IDEAS home Printed from https://ideas.repec.org/a/aea/aerins/v2y2020i2p143-60.html
   My bibliography  Save this article

Health Recommendations and Selection in Health Behaviors

Author

Listed:
  • Emily Oster

Abstract

Consider a case in which a new research finding links a health behavior with good health outcomes. A possible consequence is take-up of this behavior among individuals who engage in other positive health behaviors. If this occurs, later analyses of observational data may be biased by the change in selection. This paper evaluates these dynamic biases in empirical settings. Using data from vitamin supplementation and diet, I show that selection responds endogenously to health recommendations. These results highlight how spurious findings on health behaviors can be self-reinforcing.

Suggested Citation

  • Emily Oster, 2020. "Health Recommendations and Selection in Health Behaviors," American Economic Review: Insights, American Economic Association, vol. 2(2), pages 143-160, June.
    • Handle: RePEc:aea:aerins:v:2:y:2020:i:2:p:143-60
    DOI: 10.1257/aeri.20190355
    as

    Download full text from publisher

    File URL: https://www.aeaweb.org/doi/10.1257/aeri.20190355
    Download Restriction: no
    File URL: https://doi.org/10.3886/E115212V1
    Download Restriction: no
    File URL: https://www.aeaweb.org/doi/10.1257/aeri.20190355.appx
    Download Restriction: no
    File URL: https://www.aeaweb.org/doi/10.1257/aeri.20190355.ds
    Download Restriction: no
    File URL: https://libkey.io/10.1257/aeri.20190355?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
    ---><---

    References listed on IDEAS

    as
    1. Stefan Hut & Emily Oster, 2018. "Changes in Household Diet: Determinants and Predictability," NBER Working Papers 24892, National Bureau of Economic Research, Inc.
    2. David M. Cutler & Adriana Lleras-Muney & Tom Vogl, 2008. "Socioeconomic Status and Health: Dimensions and Mechanisms," NBER Working Papers 14333, National Bureau of Economic Research, Inc.
    3. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    4. Chern, Wen S & Loehman, Edna T & Yen, Steven T, 1995. "Information, Health Risk Beliefs, and the Demand for Fats and Oils," The Review of Economics and Statistics, MIT Press, vol. 77(3), pages 555-564, August.
    5. Liran Einav & Amy Finkelstein & Tamar Oostrom & Abigail Ostriker & Heidi Williams, 2020. "Screening and Selection: The Case of Mammograms," American Economic Review, American Economic Association, vol. 110(12), pages 3836-3870, December.
    6. Jutta Roosen & Stéphan Marette & Sandrine Blanchemanche & Philippe Verger, 2009. "Does Health Information Matter for Modifying Consumption? A Field Experiment Measuring the Impact of Risk Information on Fish Consumption," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 31(1), pages 2-20.
    7. Chang, Hung-Hao & Just, David R., 2007. "Health Information Availability and the Consumption of Eggs: Are Consumers Bayesians?," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 32(1), pages 1-16, April.
    8. Deborah J. Brown & Lee F. Schrader, 1990. "Cholesterol Information and Shell Egg Consumption," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 72(3), pages 548-555.
    9. Amanda E Kowalski, 2023. "Behaviour within a Clinical Trial and Implications for Mammography Guidelines," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 90(1), pages 432-462.
    10. Ippolito, Pauline M & Mathios, Alan D, 1995. "Information and Advertising: The Case of Fat Consumption in the United States," American Economic Review, American Economic Association, vol. 85(2), pages 91-95, May.
    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. J. E. Prieger & A. Choi, 2024. "E-cigarettes and Smoking: Correlation, Causation, and Selection Bias," Journal of Consumer Policy, Springer, vol. 47(4), pages 471-498, December.
    2. Humlum, Maria Knoth & Morthorst, Marius Opstrup & Thingholm, Peter Rønø, 2024. "Sibling spillovers and the choice to get vaccinated: Evidence from a regression discontinuity design," Journal of Health Economics, Elsevier, vol. 94(C).
    3. Rubin, Amir & Rubin, Eran & Segal, Dan, 2023. "Editor home bias?," Research Policy, Elsevier, vol. 52(6).
    4. Frank A. Sloan, 2024. "Subjective beliefs, health, and health behaviors," Journal of Risk and Uncertainty, Springer, vol. 69(2), pages 105-144, October.
    5. Rafkin, Charlie & Shreekumar, Advik & Vautrey, Pierre-Luc, 2021. "When guidance changes: Government stances and public beliefs," Journal of Public Economics, Elsevier, vol. 196(C).

    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. Emily Oster, 2018. "Behavioral Feedback: Do Individual Choices Influence Scientific Results?," NBER Working Papers 25225, National Bureau of Economic Research, Inc.
    2. Moon, Wanki & Balasubramanian, Siva K. & Rimal, Arbindra, 2011. "Health claims and consumers' behavioral intentions: The case of soy-based food," Food Policy, Elsevier, vol. 36(4), pages 480-489, August.
    3. Gaggero, A. & Gil, J. & Jiménez-Rubio, D. & Zucchelli, E., 2021. "Health information and lifestyle behaviours: the impact of a diabetes diagnosis," Health, Econometrics and Data Group (HEDG) Working Papers 21/02, HEDG, c/o Department of Economics, University of York.
    4. Bi, Xiang & House, Lisa & Gao, Zhifeng, 2014. "Can Nutrition and Health Information Increase Demand for Seafood among Parents? Evidence from a Choice Experiment," 2014 Annual Meeting, July 27-29, 2014, Minneapolis, Minnesota 170266, Agricultural and Applied Economics Association.
    5. Luciana Juvenal & Paulo Santos Monteiro, 2024. "Risky Gravity," Journal of the European Economic Association, European Economic Association, vol. 22(4), pages 1590-1627.
    6. Aldrich, Lorna, 1999. "Consumer Use of Information: Implications for Food Policy," Miscellaneous Publications 330083, United States Department of Agriculture, Economic Research Service.
    7. Getu Hailu & John Cranfield & Rawlin Thangaraj, 2010. "Do U.S. food processors respond to sweetener-related health information?," Agribusiness, John Wiley & Sons, Ltd., vol. 26(3), pages 348-368.
    8. Mancino, Lisa & Kuchler, Fred & Leibtag, Ephraim, 2008. "Getting consumers to eat more whole-grains: The role of policy, information, and food manufacturers," Food Policy, Elsevier, vol. 33(6), pages 489-496, December.
    9. Moon, Wanki, 2002. "Estimating The Effect Of Health Knowledge In The Consumption Of Soy-Based Foods," 2002 Annual meeting, July 28-31, Long Beach, CA 19681, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    10. Tiantian Dai & Shenyi Jiang & Xiangbo Liu & Ang Sun, 2022. "The effects of a hypertension diagnosis on health behaviors: A two‐dimensional regression discontinuity analysis," Health Economics, John Wiley & Sons, Ltd., vol. 31(4), pages 574-596, April.
    11. Junmin Wan, 2004. "Responses of Consumers to the Mandatory Disclosure of Information: Evidence from Natural Experiments in Japanese Inter-brand Cigarette Demands," Discussion Papers in Economics and Business 04-13-Rev, Osaka University, Graduate School of Economics, revised Feb 2006.
    12. Gaggero, Alessio & Gil, Joan & Jiménez-Rubio, Dolores & Zucchelli, Eugenio, 2022. "Does health information affect lifestyle behaviours? The impact of a diabetes diagnosis," Social Science & Medicine, Elsevier, vol. 314(C).
    13. Rimal, Arbindra & Balasubramanian, Siva K. & Moon, Wanki, 2004. "Two-Stage Decision Model Of Soy Food Consumption Behavior," 2004 Annual meeting, August 1-4, Denver, CO 20096, American Agricultural Economics Association (New Name 2008: Agricultural and Applied Economics Association).
    14. Anderberg, Dan & Chevalier, Arnaud & Wadsworth, Jonathan, 2011. "Anatomy of a health scare: Education, income and the MMR controversy in the UK," Journal of Health Economics, Elsevier, vol. 30(3), pages 515-530, May.
    15. Variyam, Jayachandran N. & Blaylock, James R. & Smallwood, David, 1997. "Diet-Health Information and Nutrition: The Intake of Dietary Fats and Cholesterol," Technical Bulletins 156800, United States Department of Agriculture, Economic Research Service.
    16. Raquel Fonseca Benito & Yuhui Zheng, 2011. "The Effect of Education on Health Cross-Country Evidence," Working Papers WR-864, RAND Corporation.
    17. Shimshack, Jay P. & Ward, Michael B., 2010. "Mercury advisories and household health trade-offs," Journal of Health Economics, Elsevier, vol. 29(5), pages 674-685, September.
    18. Goodwin, Barry K. & Harper, Daniel & Schnepf, Randy, 2003. "Short-Run Demand Relationships in the U.S. Fats and Oils Complex," Journal of Agricultural and Applied Economics, Cambridge University Press, vol. 35(1), pages 171-184, April.
    19. Zhao, Meng & Konishi, Yoshifumi & Glewwe, Paul, 2013. "Does information on health status lead to a healthier lifestyle? Evidence from China on the effect of hypertension diagnosis on food consumption," Journal of Health Economics, Elsevier, vol. 32(2), pages 367-385.
    20. Bo Xiong & Daniel Sumner & William Matthews, 2014. "A new market for an old food: the U.S. demand for olive oil," Agricultural Economics, International Association of Agricultural Economists, vol. 45(S1), pages 107-118, November.

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    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:aea:aerins:v:2:y:2020:i:2:p:143-60. 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: Michael P. Albert (email available below). General contact details of provider: https://edirc.repec.org/data/aeaaaea.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.