IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v70y2010i8p1185-1193.html
   My bibliography  Save this article

Decomposing cross-country differences in levels of obesity and overweight: Does the social environment matter?

Author

Listed:
  • Font, Joan Costa
  • Fabbri, Daniele
  • Gil, Joan

Abstract

This paper examines the influence of environmental factors on weight gain and obesity. We take advantage of a markedly different pattern of obesity between Italy in Spain to undertake a non-linear decomposition analysis of differences in the prevalence of overweight and obesity between the two countries. The analysis is based on cross-sectional national surveys for 2003. We have attempted to isolate the influence of lifestyle factors, socio-economic and socio-environmental effects in explaining cross-country differences in BMI status. Our findings suggest that when the social environment (proxied by different measures of peer effects and regional BMI) is not controlled for, we explain about 27-42% of the overall Spain-to-Italy overweight and obesity gap. Differences in eating habits and education between the two countries are the main predictors of the gaps in obesity and overweight. However, when social environment is controlled for, our estimates explain between 76 and 92% of the obesity and overweight gap and the effect of eating habits are wiped out. These results suggest healthy body weight depends on cultural or environmental triggers that operate through individual level health production determinants.

Suggested Citation

  • Font, Joan Costa & Fabbri, Daniele & Gil, Joan, 2010. "Decomposing cross-country differences in levels of obesity and overweight: Does the social environment matter?," Social Science & Medicine, Elsevier, vol. 70(8), pages 1185-1193, April.
    • Handle: RePEc:eee:socmed:v:70:y:2010:i:8:p:1185-1193
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00031-6
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    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. Costa-Font, Joan & Gil, Joan, 2008. "What lies behind socio-economic inequalities in obesity in Spain A decomposition approach," Food Policy, Elsevier, vol. 33(1), pages 61-73, February.
    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. Paul Contoyannis & John Wildman, 2007. "Using relative distributions to investigate the body mass index in England and Canada," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 929-944, September.
    4. George A. Akerlof & Rachel E. Kranton, 2000. "Economics and Identity," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(3), pages 715-753.
    5. Fairlie, Robert W, 1999. "The Absence of the African-American Owned Business: An Analysis of the Dynamics of Self-Employment," Journal of Labor Economics, University of Chicago Press, vol. 17(1), pages 80-108, January.
    6. Edward L. Glaeser & Bruce I. Sacerdote & Jose A. Scheinkman, 2003. "The Social Multiplier," Journal of the European Economic Association, MIT Press, vol. 1(2-3), pages 345-353, 04/05.
    7. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    8. 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.
    9. Charles F. Manski, 2000. "Economic Analysis of Social Interactions," Journal of Economic Perspectives, American Economic Association, vol. 14(3), pages 115-136, Summer.
    10. 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.
    11. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May.
    12. Bauer, Thomas K., 2004. "High Performance Workplace Practices and Job Satisfaction: Evidence from Europe," IZA Discussion Papers 1265, Institute of Labor Economics (IZA).
    13. Costa-Font, Joan & Fabbri, Daniele & Gil, Joan, 2009. "Decomposing body mass index gaps between Mediterranean countries: A counterfactual quantile regression analysis," Economics & Human Biology, Elsevier, vol. 7(3), pages 351-365, December.
    14. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    15. Inas Rashad & Michael Grossman & Shin-Yi Chou, 2006. "The Super Size of America: An Economic Estimation of Body Mass Index and Obesity in Adults," Eastern Economic Journal, Eastern Economic Association, vol. 32(1), pages 133-148, Winter.
    16. Sara Bleich & David Cutler & Christopher Murray & Alyce Adams, 2007. "Why Is The Developed World Obese?," NBER Working Papers 12954, National Bureau of Economic Research, Inc.
    17. Tomas Philipson, 2001. "The world‐wide growth in obesity: an economic research agenda," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 1-7, January.
    18. 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.
    19. Oaxaca, Ronald L. & Ransom, Michael R., 1994. "On discrimination and the decomposition of wage differentials," Journal of Econometrics, Elsevier, vol. 61(1), pages 5-21, March.
    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. Costa-i-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2012. "Do income gradients in unhealthy behaviours explain patterns of health inequalities?," LSE Research Online Documents on Economics 44302, London School of Economics and Political Science, LSE Library.
    2. Costa-Font, Joan & Mas, Núria, 2016. "‘Globesity’? The effects of globalization on obesity and caloric intake," Food Policy, Elsevier, vol. 64(C), pages 121-132.
    3. Raftopoulou, Athina, 2017. "Geographic determinants of individual obesity risk in Spain: A multilevel approach," Economics & Human Biology, Elsevier, vol. 24(C), pages 185-193.
    4. Danijel Nestic & Tomislav Vukina, 2020. "Examining the Prevalence of Obesity in Croatia: The Story of the Mediterranean Diet," Economia agro-alimentare, FrancoAngeli Editore, vol. 22(3), pages 1-32.
    5. de la Rie, Sanneke & Washbrook, Elizabeth & Perinetti Casoni, Valentina & Waldfogel, Jane & Kwon, Sarah Jiyoon & Dräger, Jascha & Schneider, Thorsten & Olczyk, Melanie & Boinet, Césarine & Keizer, Ren, 2023. "The role of energy balance related behaviors in socioeconomic inequalities in childhood body mass index: A comparative analysis of Germany, the Netherlands, the United Kingdom, and the United States," Social Science & Medicine, Elsevier, vol. 317(C).
    6. Francesco Bimbo & Rosaria Viscecchia & Gianluca Nardone, 2013. "L?effetto della "filiera corta" sul livello di obesit? in Italia," Economia agro-alimentare, FrancoAngeli Editore, vol. 15(2), pages 97-110.
    7. Paolo Nicola Barbieri, 2022. "Social distortion in weight perception: a decomposition of the obesity epidemic," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 39(2), pages 685-713, July.
    8. Paolo Nicola Barbieri, 2018. "BMI and Employment: Is There an Overweight Premium?," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 4(3), pages 523-548, November.
    9. Antonio Di Paolo & Joan Gil Trasfi & Athina Raftopoulou, 2018. "“What drives regional differences in BMI? Evidence from Spain”," IREA Working Papers 201808, University of Barcelona, Research Institute of Applied Economics, revised Oct 2018.
    10. Pampel, Fred C. & Denney, Justin T. & Krueger, Patrick M., 2012. "Obesity, SES, and economic development: A test of the reversal hypothesis," Social Science & Medicine, Elsevier, vol. 74(7), pages 1073-1081.
    11. Costa-Font, Joan & Gil, Joan, 2013. "Intergenerational and socioeconomic gradients of child obesity," Social Science & Medicine, Elsevier, vol. 93(C), pages 29-37.
    12. Donal O’Neill & Olive Sweetman, 2016. "Bounding obesity rates in the presence of self-reporting errors," Empirical Economics, Springer, vol. 50(3), pages 857-871, May.
    13. Costa-Font, Joan & Györi, Mario, 2020. "The weight of patriarchy? Gender obesity gaps in the Middle East and North Africa (MENA)," Social Science & Medicine, Elsevier, vol. 266(C).
    14. International Food Policy Research Institute, 2014. "Global Nutrition Report 2014: Actions and accountability to accelerate the world’s progress on nutrition," IFPRI books, International Food Policy Research Institute (IFPRI), number 978-0-89629-564-3.
    15. Costa-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2014. "Income inequalities in unhealthy life styles in England and Spain," Economics & Human Biology, Elsevier, vol. 13(C), pages 66-75.
    16. Eduardo Rodríguez Oreggia & Ana Bertha Pérez Lizaur, 2010. "Factores de dinámica social asociados al índice de masa corporal en adultos en México," Estudios Económicos, El Colegio de México, Centro de Estudios Económicos, vol. 25(2), pages 337-362.
    17. Averett, Susan L. & Stacey, Nicholas & Wang, Yang, 2014. "Decomposing race and gender differences in underweight and obesity in South Africa," Economics & Human Biology, Elsevier, vol. 15(C), pages 23-40.
    18. Powell, Lisa M. & Wada, Roy & Krauss, Ramona C. & Wang, Youfa, 2012. "Ethnic disparities in adolescent body mass index in the United States: The role of parental socioeconomic status and economic contextual factors," Social Science & Medicine, Elsevier, vol. 75(3), pages 469-476.

    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. Joan Costa-Font & Daniele Fabbri & Joan Gil, 2008. "Decomposing Cross-Country Gaps in Obesity and Overweight: Does the Social Environment Matter?," Working Papers in Economics 205, Universitat de Barcelona. Espai de Recerca en Economia.
    2. Pieroni, Luca & Salmasi, Luca, 2010. "Body weight and socio-economic determinants: quantile estimations from the British Household Panel Survey," ISER Working Paper Series 2010-41, Institute for Social and Economic Research.
    3. Charles L. Baum & Shin-Yi Chou, 2016. "Why has the prevalence of obesity doubled?," Review of Economics of the Household, Springer, vol. 14(2), pages 251-267, June.
    4. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    5. Georgia S. Papoutsi & Andreas C. Drichoutis & Rodolfo M. Nayga Jr., 2013. "The Causes Of Childhood Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 27(4), pages 743-767, September.
    6. Costa-Font, Joan & Fabbri, Daniele & Gil, Joan, 2009. "Decomposing body mass index gaps between Mediterranean countries: A counterfactual quantile regression analysis," Economics & Human Biology, Elsevier, vol. 7(3), pages 351-365, December.
    7. Charles L. Baum, 2009. "The effects of cigarette costs on BMI and obesity," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 3-19, January.
    8. Paolo Nicola Barbieri, 2022. "Social distortion in weight perception: a decomposition of the obesity epidemic," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 39(2), pages 685-713, July.
    9. 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.
    10. McGeary, Kerry Anne, 2013. "The impact of state-level nutrition-education program funding on BMI: Evidence from the behavioral risk factor surveillance system," Social Science & Medicine, Elsevier, vol. 82(C), pages 67-78.
    11. Janet Currie & Stefano DellaVigna & Enrico Moretti & Vikram Pathania, 2010. "The Effect of Fast Food Restaurants on Obesity and Weight Gain," American Economic Journal: Economic Policy, American Economic Association, vol. 2(3), pages 32-63, August.
    12. 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.
    13. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.
    14. David Johnston & Wang-Sheng Lee, 2011. "Explaining the Female Black-White Obesity Gap: A Decomposition Analysis of Proximal Causes," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1429-1450, November.
    15. Currie, Janet & DellaVigna, Stefano & Moretti, Enrico & Pathania, Vikram, 2009. "The Effect of Fast Food Restaurants on Obesity," Working Papers 47830, American Association of Wine Economists.
    16. Melayne M. McInnes & Judith A. Shinogle, 2011. "Physical Activity: Economic and Policy Factors," NBER Chapters, in: Economic Aspects of Obesity, pages 249-282, National Bureau of Economic Research, Inc.
    17. Fairlie, Robert W., 2003. "An Extension of the Blinder-Oaxaca Decomposition Technique to Logit and Probit Models," Center Discussion Papers 28425, Yale University, Economic Growth Center.
    18. Fairlie Robert & Woodruff Christopher M., 2010. "Mexican-American Entrepreneurship," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 10(1), pages 1-44, February.
    19. Pierre Dubois & Rachel Griffith & Aviv Nevo, 2014. "Do Prices and Attributes Explain International Differences in Food Purchases?," American Economic Review, American Economic Association, vol. 104(3), pages 832-867, March.
    20. Frank M. Fossen, 2012. "Gender differences in entrepreneurial choice and risk aversion -- a decomposition based on a microeconometric model," Applied Economics, Taylor & Francis Journals, vol. 44(14), pages 1795-1812, May.

    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:socmed:v:70:y:2010:i:8:p:1185-1193. 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/wps/find/journaldescription.cws_home/315/description#description .

    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.