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Spillovers and Social Interaction Effects in the Demand for Preventive Healthcare: Evidence from the PROGRESA program

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  • Avitabile, Ciro

Abstract

This paper exploits the randomized research design of a large welfare program–PROGRESA–to study the existence in rural Mexico of spillover effects in the propensity to screen for gender- and non-gender-specific conditions. I find significant evidence of increased demand for Papanicolaou cervical-cancer screening among women ineligible for the Conditional Cash Transfer, yet no evidence of similar externalities in non-gender specific tests, such as blood-pressure and blood-sugar checks. Certain pieces of evidence are suggestive of the weakening of the social norm related to husbands’ opposition to screening of their wives as one of the possible drivers of the indirect effect.

Suggested Citation

  • Avitabile, Ciro, 2021. "Spillovers and Social Interaction Effects in the Demand for Preventive Healthcare: Evidence from the PROGRESA program," Journal of Health Economics, Elsevier, vol. 79(C).
  • Handle: RePEc:eee:jhecon:v:79:y:2021:i:c:s0167629621000680
    DOI: 10.1016/j.jhealeco.2021.102483
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    as
    1. Dennis Egger & Johannes Haushofer & Edward Miguel & Paul Niehaus & Michael Walker, 2022. "General Equilibrium Effects of Cash Transfers: Experimental Evidence From Kenya," Econometrica, Econometric Society, vol. 90(6), pages 2603-2643, November.
    2. Leonardo Bursztyn & Robert Jensen, 2017. "Social Image and Economic Behavior in the Field: Identifying, Understanding, and Shaping Social Pressure," Annual Review of Economics, Annual Reviews, vol. 9(1), pages 131-153, September.
    3. Angelucci, Manuela & De Giorgi, Giacomo & Rangel, Marcos A. & Rasul, Imran, 2010. "Family networks and school enrolment: Evidence from a randomized social experiment," Journal of Public Economics, Elsevier, vol. 94(3-4), pages 197-221, April.
    4. Amy Finkelstein & Erzo F. P. Luttmer & Matthew J. Notowidigdo, 2013. "What Good Is Wealth Without Health? The Effect Of Health On The Marginal Utility Of Consumption," Journal of the European Economic Association, European Economic Association, vol. 11, pages 221-258, January.
    5. Matteo Bobba & Jérémie Gignoux, 2019. "Neighborhood Effects in Integrated Social Policies," The World Bank Economic Review, World Bank, vol. 33(1), pages 116-139.
    6. Jesse M Cunha & Giacomo De Giorgi & Seema Jayachandran, 2019. "The Price Effects of Cash Versus In-Kind Transfers," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 86(1), pages 240-281.
    7. 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.
    8. Sarah Baird & Joan Hamory Hicks & Michael Kremer & Edward Miguel, 2016. "Worms at Work: Long-run Impacts of a Child Health Investment," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1637-1680.
    9. Manuela Angelucci & Giacomo De Giorgi & Imran Rasul, 2018. "Consumption and Investment in Resource Pooling Family Networks," Economic Journal, Royal Economic Society, vol. 128(615), pages 2613-2651, November.
    10. 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.
    11. Munshi, Kaivan & Myaux, Jacques, 2006. "Social norms and the fertility transition," Journal of Development Economics, Elsevier, vol. 80(1), pages 1-38, June.
    12. Luis Rubalcava & Graciela Teruel & Duncan Thomas, 2009. "Investments, Time Preferences, and Public Transfers Paid to Women," Economic Development and Cultural Change, University of Chicago Press, vol. 57(3), pages 507-538, April.
    13. 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.
    14. Pascaline Dupas, 2011. "Health Behavior in Developing Countries," Annual Review of Economics, Annual Reviews, vol. 3(1), pages 425-449, September.
    15. Emily Oster & Rebecca Thornton, 2012. "Determinants Of Technology Adoption: Peer Effects In Menstrual Cup Take-Up," Journal of the European Economic Association, European Economic Association, vol. 10(6), pages 1263-1293, December.
    16. Hongbin Cai & Yuyu Chen & Hanming Fang, 2009. "Observational Learning: Evidence from a Randomized Natural Field Experiment," American Economic Review, American Economic Association, vol. 99(3), pages 864-882, June.
    17. Richard Blundell & Frank Windmeijer, 2000. "Identifying demand for health resources using waiting times information," Health Economics, John Wiley & Sons, Ltd., vol. 9(6), pages 465-474, September.
    18. Orazio Attanasio & Valerie Lechene, 2002. "Tests of Income Pooling in Household Decisions," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 5(4), pages 720-748, October.
    19. Gustavo J. Bobonis & Frederico Finan, 2009. "Neighborhood Peer Effects in Secondary School Enrollment Decisions," The Review of Economics and Statistics, MIT Press, vol. 91(4), pages 695-716, November.
    20. 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.
    21. Gravelle, H. S. E., 1990. "Rationing trials by waiting: Welfare implications," International Review of Law and Economics, Elsevier, vol. 10(3), pages 255-270, December.
    22. Barham, Tania & Rowberry, Jacob, 2013. "Living longer: The effect of the Mexican conditional cash transfer program on elderly mortality," Journal of Development Economics, Elsevier, vol. 105(C), pages 226-236.
    23. Enrico Moretti, 2011. "Social Learning and Peer Effects in Consumption: Evidence from Movie Sales," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 78(1), pages 356-393.
    24. Mobarak, Ahmed & Levinsohn, James & Guiteras, Raymond, 2019. "Demand Estimation with Strategic Complementarities: Sanitation in Bangladesh," CEPR Discussion Papers 13498, C.E.P.R. Discussion Papers.
    25. Michihiro Kandori, 1992. "Social Norms and Community Enforcement," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 59(1), pages 63-80.
    26. Orazio P. Attanasio & Valérie Lechene, 2014. "Efficient Responses to Targeted Cash Transfers," Journal of Political Economy, University of Chicago Press, vol. 122(1), pages 178-222.
    27. Prina, Silvia & Royer, Heather, 2014. "The importance of parental knowledge: Evidence from weight report cards in Mexico," Journal of Health Economics, Elsevier, vol. 37(C), pages 232-247.
    28. Lindsay, Cotton M & Feigenbaum, Bernard, 1984. "Rationing by Waiting Lists," American Economic Review, American Economic Association, vol. 74(3), pages 404-417, June.
    29. Skoufias, Emmanuel, 2005. "PROGRESA and its impacts on the welfare of rural households in Mexico:," Research reports 139, International Food Policy Research Institute (IFPRI).
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    More about this item

    Keywords

    Cervical cancer; Spillovers; PROGRESA;
    All these keywords.

    JEL classification:

    • D83 - Microeconomics - - Information, Knowledge, and Uncertainty - - - Search; Learning; Information and Knowledge; Communication; Belief; Unawareness
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination

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