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The role of time and risk preferences in smoking inequalities: A population-based study

Author

Listed:
  • Florence Jusot

    (LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique)

  • Myriam Khlat

    (INED - Institut national d'études démographiques)

Abstract

Heterogeneity in time and risk preferences has been proposed as one of the mechanisms involved in the educational gradient in smoking, but this mechanism has scarcely been explored empirically. Subjective scales were introduced in the 2008 French National Health, Health Care and Insurance Survey in order to elicit measures of time and risk preferences for a representative sample of 5188 men and 5684 women. Men and women were treated separately. First, logistic regressions were used to test the associations between preferences and education and between preferences and smoking. Second, nested logistic models were built to investigate the mediating role of preferences in the educational gradient in smoking, with an econometric treatment of the rescaling problem. Preference for the present and risk loving were found to be: inversely related to educational level; strongly related to each other, and; strongly associated to current smoking, even after adjustment for educational level. There was a weakening of the educational gradient after the control for preferences, which supports the role of these two preferences as partial mediators in the educational gradient in smoking. Among men, time preference was more strongly associated with smoking than risk aversion, while the reverse was found for women. We provide convincing evidence in favour of the mediating role of time preference and risk aversion in educational inequalities in smoking and highlight the connection between those two dimensions. Gender patterns are discussed and potential implications in terms of designing targeted anti-tobacco programmes are delineated.

Suggested Citation

  • Florence Jusot & Myriam Khlat, 2013. "The role of time and risk preferences in smoking inequalities: A population-based study," Post-Print hal-01526058, HAL.
    • Handle: RePEc:hal:journl:hal-01526058
    DOI: 10.1016/j.addbeh.2012.12.011
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    Citations

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    Cited by:

    1. Antoine Marsaudon & Lise Rochaix, 2017. "Impact of acute health shocks on cigarette consumption
      [Impact d'un choc de santé sur la consommation de cigarette]      ," PSE Working Papers halshs-01626024, HAL.
    2. Perelman, Julian, 2014. "Are chronic diseases related to height? Results from the Portuguese National Health Interview Survey," Economics & Human Biology, Elsevier, vol. 15(C), pages 56-66.
    3. Setti Rais Ali & Paul Dourgnon & Lise Rochaix, 2018. "Social Capital or Education: What Matters Most to Cut Time to Diagnosis?," Working Papers halshs-01703170, HAL.
    4. Bénédicte Apouey, 2019. "Intérêt des adhérents d'une mutuelle pour des services utilisant leurs données personnelles dans le cadre de la médecine personnalisée," Working Papers halshs-02295392, HAL.
    5. Takagi, Daisuke & Kondo, Naoki & Takada, Misato & Hashimoto, Hideki, 2016. "Educational attainment, time preference, and health-related behaviors: A mediation analysis from the J-SHINE survey," Social Science & Medicine, Elsevier, vol. 153(C), pages 116-122.
    6. Pierre, Aurélie & Jusot, Florence, 2017. "The likely effects of employer-mandated complementary health insurance on health coverage in France," Health Policy, Elsevier, vol. 121(3), pages 321-328.
    7. Ruben L Bach & Alexander Wenz, 2020. "Studying health-related internet and mobile device use using web logs and smartphone records," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-20, June.
    8. Bénédicte Apouey, 2018. "Les attentes en termes de services pour les seniors : le rôle de l’altruisme et de l’anticipation de la dépendance," Revue française d'économie, Presses de Sciences-Po, vol. 0(2), pages 15-74.
    9. Antoine Marsaudon & Lise Rochaix, 2010. "Impact of acute health shocks on cigarette consumption: A combined DiD-matching strategy to address endogeneity issues in the French Gazel panel data," PSE Working Papers halshs-01626187, HAL.
    10. Apouey, Bénédicte H., 2018. "Preparation for old age in France: The roles of preferences and expectations," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 15-23.
    11. Glenn W. Harrison & Andre Hofmeyr & Don Ross & J. Todd Swarthout, 2018. "Risk Preferences, Time Preferences, and Smoking Behavior," Southern Economic Journal, John Wiley & Sons, vol. 85(2), pages 313-348, October.

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