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If My Blood Pressure Is High, Do I Take It to Heart? Behavioral Effects of Biomarker Collection in the Health and Retirement Study

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  • Ryan D. Edwards

    (University of California
    University of California)

Abstract

Starting in 2006, respondents in the biennial U.S. Health and Retirement Study were asked to submit biomarkers every other wave and were notified of several results. Rates of undiagnosed high blood pressure and diabetes according to these biomarkers were 1.5 % and 0.7 %, respectively. An intent-to-treat analysis suggests that collection and notification had small effects on the average respondent and may have reduced health care utilization. Among respondents who received notification of potentially dangerous biomarker levels, subsequent rates of new diagnosis and associated pharmaceutical usage increased by 20 to 40 percentage points, an order of magnitude above baseline. High blood glucose A1C was associated with a 2.2 % drop in weight and an increase in exercise among respondents without a previous diagnosis of diabetes. Notifications appear also to have altered health behaviors by spouses, suggesting household responses to health maintenance. Biomarker collection seems to have altered circumstances for an interesting minority of HRS respondents.

Suggested Citation

  • Ryan D. Edwards, 2018. "If My Blood Pressure Is High, Do I Take It to Heart? Behavioral Effects of Biomarker Collection in the Health and Retirement Study," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 403-434, April.
    • Handle: RePEc:spr:demogr:v:55:y:2018:i:2:d:10.1007_s13524-018-0650-2
    DOI: 10.1007/s13524-018-0650-2
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    References listed on IDEAS

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    1. Banks, James & Muriel, Alastair & Smith, James P., 2010. "Attrition and Health in Ageing Studies: Evidence from ELSA and HRS," IZA Discussion Papers 5161, Institute for the Study of Labor (IZA).
    2. Yuanreng Hu & Noreen Goldman, 1990. "Mortality Differentials by Marital Status: An International Comparison," Demography, Springer;Population Association of America (PAA), vol. 27(2), pages 233-250, May.
    3. Thornton, Rebecca L., 2012. "HIV testing, subjective beliefs and economic behavior," Journal of Development Economics, Elsevier, vol. 99(2), pages 300-313.
    4. Banks, James & Muriel, Alastair & Smith, James P., 2010. "Attrition and Health in Ageing Studies: Evidence from ELSA and HRS," IZA Discussion Papers 5161, Institute of Labor Economics (IZA).
    5. Nezih Guner & Yuliya Kulikova & Joan Llull, 2014. "Does Marriage Make You Healthier?," Working Papers 795, Barcelona School of Economics.
    6. Betsey Stevenson & Justin Wolfers, 2007. "Marriage and Divorce: Changes and their Driving Forces," Journal of Economic Perspectives, American Economic Association, vol. 21(2), pages 27-52, Spring.
    7. Andrew Halpern-Manners & John Warren, 2012. "Panel Conditioning in Longitudinal Studies: Evidence From Labor Force Items in the Current Population Survey," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1499-1519, November.
    8. Michael Rendall & Margaret Weden & Melissa Favreault & Hilary Waldron, 2011. "The Protective Effect of Marriage for Survival: A Review and Update," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 481-506, May.
    9. Michael A. Boozer & Tomas J. Philipson, 2000. "The Impact of Public Testing for Human Immunodeficiency Virus," Journal of Human Resources, University of Wisconsin Press, vol. 35(3), pages 419-446.
    10. Susan Godlonton & Rebecca L. Thornton, 2013. "Learning from Others' HIV Testing: Updating Beliefs and Responding to Risk," American Economic Review, American Economic Association, vol. 103(3), pages 439-444, May.
    11. F. Thomas Juster & Richard Suzman, 1995. "An Overview of the Health and Retirement Study," Journal of Human Resources, University of Wisconsin Press, vol. 30, pages 7-56.
    12. Reczek, Corinne & Umberson, Debra, 2012. "Gender, health behavior, and intimate relationships: Lesbian, gay, and straight contexts," Social Science & Medicine, Elsevier, vol. 74(11), pages 1783-1790.
    13. Adeline Delavande & Hans-Peter Kohler, 2012. "The Impact of HIV Testing on Subjective Expectations and Risky Behavior in Malawi," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 1011-1036, August.
    14. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    15. Noreen Goldman, 1993. "Marriage selection and mortality patterns: Inferences and fallacies," Demography, Springer;Population Association of America (PAA), vol. 30(2), pages 189-208, May.
    16. Rebecca L. Thornton, 2008. "The Demand for, and Impact of, Learning HIV Status," American Economic Review, American Economic Association, vol. 98(5), pages 1829-1863, December.
    17. Erick Gong, 2015. "HIV Testing and Risky Sexual Behaviour," Economic Journal, Royal Economic Society, vol. 125(582), pages 32-60, February.
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    2. Zoey Verdun, 2020. "Impact of a Health Shock on Lifestyle Behaviours," Economics Working Papers ECO 2020/02, European University Institute.

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