IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/29867.html
   My bibliography  Save this paper

The Effect of Smoking Cessation on Mental Health: Evidence from a Randomized Trial

Author

Listed:
  • Katherine Meckel
  • Katherine P. Rittenhouse

Abstract

One in nine Americans smokes cigarettes, and a disproportionate share of smokers suffer from mental illness. Despite this correlation, there exists little rigorous evidence on the effects of smoking cessation on mental health. We re-use data from a randomized trial of a smoking cessation treatment to estimate short and long-term impacts on previously un-analyzed measures of mental distress. We find that smoking cessation increases short-run mental distress, while reducing milder forms of long-run distress. We provide suggestive evidence on mechanisms including physical health, marriage, employment and substance use. Our results suggest that cessation efforts and mental health supports are complementary interventions in the short run and provide new evidence of welfare gains from cessation in the long run.

Suggested Citation

  • Katherine Meckel & Katherine P. Rittenhouse, 2022. "The Effect of Smoking Cessation on Mental Health: Evidence from a Randomized Trial," NBER Working Papers 29867, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:29867
    Note: EH PE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w29867.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Chad Cotti & Erik Nesson & Nathan Tefft, 2019. "Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data," Health Economics, John Wiley & Sons, Ltd., vol. 28(2), pages 219-244, February.
    2. Bhat, Bhargav & de Quidt, Jonathan & Haushofer, Johannes & Patel, Vikram & Rao, Gautam & Schilbach, Frank & Vautrey, Pierre-Luc, 2022. "The Long-Run Effects of Psychotherapy on Depression, Beliefs, and Economic Outcomes," CEPR Discussion Papers 17309, C.E.P.R. Discussion Papers.
    3. Luca Braghieri & Ro'ee Levy & Alexey Makarin, 2022. "Social Media and Mental Health," American Economic Review, American Economic Association, vol. 112(11), pages 3660-3693, November.
    4. Dee, Thomas S., 1999. "The complementarity of teen smoking and drinking," Journal of Health Economics, Elsevier, vol. 18(6), pages 769-793, December.
    5. McClave, A.K. & McKnight-Eily, L.R. & Davis, S.P. & Dube, S.R., 2010. "Smoking characteristics of adults with selected lifetime mental illnesses: Results from the 2007 national health interview survey," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2464-2472.
    6. Jason Fletcher & Ryne Marksteiner, 2017. "Causal Spousal Health Spillover Effects and Implications for Program Evaluation," American Economic Journal: Economic Policy, American Economic Association, vol. 9(4), pages 144-166, November.
    7. Benjamin Ukert, 2017. "The short- and long-run effects of smoking cessation on alcohol consumption," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 495-519, December.
    8. Johanna Catherine Maclean & Brendan Saloner, 2019. "The Effect of Public Insurance Expansions on Substance Use Disorder Treatment: Evidence from the Affordable Care Act," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(2), pages 366-393, March.
    9. Friedman, Abigail S., 2020. "Smoking to cope: Addictive behavior as a response to mental distress," Journal of Health Economics, Elsevier, vol. 72(C).
    10. 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.
    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. Katherine Meckel & Bradley T. Shapiro, 2025. "Depression and grocery shopping behavior," Quantitative Marketing and Economics (QME), Springer, vol. 23(2), pages 291-317, June.

    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. Dave E. Marcotte & Benjamin Hansen, 2024. "The re‐emerging suicide crisis in the U.S.: Patterns, causes and solutions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(2), pages 582-612, March.
    2. Lindsey Rose Bullinger, 2021. "Child Support and the Affordable Care Act's Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(1), pages 42-77, January.
    3. Aparna Soni, 2020. "The effects of public health insurance on health behaviors: Evidence from the fifth year of Medicaid expansion," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1586-1605, December.
    4. 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.
    5. Park, Mingyeong & Son, Hyelim, 2025. "Intensity Matters: Heterogeneous impact of cigarette tax reform on drinking behaviors by smoking intensity," Social Science & Medicine, Elsevier, vol. 375(C).
    6. Lindsey Rose Bullinger & Maithreyi Gopalan & Caitlin McPherran Lombardi, 2023. "Impacts of publicly funded health insurance for adults on children's academic achievement," Southern Economic Journal, John Wiley & Sons, vol. 89(3), pages 860-884, January.
    7. Benjamin Ukert, 2017. "The short- and long-run effects of smoking cessation on alcohol consumption," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 495-519, December.
    8. Francesco Berlingieri & Matija Kovacic, 2025. "Health and relationship quality of sexual minorities in Europe," Journal of Population Economics, Springer;European Society for Population Economics, vol. 38(1), pages 1-39, March.
    9. Nicholas Moellman, 2020. "Healthcare and Hunger: Effects of the ACA Medicaid Expansions on Food Insecurity in America," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 42(2), pages 168-186, June.
    10. Erik Nesson & Vinish Shrestha, 2021. "The effects of false identification laws on underage alcohol‐related traffic fatalities," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2264-2283, September.
    11. Clemente Pignatti & Zachary Parolin, 2024. "The effects of an unconditional cash transfer on parents' mental health in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 33(10), pages 2253-2287, October.
    12. Everding, Jakob & Marcus, Jan, 2020. "The effect of unemployment on the smoking behavior of couples," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 29(2), pages 154-170.
    13. Gabriel A. Picone & Frank Sloan & Justin G. Trogdon, 2004. "The effect of the tobacco settlement and smoking bans on alcohol consumption," Health Economics, John Wiley & Sons, Ltd., vol. 13(10), pages 1063-1080, October.
    14. Jofre-Bonet, Mireia & Petry, Nancy M., 2008. "Trading apples for oranges?: Results of an experiment on the effects of Heroin and Cocaine price changes on addicts' polydrug use," Journal of Economic Behavior & Organization, Elsevier, vol. 66(2), pages 281-311, May.
    15. Rhys Llewellyn Thomas & Emmanouil Mentzakis, 2024. "The direct and spillover effects of diabetes diagnosis on lifestyle behaviours," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 952-970, May.
    16. Kovacic, Matija & Orso, Cristina Elisa, 2024. "Adverse childhood experiences and social media use in adulthood. Evidence from a novel EU survey," GLO Discussion Paper Series 1531, Global Labor Organization (GLO).
    17. Scott Barkowski & Joanne Song McLaughlin & Alex Ray, 2020. "A Reevaluation of the Effects of State and ACA Dependent Coverage Mandates on Health Insurance Coverage," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(3), pages 629-663, June.
    18. Mukhopadhyay, Sankar, 2022. "The Effects of Medicaid Expansion on Job Loss Induced Mental Distress during the COVID-19 Pandemic in the US," IZA Discussion Papers 15150, Institute of Labor Economics (IZA).
    19. Panagis Galiatsatos & MopeninuJesu Oluyinka & Jihyun Min & Raiza Schreiber & Dina G. Lansey & Ruth Ikpe & Manuel C. Pacheco & Victoria DeJaco & Alejandra Ellison-Barnes & Enid Neptune & Norma F. Kanar, 2022. "Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study," IJERPH, MDPI, vol. 19(18), pages 1-9, September.
    20. David Powell & Rosalie Liccardo Pacula, 2021. "The Evolving Consequences of OxyContin Reformulation on Drug Overdoses," American Journal of Health Economics, University of Chicago Press, vol. 7(1), pages 41-67.

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    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:29867. 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: the person in charge (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. RePEc uses bibliographic data supplied by the respective publishers.