IDEAS home Printed from https://ideas.repec.org/a/eee/ecmode/v54y2016icp13-25.html
   My bibliography  Save this article

The role of dietary choices and medical expenditures on health outcomes when health shocks are endogenous

Author

Listed:
  • Gomis-Porqueras, Pedro
  • Moslehi, Solmaz
  • Suen, Richard M.H.

Abstract

This paper presents a theoretical framework that incorporates both a role for preventive actions (through food choices) and treatment (through medical services) to improve health outcomes. In particular, we allow for an agent's calorie decision to alter the distribution of future health shocks. Once a shock is realized, medical care can be used to improve health outcomes. Thus this model can help us determine the role of the preventive actions and treatments in producing better health outcomes and study the links between an agent's choice of medical services and her diet. This framework suggests that wealthier individuals, on average, have lower morbidity rates and lead a healthier lifestyle than lower income agents. Finally, our numerical exercise captures U.S. cross-sectional facts regarding the choice of diet, medical expenditures as well as health and non-food expenditures.

Suggested Citation

  • Gomis-Porqueras, Pedro & Moslehi, Solmaz & Suen, Richard M.H., 2016. "The role of dietary choices and medical expenditures on health outcomes when health shocks are endogenous," Economic Modelling, Elsevier, vol. 54(C), pages 13-25.
    • Handle: RePEc:eee:ecmode:v:54:y:2016:i:c:p:13-25
    DOI: 10.1016/j.econmod.2015.11.024
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0264999315003922
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.econmod.2015.11.024?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    2. Lakdawalla, Darius & Philipson, Tomas J., 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 174, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
    3. Martin, Stephen & Rice, Nigel & Smith, Peter C., 2008. "Does health care spending improve health outcomes? Evidence from English programme budgeting data," Journal of Health Economics, Elsevier, vol. 27(4), pages 826-842, July.
    4. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    5. Heffley, Dennis R., 1982. "Allocating health expenditures to treatment and prevention," Journal of Health Economics, Elsevier, vol. 1(3), pages 265-290, December.
    6. Borghans, Lex & Golsteyn, Bart H.H., 2006. "Time discounting and the body mass index: Evidence from the Netherlands," Economics & Human Biology, Elsevier, vol. 4(1), pages 39-61, January.
    7. 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.
    8. Mas-Colell, Andreu & Whinston, Michael D. & Green, Jerry R., 1995. "Microeconomic Theory," OUP Catalogue, Oxford University Press, number 9780195102680.
    9. Robert E. Hall & Charles I. Jones, 2007. "The Value of Life and the Rise in Health Spending," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 39-72.
    10. 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.
    11. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
    12. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    13. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    14. Shishu Zhang & Gregory J. Soukup, 2012. "Analysis of the Medical Expenditure Panel Survey and the impact of family structure on children's well-being in the United States," Applied Economics Letters, Taylor & Francis Journals, vol. 19(18), pages 1879-1883, December.
    15. Viscusi, W Kip & Evans, William N, 1990. "Utility Functions That Depend on Health Status: Estimates and Economic Implications," American Economic Review, American Economic Association, vol. 80(3), pages 353-374, June.
    16. Cawley, John & Ruhm, Christopher J., 2011. "The Economics of Risky Health Behaviors," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 95-199, Elsevier.
    17. Juergen Jung & Chung Tran, 2016. "Market Inefficiency, Insurance Mandate and Welfare: U.S. Health Care Reform 2010," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 20, pages 132-159, April.
    18. Ehrlich, Isaac & Becker, Gary S, 1972. "Market Insurance, Self-Insurance, and Self-Protection," Journal of Political Economy, University of Chicago Press, vol. 80(4), pages 623-648, July-Aug..
    19. Adam Drewnowski & Nicole Darmon, 2005. "Food choices and diet costs: an economic analysis," Post-Print hal-03759740, HAL.
    20. Dragone, Davide & Savorelli, Luca, 2012. "Thinness and obesity: A model of food consumption, health concerns, and social pressure," Journal of Health Economics, Elsevier, vol. 31(1), pages 243-256.
    21. Dragone, Davide, 2009. "A rational eating model of binges, diets and obesity," Journal of Health Economics, Elsevier, vol. 28(4), pages 799-804, July.
    22. Levy, Amnon, 2002. "Rational eating: can it lead to overweightness or underweightness?," Journal of Health Economics, Elsevier, vol. 21(5), pages 887-899, September.
    23. repec:dau:papers:123456789/10510 is not listed on IDEAS
    24. Kan, Kamhon & Tsai, Wei-Der, 2004. "Obesity and risk knowledge," Journal of Health Economics, Elsevier, vol. 23(5), pages 907-934, September.
    25. Cawley, John & Meyerhoefer, Chad, 2012. "The medical care costs of obesity: An instrumental variables approach," Journal of Health Economics, Elsevier, vol. 31(1), pages 219-230.
    26. William N. Evans & W. Kip Viscusi, 1993. "Income Effects and the Value of Health," Journal of Human Resources, University of Wisconsin Press, vol. 28(3), pages 497-518.
    27. repec:mpr:mprres:3123 is not listed on IDEAS
    28. Truong, K.D. & Sturm, R., 2005. "Weight gain trends across sociodemographic groups in the United States," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1602-1606.
    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. Bellido, Héctor & Marcén, Miriam, 2020. "On the relationship between body mass index and marital dissolution," Economic Modelling, Elsevier, vol. 91(C), pages 326-340.

    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. Liu, Yaqin & Ferreira, Susana & Colson, Gregory & Wetzstein, Michael, 2013. "Obesity and Counseling," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 149947, Agricultural and Applied Economics Association.
    2. Dodd, Mark C., 2014. "Intertemporal discounting as a risk factor for high BMI: Evidence from Australia, 2008," Economics & Human Biology, Elsevier, vol. 12(C), pages 83-97.
    3. Alessia CAVALIERE & Elisa DE MARCHI & Alessandro BANTERLE, 2013. "Time preference and health: the problem of obesity," Departmental Working Papers 2013-13, Department of Economics, Management and Quantitative Methods at Università degli Studi di Milano.
    4. Dragone, D. & Ziebarth, N.R., 2015. "Non-Separable Time Preferences and Novelty Consumption: Theory and Evidence from the East German Transition to Capitalism," Health, Econometrics and Data Group (HEDG) Working Papers 15/28, HEDG, c/o Department of Economics, University of York.
    5. Nathalie Mathieu‐Bolh, 2022. "The elusive link between income and obesity," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 935-968, September.
    6. Dragone, Davide & Ziebarth, Nicolas R., 2017. "Non-separable time preferences, novelty consumption and body weight: Theory and evidence from the East German transition to capitalism," Journal of Health Economics, Elsevier, vol. 51(C), pages 41-65.
    7. Heer, Burkhard & Rohrbacher, Stefan, 2021. "Endogenous longevity and optimal tax progressivity," Journal of Health Economics, Elsevier, vol. 79(C).
    8. 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.
    9. Duncan, Roberto & Toledo, Patricia, 2019. "Inequality in body mass indices across countries: Evidence from convergence tests," Economics & Human Biology, Elsevier, vol. 33(C), pages 40-57.
    10. Oscar Erixson, 2017. "Health responses to a wealth shock: evidence from a Swedish tax reform," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(4), pages 1281-1336, October.
    11. Chavas, Jean-Paul, 2013. "On the microeconomics of food and malnutrition under endogenous discounting," European Economic Review, Elsevier, vol. 59(C), pages 80-96.
    12. Jang, Youngsoo, 2019. "Credit, Default, and Optimal Health Insurance," MPRA Paper 95705, University Library of Munich, Germany.
    13. Joan Costa Font & Joan Gil Trasfi, 2005. "Obesity and the Incidence of Chronic Diseases: a Seemingly Unrelated Probit Approach," Working Papers in Economics 137, Universitat de Barcelona. Espai de Recerca en Economia.
    14. 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.
    15. Michael Kuhn & Alexia Prskawetz & Uwe Sunde, 2014. "Health, education, and retirement over the prolonged life cycle: a selective survey of recent research," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 12(1), pages 1-22.
    16. Strulik, Holger, 2019. "I shouldn’t eat this donut: Self-control, body weight, and health in a life cycle model," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    17. Cavaco, Sandra & Eriksson, Tor & Skalli, Ali, 2014. "Life cycle development of obesity and its determinants in six European countries," Economics & Human Biology, Elsevier, vol. 14(C), pages 62-78.
    18. 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.
    19. Duncan, Roberto & Toledo, Patricia, 2018. "Do overweight and obesity prevalence rates converge in Europe?," Research in Economics, Elsevier, vol. 72(4), pages 482-493.
    20. Mathieu-Bolh, Nathalie & Wendner, Ronald, 2020. "We are what we eat: Obesity, income, and social comparisons," European Economic Review, Elsevier, vol. 128(C).

    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:eee:ecmode:v:54:y:2016:i:c:p:13-25. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/30411 .

    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.