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Are investments in disease prevention complements? The case of statins and health behaviors

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  • Kaestner, Robert
  • Darden, Michael
  • Lakdawalla, Darius

Abstract

We obtain estimates of associations between statin use and health behaviors. Statin use is associated with a small increase in BMI and moderate (20–33%) increases in the probability of being obese. Statin use was also associated with a significant (e.g., 15% of mean) increase in moderate alcohol use among men. There was no consistent evidence of a decrease in smoking associated with statin use, and exercise worsened somewhat for females. Statin use was associated with increased physical activity among males. Finally, there was evidence that statin use increased the use of blood pressure medication and aspirin for both males and females, although estimates varied considerably in magnitude. These results are consistent with the hypothesis that healthy diet is a strong substitute for statins, but there is only uneven evidence for the hypothesis that investments in disease prevention are complementary.

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  • Kaestner, Robert & Darden, Michael & Lakdawalla, Darius, 2014. "Are investments in disease prevention complements? The case of statins and health behaviors," Journal of Health Economics, Elsevier, vol. 36(C), pages 151-163.
    • Handle: RePEc:eee:jhecon:v:36:y:2014:i:c:p:151-163
    DOI: 10.1016/j.jhealeco.2014.04.006
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    1. Gary S. Becker, 2007. "Health as human capital: synthesis and extensions -super-1," Oxford Economic Papers, Oxford University Press, vol. 59(3), pages 379-410, July.
    2. David A. Wise, 2014. "Discoveries in the Economics of Aging," NBER Books, National Bureau of Economic Research, Inc, number wise13-1, February.
    3. Oster, Emily, 2012. "HIV and sexual behavior change: Why not Africa?," Journal of Health Economics, Elsevier, vol. 31(1), pages 35-49.
    4. Tomas J. Philipson & William H. Dow & Xavier Sala-i-Martin, 1999. "Longevity Complementarities under Competing Risks," American Economic Review, American Economic Association, vol. 89(5), pages 1358-1371, December.
    5. Lisa E. Bolton & Joel B. Cohen & Paul N. Bloom, 2006. "Does Marketing Products as Remedies Create "Get Out of Jail Free Cards"?," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 33(1), pages 71-81, June.
    6. Kahn, Matthew E, 1999. "Diabetic Risk Taking: The Role of Information, Education and Medication," Journal of Risk and Uncertainty, Springer, vol. 18(2), pages 147-164, August.
    7. Amitabh Chandra & David Malenka & Jonathan Skinner, 2014. "The Diffusion of New Medical Technology: The Case of Drug-Eluting Stents," NBER Chapters, in: Discoveries in the Economics of Aging, pages 389-403, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Margolis, Jesse & Hockenberry, Jason & Grossman, Michael & Chou, Shin-Yi, 2014. "Moral Hazard and Less Invasive Medical Treatment for Coronary Artery Disease: The Case of Cigarette Smoking," IZA Discussion Papers 8492, Institute of Labor Economics (IZA).
    2. Wiktor Adamowicz & Mark Dickie & Shelby Gerking & Marcella Veronesi & David Zinner, 2014. "Household Decision Making and Valuation of Environmental Health Risks to Parents and Their Children," Journal of the Association of Environmental and Resource Economists, University of Chicago Press, vol. 1(4), pages 481-519.
    3. Fichera, Eleonora & Emsley, Richard & Sutton, Matt, 2016. "Is treatment “intensity” associated with healthier lifestyle choices? An application of the dose response function," Economics & Human Biology, Elsevier, vol. 23(C), pages 149-163.
    4. Paul Andres Rodriguez-Lesmes, 2017. "Early diagnosis of chronic conditions and lifestyle modification," Documentos de Trabajo 15639, Universidad del Rosario.
    5. Abraham Abebe Asfaw, 2019. "The effect of prescription drug insurance on health behavior: Evidence from Medicare Part D," Health Economics, John Wiley & Sons, Ltd., vol. 28(3), pages 403-418, March.
    6. David B Agus & Étienne Gaudette & Dana P Goldman & Andrew Messali, 2016. "The Long-Term Benefits of Increased Aspirin Use by At-Risk Americans Aged 50 and Older," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    7. Fichera, Eleonora & Banks, James & Siciliani, Luigi & Sutton, Matt, 2018. "Does patient health behaviour respond to doctor effort?," Journal of Economic Behavior & Organization, Elsevier, vol. 156(C), pages 225-251.
    8. Darden, Michael E. & Papageorge, Nicholas W., 2024. "Rational self-medication," Economics & Human Biology, Elsevier, vol. 53(C).
    9. Étienne Gaudette & Dana Goldman & Andrew Messali & Neeraj Sood, 2015. "Do Statins Reduce the Health and Health Care Costs of Obesity?," PharmacoEconomics, Springer, vol. 33(7), pages 723-734, July.
    10. Friedman, Willa Helterline, 2018. "Antiretroviral drug access and behavior change," Journal of Development Economics, Elsevier, vol. 135(C), pages 392-411.
    11. Fichera, Eleonora & Gray, Ewan & Sutton, Matt, 2016. "How do individuals’ health behaviours respond to an increase in the supply of health care? Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 159(C), pages 170-179.
    12. Danea Horn, 2024. "From prevention to treatment: Prescription medication, information, and health behaviors," Health Economics, John Wiley & Sons, Ltd., vol. 33(11), pages 2618-2644, November.
    13. Witvorapong, Nopphol, 2018. "Healthy behaviours and productive activities among Thai older adults: A repeated cross-sectional analysis," Social Science & Medicine, Elsevier, vol. 213(C), pages 12-19.
    14. Thomas W. Carton & Michael Darden & John Levendis & Sang H. Lee & Iben Ricket, 2016. "Comprehensive Indoor Smoking Bans and Smoking Prevalence: Evidence from the BRFSS," American Journal of Health Economics, University of Chicago Press, vol. 2(4), pages 535-556, Fall.

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    More about this item

    Keywords

    Health behaviors; Prevention; Health investment; Statins; Complementarity;
    All these keywords.

    JEL classification:

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

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