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Spillover Effects in Health Service Use: Evidence From Mental Health Care Using First‐Year College Housing Assignments

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  • Ezra Golberstein
  • Daniel Eisenberg
  • Marilyn F. Downs

Abstract

Spillover effects in health service use may represent an important externality of individual treatment decisions and are important for understanding the consequences of interventions to improve access to health care. This study is the first to our knowledge to examine causal spillover effects for mental health service use. We exploit the natural experiment of first‐year student housing assignments at two universities using survey data that we collected. When the peer group is defined at the roommate level, we do not find any spillover effects on service use. When the peer group is defined at the hall level, we find positive spillover effects—peers' service use increases one's own service use—and this effect is driven by individuals with prior experience with mental health services. We also find some evidence that the mechanism behind this effect is improved beliefs about treatment effectiveness. Copyright © 2014 John Wiley & Sons, Ltd.

Suggested Citation

  • Ezra Golberstein & Daniel Eisenberg & Marilyn F. Downs, 2016. "Spillover Effects in Health Service Use: Evidence From Mental Health Care Using First‐Year College Housing Assignments," Health Economics, John Wiley & Sons, Ltd., vol. 25(1), pages 40-55, January.
    • Handle: RePEc:wly:hlthec:v:25:y:2016:i:1:p:40-55
    DOI: 10.1002/hec.3120
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    1. repec:mpr:mprres:4324 is not listed on IDEAS
    2. Marianne Bertrand & Erzo F. P. Luttmer & Sendhil Mullainathan, 2000. "Network Effects and Welfare Cultures," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(3), pages 1019-1055.
    3. Deri, Catherine, 2005. "Social networks and health service utilization," Journal of Health Economics, Elsevier, vol. 24(6), pages 1076-1107, November.
    4. Michael Kremer & Dan Levy, 2008. "Peer Effects and Alcohol Use among College Students," Journal of Economic Perspectives, American Economic Association, vol. 22(3), pages 189-206, Summer.
    5. Scott E. Carrell & Richard L. Fullerton & James E. West, 2009. "Does Your Cohort Matter? Measuring Peer Effects in College Achievement," Journal of Labor Economics, University of Chicago Press, vol. 27(3), pages 439-464, July.
    6. Susan L. Ettner & Richard G. Frank & Ronald C. Kessler, 1997. "The Impact of Psychiatric Disorders on Labor Market Outcomes," NBER Working Papers 5989, National Bureau of Economic Research, Inc.
    7. Carrell, Scott E. & Hoekstra, Mark & West, James E., 2011. "Is poor fitness contagious?," Journal of Public Economics, Elsevier, vol. 95(7), pages 657-663.
    8. Eisenberg Daniel & Golberstein Ezra & Hunt Justin B, 2009. "Mental Health and Academic Success in College," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 9(1), pages 1-37, September.
    9. Aizer, Anna & Currie, Janet, 2004. "Networks or neighborhoods? Correlations in the use of publicly-funded maternity care in California," Journal of Public Economics, Elsevier, vol. 88(12), pages 2573-2585, December.
    10. David J. Zimmerman, 2003. "Peer Effects in Academic Outcomes: Evidence from a Natural Experiment," The Review of Economics and Statistics, MIT Press, vol. 85(1), pages 9-23, February.
    11. Aaron Sojourner, 2013. "Identification of Peer Effects with Missing Peer Data: Evidence from Project STAR," Economic Journal, Royal Economic Society, vol. 123(569), pages 574-605, June.
    12. Charles F. Manski, 1993. "Identification of Endogenous Social Effects: The Reflection Problem," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 60(3), pages 531-542.
    13. Eisenberg, Daniel & Downs, Marilyn F. & Golberstein, Ezra, 2012. "Effects of contact with treatment users on mental illness stigma: Evidence from university roommate assignments," Social Science & Medicine, Elsevier, vol. 75(6), pages 1122-1127.
    14. Jonathan Guryan & Kory Kroft & Matthew J. Notowidigdo, 2009. "Peer Effects in the Workplace: Evidence from Random Groupings in Professional Golf Tournaments," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 34-68, October.
    15. Frank, Richard G. & McGuire, Thomas G., 2000. "Economics and mental health," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 16, pages 893-954, Elsevier.
    16. Bruce Sacerdote, 2001. "Peer Effects with Random Assignment: Results for Dartmouth Roommates," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(2), pages 681-704.
    17. Devillanova, Carlo, 2008. "Social networks, information and health care utilization: Evidence from undocumented immigrants in Milan," Journal of Health Economics, Elsevier, vol. 27(2), pages 265-286, March.
    18. Susan H. Busch & Ezra Golberstein & Ellen Meara, 2014. "The FDA and ABCs: Unintended Consequences of Antidepressant Warnings on Human Capital," Journal of Human Resources, University of Wisconsin Press, vol. 49(3), pages 540-557.
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