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Spillovers of health education at school on parents' physical activity

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  • 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
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    References listed on IDEAS

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    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. 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.
    3. 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.
    4. 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.
    5. 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).
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    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. 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.
    12. 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.
    13. 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.
    14. Gruber, Jonathan, 1994. "The Incidence of Mandated Maternity Benefits," American Economic Review, American Economic Association, vol. 84(3), pages 622-641, June.
    15. 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.
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    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. Jan Marcus & Thomas Siedler & Nicolas R. Ziebarth, 2021. "The Long-Run Effects of Sports Club Vouchers for Primary School Children," NBER Working Papers 28819, National Bureau of Economic Research, Inc.
    3. Michel, Chloe & Sovinsky, Michelle & Stern, Steven, 2019. "Value of Risky Lifestyle Choices," CEPR Discussion Papers 13537, C.E.P.R. Discussion Papers.
    4. 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.
    5. 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.
    6. 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.
    7. Demirel, Merve & Okten, Cagla, 2020. "Gender Gap in Intergenerational Educational Persistence: Can Compulsory Schooling Reduce It?," IZA Discussion Papers 13362, Institute of Labor Economics (IZA).
    8. 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.
    9. 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.

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    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

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