwide. This preliminary study investigates the impact of a nutrition-education policy relative to price policy as a means to improve nutrition and reduce BMI. Model estimations are created with pooled cross-sectional data from the Centers for Disease Control's (CDC), Behavioral Risk Factor Surveillance System (BRFSS), American Chamber of Commerce Research Association (ACCRA) state-level food prices and the United States Department of Agriculture's (USDA) funding of state-specific nutrition-education programs from 1992 - 2006. During this period, federal funding for state-specific nutrition-education programs rose from approximately $600 thousand for a few states to nearly $248 million for all states. After controlling for state fixed effects, year effects and a state specific linear time trend, I find that nutrition education spending has the intended effect for individuals from certain, but not all, income and education-levels. Also, the results indicate that increasing the price of food purchased for consumption away from home is consistent with decreasing BMI, obesity and overweight for the lowest income groups. However, the overall effect is minimal.

Suggested Citation

  • Kerry Anne McGeary, 2009. "The Impact of State-Level Nutrition-Education Program Funding on BMI: Evidence from the Behavioral Risk Factor Surveillance System," NBER Working Papers 15001, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:15001
    Note: HE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w15001.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Darius Lakdawalla & Tomas Philipson, 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 0203, Harris School of Public Policy Studies, University of Chicago.
    2. Pedro Gomis-Porqueras & Adrian Peralta-Alva, 2008. "A macroeconomic analysis of obesity," Working Papers 2008-017, Federal Reserve Bank of St. Louis.
    3. Dana Goldman & Darius Lakdawalla & Yuhui Zheng, 2011. "Food Prices and the Dynamics of Body Weight," NBER Chapters, in: Economic Aspects of Obesity, pages 65-90, National Bureau of Economic Research, Inc.
    4. Schroeter, Christiane & Lusk, Jayson & Tyner, Wallace, 2008. "Determining the impact of food price and income changes on body weight," Journal of Health Economics, Elsevier, vol. 27(1), pages 45-68, January.
    5. Cawley, John & Markowitz, Sara & Tauras, John, 2004. "Lighting up and slimming down: the effects of body weight and cigarette prices on adolescent smoking initiation," Journal of Health Economics, Elsevier, vol. 23(2), pages 293-311, March.
    6. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Journal of Economic Perspectives, American Economic Association, vol. 17(3), pages 93-118, Summer.
    7. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    8. M. Christopher Auld & Lisa M. Powell, 2009. "Economics of Food Energy Density and Adolescent Body Weight," Economica, London School of Economics and Political Science, vol. 76(304), pages 719-740, October.
    9. 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.
    10. Farrelly, Matthew C. & Pechacek, Terry F. & Chaloupka, Frank J., 2003. "The impact of tobacco control program expenditures on aggregate cigarette sales: 1981-2000," Journal of Health Economics, Elsevier, vol. 22(5), pages 843-859, September.
    11. Shin-Yi Chou & Inas Rashad & Michael Grossman, 2008. "Fast-Food Restaurant Advertising on Television and Its Influence on Childhood Obesity," Journal of Law and Economics, University of Chicago Press, vol. 51(4), pages 599-618, November.
    12. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    13. Beydoun, May A. & Powell, Lisa M. & Wang, Youfa, 2008. "The association of fast food, fruit and vegetable prices with dietary intakes among US adults: Is there modification by family income?," Social Science & Medicine, Elsevier, vol. 66(11), pages 2218-2229, June.
    14. Inas Rashad & Michael Grossman & Shin-Yi Chou, 2006. "The Super Size of America: An Economic Estimation of Body Mass Index and Obesity in Adults," Eastern Economic Journal, Eastern Economic Association, vol. 32(1), pages 133-148, Winter.
    15. Jason M. Fletcher & David Frisvold & Nathan Tefft, 2010. "Can Soft Drink Taxes Reduce Population Weight?," Contemporary Economic Policy, Western Economic Association International, vol. 28(1), pages 23-35, January.
    16. Drewnowski, A. & Darmon, N. & Briend, A., 2004. "Replacing fats and sweets with vegetables and fruits - A question of cost," American Journal of Public Health, American Public Health Association, vol. 94(9), pages 1555-1559.
    17. 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.
    18. Kahn, H.S. & Tatham, L.M. & Rodriguez, C. & Calle, E.E. & Thun, M.J. & Heath Jr., C.W., 1997. "Stable behaviors associated with adults' 10-year change in body mass index and likelihood of gain at the waist," American Journal of Public Health, American Public Health Association, vol. 87(5), pages 747-754.
    19. Fred Kuchler & Abebayehu Tegene & J. Michael Harris, 2005. "Taxing Snack Foods: Manipulating Diet Quality or Financing Information Programs?," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 27(1), pages 4-20.
    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. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    2. Lucila Berniell & Dolores de la Mata & Nieves Valdés, 2013. "Spillovers Of Health Education At School On Parents' Physical Activity," Health Economics, John Wiley & Sons, Ltd., vol. 22(9), pages 1004-1020, September.

    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. McGeary, Kerry Anne, 2013. "The impact of state-level nutrition-education program funding on BMI: Evidence from the behavioral risk factor surveillance system," Social Science & Medicine, Elsevier, vol. 82(C), pages 67-78.
    2. Pieroni, Luca & Salmasi, Luca, 2010. "Body weight and socio-economic determinants: quantile estimations from the British Household Panel Survey," ISER Working Paper Series 2010-41, Institute for Social and Economic Research.
    3. Gračner, Tadeja, 2021. "Bittersweet: How prices of sugar-rich foods contribute to the diet-related disease epidemic in Mexico," Journal of Health Economics, Elsevier, vol. 80(C).
    4. Barone, Adriana & O'Higgins, Niall, 2010. "Fat and out in Salerno and its province: Adolescent obesity and early school leaving in Southern Italy," Economics & Human Biology, Elsevier, vol. 8(1), pages 44-57, March.
    5. 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.
    6. Buttet, Sebastien & Dolar, Veronika, 2015. "Toward a quantitative theory of food consumption choices and body weight," Economics & Human Biology, Elsevier, vol. 17(C), pages 143-156.
    7. Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George L. Wehby, 2016. "Can Changing Economic Factors Explain the Rise in Obesity?," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1266-1310, April.
    8. 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.
    9. Courtemanche, Charles & Tchernis, Rusty & Ukert, Benjamin, 2018. "The effect of smoking on obesity: Evidence from a randomized trial," Journal of Health Economics, Elsevier, vol. 57(C), pages 31-44.
    10. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    11. Euna Han & Lisa M. Powell, 2013. "Fast Food Prices And Adult Body Weight Outcomes: Evidence Based On Longitudinal Quantile Regression Models," Contemporary Economic Policy, Western Economic Association International, vol. 31(3), pages 528-536, July.
    12. Vincenzo Atella & Joanna Kopinska, 2011. "Body weight of Italians: the weight of Education," CEIS Research Paper 189, Tor Vergata University, CEIS, revised 23 Mar 2011.
    13. Grossman, Michael & Tekin, Erdal & Wada, Roy, 2014. "Food prices and body fatness among youths," Economics & Human Biology, Elsevier, vol. 12(C), pages 4-19.
    14. L. Pieroni & D. Lanari & L. Salmasi, 2013. "Food prices and overweight patterns in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 133-151, February.
    15. Inas Rashad, 2007. "Cycling: An Increasingly Untouched Source of Physical and Mental Health," NBER Working Papers 12929, National Bureau of Economic Research, Inc.
    16. John Cawley & Davide Dragone & Stephanie Von Hinke Kessler Scholder, 2016. "The Demand for Cigarettes as Derived from the Demand for Weight Loss: A Theoretical and Empirical Investigation," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 8-23, January.
    17. Wehby, George L. & Courtemanche, Charles J., 2012. "The heterogeneity of the cigarette price effect on body mass index," Journal of Health Economics, Elsevier, vol. 31(5), pages 719-729.
    18. Etilé, F, 2008. "Food Price Policies and the Distribution of Body Mass Index: Theory and Empirical Evidence from France," Health, Econometrics and Data Group (HEDG) Working Papers 08/10, HEDG, c/o Department of Economics, University of York.
    19. Adriana Barone & Cristian Barra, 2022. "Weight Status and Depression in Italy: Evidence from the Second Wave of the European Health Interview Survey," Journal of Interdisciplinary Economics, , vol. 34(2), pages 193-227, July.
    20. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.

    More about this item

    JEL classification:

    • I0 - Health, Education, and Welfare - - 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:nbr:nberwo:15001. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: . General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    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: (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.