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Can Changing Economic Factors Explain the Rise in Obesity?

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  • Charles J. Courtemanche
  • Joshua C. Pinkston
  • Christopher J. Ruhm
  • George Wehby

Abstract

A growing literature examines the effects of economic variables on obesity, typically focusing on only one or a few factors at a time. We build a more comprehensive economic model of body weight, combining the 1990-2010 Behavioral Risk Factor Surveillance System with 27 state-level variables related to general economic conditions, labor supply, and the monetary or time costs of calorie intake, physical activity, and cigarette smoking. Controlling for demographic characteristics and state and year fixed effects, changes in these economic variables collectively explain 37% of the rise in BMI, 43% of the rise in obesity, and 59% of the rise in class II/III obesity. Quantile regressions also point to large effects among the heaviest individuals, with half the rise in the 90th percentile of BMI explained by economic factors. Variables related to calorie intake – particularly restaurant and supercenter/warehouse club densities – are the primary drivers of the results.

Suggested Citation

  • Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George Wehby, 2015. "Can Changing Economic Factors Explain the Rise in Obesity?," NBER Working Papers 20892, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:20892
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    Cited by:

    1. Cristina Bellés‐Obrero & Sergi Jiménez‐Martín & Judit Vall‐Castello, 2016. "Bad Times, Slimmer Children?," Health Economics, John Wiley & Sons, Ltd., vol. 25(S2), pages 93-112, November.
    2. Courtemanche, Charles & Pinkston, Joshua C. & Stewart, Jay, 2015. "Adjusting body mass for measurement error with invalid validation data," Economics & Human Biology, Elsevier, vol. 19(C), pages 275-293.
    3. Christopher Carpenter & Sebastian Tello-Trillo, 2015. "Do 'Cheeseburger Bills' Work? Effects of Tort Reform for Fast Food," Journal of Law and Economics, University of Chicago Press, vol. 58(4).
    4. Faqin Lin & Rui Wang & Yutong Lv & Feng Kuo, 2023. "Weight gains from multinational fast‐food restaurants: Evidence from China," Agribusiness, John Wiley & Sons, Ltd., vol. 39(S1), pages 1535-1558, December.
    5. Charles Courtemanche & Art Carden & Xilin Zhou & Murugi Ndirangu, 2019. "Do Walmart Supercenters Improve Food Security?," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 41(2), pages 177-198, June.
    6. Morales, Leonardo Fabio & Gordon-Larsen, Penny & Guilkey, David, 2016. "Obesity and health-related decisions: An empirical model of the determinants of weight status across the transition from adolescence to young adulthood," Economics & Human Biology, Elsevier, vol. 23(C), pages 46-62.
    7. Michael Grossman, 2016. "‘A Theory of the Allocation of Time’ Turns Fifty: Its Impact on the Field of Health Economics," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 3-7, January.
    8. 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.
    9. Harris, Matthew C., 2017. "Imperfect information on physical activity and caloric intake," Economics & Human Biology, Elsevier, vol. 26(C), pages 112-125.

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