IDEAS home Printed from https://ideas.repec.org/p/yor/hectdg/12-13.html
   My bibliography  Save this paper

Spillovers of health education at school on parents' physical activity

Author

Listed:
  • Lucila Berniell;
  • Dolores de la Mata;
  • M. Nieves Valdes

Abstract

To prevent modern health conditions like obesity, cancer, cardiovascular illness, and diabetes, which have reached epidemic-like proportions in recent decades, many health experts argue that students should receive Health Education (HED) at school. Although this type of education aims mainly to improve children's health pro les, it might affect other family members as well. This paper exploits state HED reforms as quasi-natural experiments to estimate the causal impact of HED received by children on their parents' physical activity. We use data from the Panel Study of Income Dynamics (PSID) for the period 1999-2005 merged with data on state HED reforms from the National Association of State Boards of Education (NASBE) Health Policy Database, and the 2000 and 2006 School Health Policies and Programs Study (SHPPS). To identify the spillover effects of HED requirements on parents' behavior we use a "differences-in-differences in- differences" (DDD) methodology in which we allow for different types of treatments. We find a positive effect of HED reforms at the elementary school on the probability of parents doing light physical activity. Introducing major changes in HED increases the probability of fathers engaging in physical activity by 12.4 percentage points, while this probability for mothers does not seem to be affected. We find evidence of two channels that may drive these spillovers. We conclude that the gender specialization of parents in childcare activities, as well as information sharing between children and parents, may play a role in generating these indirect effects and in turn, in shaping healthy lifestyles within the household.

Suggested Citation

  • Lucila Berniell; & Dolores de la Mata; & M. Nieves Valdes, 2012. "Spillovers of health education at school on parents' physical activity," Health, Econometrics and Data Group (HEDG) Working Papers 12/13, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:12/13
    as

    Download full text from publisher

    File URL: https://www.york.ac.uk/media/economics/documents/herc/wp/12_13.pdf
    File Function: Main text
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Cawley, John & Frisvold, David & Meyerhoefer, Chad, 2013. "The impact of physical education on obesity among elementary school children," Journal of Health Economics, Elsevier, vol. 32(4), pages 743-755.
    2. Burkhauser, Richard V. & Cawley, John & Schmeiser, Maximilian D., 2009. "The timing of the rise in U.S. obesity varies with measure of fatness," Economics & Human Biology, Elsevier, vol. 7(3), pages 307-318, December.
    3. Clark, Andrew E. & Etile, Fabrice, 2006. "Don't give up on me baby: Spousal correlation in smoking behaviour," Journal of Health Economics, Elsevier, vol. 25(5), pages 958-978, September.
    4. Rafael Lalive & M. Alejandra Cattaneo, 2009. "Social Interactions and Schooling Decisions," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 457-477, August.
    5. John Cawley & Chad Meyerhoefer & David Newhouse, 2007. "The impact of state physical education requirements on youth physical activity and overweight," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1287-1301, December.
    6. Manuela Angelucci & Giacomo De Giorgi, 2009. "Indirect Effects of an Aid Program: How Do Cash Transfers Affect Ineligibles' Consumption?," American Economic Review, American Economic Association, vol. 99(1), pages 486-508, March.
    7. Pascaline Dupas, 2011. "Do Teenagers Respond to HIV Risk Information? Evidence from a Field Experiment in Kenya," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 1-34, January.
    8. Jayanta Bhattacharya & Janet Currie & Steven J. Haider, 2006. "Breakfast of Champions?: The School Breakfast Program and the Nutrition of Children and Families," Journal of Human Resources, University of Wisconsin Press, vol. 41(3).
    9. Edward Miguel & Michael Kremer, 2004. "Worms: Identifying Impacts on Education and Health in the Presence of Treatment Externalities," Econometrica, Econometric Society, vol. 72(1), pages 159-217, January.
    10. Susan Athey & Guido W. Imbens, 2006. "Identification and Inference in Nonlinear Difference-in-Differences Models," Econometrica, Econometric Society, vol. 74(2), pages 431-497, March.
    11. 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.
    12. Ilyana Kuziemko, 2011. "Human Capital Spillovers in Families: Do Parents Learn from or Lean on their Children?," NBER Working Papers 17235, National Bureau of Economic Research, Inc.
    13. Kenkel, Donald S, 1991. "Health Behavior, Health Knowledge, and Schooling," Journal of Political Economy, University of Chicago Press, vol. 99(2), pages 287-305, April.
    14. Jonathan Guryan & Erik Hurst & Melissa Kearney, 2008. "Parental Education and Parental Time with Children," Journal of Economic Perspectives, American Economic Association, vol. 22(3), pages 23-46, Summer.
    15. Richard Blundell & Monica Costa Dias & Costas Meghir & John Van Reenen, 2004. "Evaluating the Employment Impact of a Mandatory Job Search Program," Journal of the European Economic Association, MIT Press, vol. 2(4), pages 569-606, June.
    16. Gruber, Jonathan, 1994. "The Incidence of Mandated Maternity Benefits," American Economic Review, American Economic Association, vol. 84(3), pages 622-641, June.
    17. John Cawley & Chad Meyerhoefer & David Newhouse, 2007. "The impact of state physical education requirements on youth physical activity and overweight," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1287-1301.
    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. De Neve, Jan-Walter & Fink, Günther, 2018. "Children’s education and parental old age survival – Quasi-experimental evidence on the intergenerational effects of human capital investment," Journal of Health Economics, Elsevier, vol. 58(C), pages 76-89.
    2. Yared Seid, 2021. "Do illiterate mothers learn from their literate kids? Evidence from maternal nutritional knowledge," Review of Development Economics, Wiley Blackwell, vol. 25(2), pages 677-693, May.
    3. Ning Wei & Dingqiang Sun, 2023. "Children’s education and parents’ dietary nutrient intake: an empirical study based on rural China," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-13, December.
    4. Jan Marcus & Thomas Siedler & Nicolas R. Ziebarth, 2022. "The Long-Run Effects of Sports Club Vouchers for Primary School Children," American Economic Journal: Economic Policy, American Economic Association, vol. 14(3), pages 128-165, August.
    5. Sovinsky, Michelle & Stern, Steven & Michel, Chloé, 2019. "Value of Risky Lifestyle Choices," CEPR Discussion Papers 13537, C.E.P.R. Discussion Papers.
    6. Yanna Ma & Zhanli Ma & Moqin Yang, 2022. "Does Adult Children’s Education Increase Parents’ Longevity in China?," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    7. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    8. Andre Chagas & Carlos Azzoni & Alexandre Almeida, 2015. "A Spatial Difference-in-Difference Analysis to Measure the Sugarcane Producing Impact in Respiratory Health," ERSA conference papers ersa15p511, European Regional Science Association.
    9. Oritseweyinmi Orighoye & Tanefa A. Apekey & Maria J. Maynard, 2023. "Informing Diet and Physical Activity Interventions with Family Involvement in an Urban Setting: Views of Children and Adults in Lagos, Nigeria," Sustainability, MDPI, vol. 15(10), pages 1-16, May.
    10. Tengtrakul, Pitikorn & Peha, Jon M., 2013. "Does ICT in schools affect residential adoption and adult utilization outside schools?," Telecommunications Policy, Elsevier, vol. 37(6), pages 540-562.
    11. Cornelissen, Thomas & Dang, Thang, 2022. "The multigenerational impacts of educational expansion: Evidence from Vietnam," Labour Economics, Elsevier, vol. 78(C).
    12. Ning Wei & Lülin Zhou & Wenhao Huang, 2022. "Does an upward intergenerational educational spillover effect exist? The effect of children’s education on Chinese parents’ health," International Journal of Health Economics and Management, Springer, vol. 22(1), pages 69-89, March.
    13. Youlu Zhang & Li Zhang & Fulian Li & Liqian Deng & Jiaoli Cai & Linyue Yu, 2022. "Offspring Education and Parents’ Health Inequality in China: Evidence from Spillovers of Education Reform," IJERPH, MDPI, vol. 19(4), pages 1-26, February.
    14. Demirel-Derebasoglu, Merve & Okten, Cagla, 2020. "Gender Gap in Intergenerational Educational Persistence: Can Compulsory Schooling Reduce It?," IZA Discussion Papers 13362, Institute of Labor Economics (IZA).
    15. Edberg, Dana & Mukhopadhyay, Sankar & Wendel, Jeanne, 2019. "Incentive design to boost health for juveniles with Medicaid coverage: Evidence from a field experiment," Economics & Human Biology, Elsevier, vol. 33(C), pages 101-115.
    16. Chagas, André L.S. & Azzoni, Carlos R. & Almeida, Alexandre N., 2016. "A spatial difference-in-differences analysis of the impact of sugarcane production on respiratory diseases," Regional Science and Urban Economics, Elsevier, vol. 59(C), pages 24-36.

    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. 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.
    2. Ciro Avitabile, 2011. "Spillover Effects in Healthcare Programs: Evidence on Social Norms and Information Sharing," CSEF Working Papers 271, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy, revised 14 Mar 2011.
    3. Brandyn F. Churchill, 2024. "State‐mandated school‐based BMI assessments and self‐reported adolescent health behaviors," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(1), pages 63-86, January.
    4. Baylis, Kathy & Ham, Andres, 2015. "How important is spatial correlation in randomized controlled trials?," 2015 AAEA & WAEA Joint Annual Meeting, July 26-28, San Francisco, California 205586, Agricultural and Applied Economics Association.
    5. Marc FERRACCI & Grégory JOLIVET & Gerard J van den Berg, 2009. "Treatment Evaluation in the Case of Interaction Within Markets," Working Papers 2009-22, Center for Research in Economics and Statistics.
    6. Jacobus de Hoop & Jed Friedman & Eeshani Kandpal & Furio C. Rosati, 2019. "Child Schooling and Child Work in the Presence of a Partial Education Subsidy," Journal of Human Resources, University of Wisconsin Press, vol. 54(2), pages 503-531.
    7. Dimitrios Nikolaou & Laura M. Crispin, 2022. "Estimating the effects of sports and physical exercise on bullying," Contemporary Economic Policy, Western Economic Association International, vol. 40(2), pages 283-303, April.
    8. Peter Kuhn & Peter Kooreman & Adriaan Soetevent & Arie Kapteyn, 2011. "The Effects of Lottery Prizes on Winners and Their Neighbors: Evidence from the Dutch Postcode Lottery," American Economic Review, American Economic Association, vol. 101(5), pages 2226-2247, August.
    9. Mesnard, Alice & Vera-Hernández, Marcos & Fitzsimons, Emla & Malde, Bansi, 2012. "Household Responses to Information on Child Nutrition: Experimental Evidence from Malawi," CEPR Discussion Papers 8915, C.E.P.R. Discussion Papers.
    10. Abramitzky, Ran & Lavy, Victor & Pérez, Santiago, 2021. "The long-term spillover effects of changes in the return to schooling," Journal of Public Economics, Elsevier, vol. 196(C).
    11. Black, Nicole & Johnston, David W. & Propper, Carol & Shields, Michael A., 2019. "The effect of school sports facilities on physical activity, health and socioeconomic status in adulthood," Social Science & Medicine, Elsevier, vol. 220(C), pages 120-128.
    12. Peter Hull & Michal Kolesár & Christopher Walters, 2022. "Labor by design: contributions of David Card, Joshua Angrist, and Guido Imbens," Scandinavian Journal of Economics, Wiley Blackwell, vol. 124(3), pages 603-645, July.
    13. Bart H. H. Golsteyn & Maria W. J. Jansen & Dave H. H. Van Kann & Annelore M. C. Verhagen, 2020. "Does Stimulating Physical Activity Affect School Performance?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(1), pages 64-95, January.
    14. Michael Christian Lehman, 2014. "Long-Run Effects Of Conditional Cash Transfers," Anais do XLI Encontro Nacional de Economia [Proceedings of the 41st Brazilian Economics Meeting] 223, ANPEC - Associação Nacional dos Centros de Pós-Graduação em Economia [Brazilian Association of Graduate Programs in Economics].
    15. Guido W. Imbens & Jeffrey M. Wooldridge, 2009. "Recent Developments in the Econometrics of Program Evaluation," Journal of Economic Literature, American Economic Association, vol. 47(1), pages 5-86, March.
    16. Babcock, Philip & Bedard, Kelly & Fischer, Stefanie & Hartman, John, 2020. "Coordination and contagion: Individual connections and peer mechanisms in a randomized field experiment," Journal of Public Economics, Elsevier, vol. 185(C).
    17. Steven Bednar & Kathryn Rouse, 2020. "The effect of physical education on children's body weight and human capital: New evidence from the ECLS‐K:2011," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 393-405, April.
    18. Trenton G. Smith & Attila Tasnádi, 2014. "The Economics of Information, Deep Capture, and the Obesity Debate," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 96(2), pages 533-541.
    19. Knaus, Michael C. & Lechner, Michael & Reimers, Anne K., 2020. "For better or worse? – The effects of physical education on child development," Labour Economics, Elsevier, vol. 67(C).
    20. Matteo Bobba & Jérémie Gignoux, 2011. "Policy-induced Social Interactions and Schooling Decisions," PSE Working Papers halshs-00962478, HAL.

    More about this item

    Keywords

    physical activity; healthy lifestyles; indirect treatment effects; health education; triple differences.;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I28 - Health, Education, and Welfare - - Education - - - Government Policy
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

    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:yor:hectdg:12/13. 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: Jane Rawlings (email available below). General contact details of provider: https://edirc.repec.org/data/deyoruk.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.