IDEAS home Printed from https://ideas.repec.org/p/iza/izadps/dp4229.html
   My bibliography  Save this paper

Fat and Out in Salerno and Province: Adolescent Obesity and Early School Leaving in Southern Italy

Author

Listed:
  • Barone, Adriana

    (University of Salerno)

  • O'Higgins, Niall

    (ILO International Labour Organization)

Abstract

In this paper, we focus on the causes and consequences of adolescent obesity from an economic perspective. The paper examines the determinants of obesity and its role in influencing early school leaving amongst adolescents in the province of Salerno in Southern Italy. A simple human capital investment model is employed and this provides a framework within which to analyse the interrelated 'decisions' regarding schooling and overeating, taking into account the importance of time preference and the differential effects of adolescent obesity for males and females. We find that: a) there is a strong and robust positive effect of obesity on early school leaving; b) there are significant gender differences in the nature of this relationship; and, c) although not statistically significant, there is support for the idea that contextual factors – such as the type of school attended - are important in determining the effects of obesity on early school leaving. These findings have important policy implications. In particular, evidence on the positive causal link running from obesity to early school leaving suggests: i) that action aimed at reducing obesity – such as the encouragement of sporting activity - may also have beneficial effects in terms of reducing early school leaving rates; ii) the introduction of financial incentives to encourage educational participation; and, iii) the significant differences identified between young men and young women suggest the adoption of some gender- specific policy measures.

Suggested Citation

  • Barone, Adriana & O'Higgins, Niall, 2009. "Fat and Out in Salerno and Province: Adolescent Obesity and Early School Leaving in Southern Italy," IZA Discussion Papers 4229, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp4229
    as

    Download full text from publisher

    File URL: https://docs.iza.org/dp4229.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Costa-Font, Joan & Gil, Joan, 2005. "Obesity and the incidence of chronic diseases in Spain: A seemingly unrelated probit approach," Economics & Human Biology, Elsevier, vol. 3(2), pages 188-214, July.
    2. Cawley, John & Liu, Feng, 2012. "Maternal employment and childhood obesity: A search for mechanisms in time use data," Economics & Human Biology, Elsevier, vol. 10(4), pages 352-364.
    3. Darius Lakdawalla & Tomas Philipson, 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 0203, Harris School of Public Policy Studies, University of Chicago.
    4. Matthew Rabin & Ted O'Donoghue, 1999. "Doing It Now or Later," American Economic Review, American Economic Association, vol. 89(1), pages 103-124, March.
    5. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1.
    6. Danubio, Maria Enrica & Miranda, Gaetano & Vinciguerra, Maria Giulia & Vecchi, Elvira & Rufo, Fabrizio, 2008. "Comparison of self-reported and measured height and weight: Implications for obesity research among young adults," Economics & Human Biology, Elsevier, vol. 6(1), pages 181-190, March.
    7. Schroeter, Christiane & Lusk, Jayson & Tyner, Wallace, 2008. "Determining the impact of food price and income changes on body weight," Journal of Health Economics, Elsevier, vol. 27(1), pages 45-68, January.
    8. Smith, Richard J & Blundell, Richard W, 1986. "An Exogeneity Test for a Simultaneous Equation Tobit Model with an Application to Labor Supply," Econometrica, Econometric Society, vol. 54(3), pages 679-685, May.
    9. Chiara Monfardini & Rosalba Radice, 2008. "Testing Exogeneity in the Bivariate Probit Model: A Monte Carlo Study," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 70(2), pages 271-282, April.
    10. 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.
    11. Grossman, Michael, 2004. "The demand for health, 30 years later: a very personal retrospective and prospective reflection," Journal of Health Economics, Elsevier, vol. 23(4), pages 629-636, July.
    12. Rashad, Inas, 2006. "Structural estimation of caloric intake, exercise, smoking, and obesity," The Quarterly Review of Economics and Finance, Elsevier, vol. 46(2), pages 268-283, May.
    13. Christopher J. Ruhm, 2000. "Are Recessions Good for Your Health?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 115(2), pages 617-650.
    14. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Chapters, in: Economic Aspects of Health, pages 93-120, National Bureau of Economic Research, Inc.
    15. Fersterer, Josef & Winter-Ebmer, Rudolf, 2003. "Smoking, discount rates, and returns to education," Economics of Education Review, Elsevier, vol. 22(6), pages 561-566, December.
    16. 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.
    17. Wendt, Minh & Kinsey, Jean D., 2009. "Childhood Overweight and School Outcomes," 2009 Annual Meeting, July 26-28, 2009, Milwaukee, Wisconsin 49347, Agricultural and Applied Economics Association.
    18. Cawley, John & Spiess, C. Katharina, 2008. "Obesity and skill attainment in early childhood," Economics & Human Biology, Elsevier, vol. 6(3), pages 388-397, December.
    19. Tomas J. Philipson & Richard A. Posner, 1999. "The Long-Run Growth in Obesity as a Function of Technological Change," Working Papers 9912, Harris School of Public Policy Studies, University of Chicago.
    20. Niall O'Higgins & Marcello D'Amato & Floro Ernesto Caroleo & Adriana Barone, 2007. "Gone for Good? Determinants of School Dropout in Southern Italy," Giornale degli Economisti, GDE (Giornale degli Economisti e Annali di Economia), Bocconi University, vol. 66(2), pages 207-246, July.
    21. 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.
    22. 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.
    23. Baum II, Charles L. & Ruhm, Christopher J., 2009. "Age, socioeconomic status and obesity growth," Journal of Health Economics, Elsevier, vol. 28(3), pages 635-648, May.
    24. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    25. Darius Lakdawalla & Tomas Philipson & Jay Bhattacharya, 2005. "Welfare-Enhancing Technological Change and the Growth of Obesity," American Economic Review, American Economic Association, vol. 95(2), pages 253-257, May.
    26. Kaestner, Robert & Grossman, Michael, 2009. "Effects of weight on children's educational achievement," Economics of Education Review, Elsevier, vol. 28(6), pages 651-661, December.
    27. Andrea Brandolini & Luigi Cannari & Giovanni D’Alessio & Ivan Faiella, 2006. "Household Wealth Distribution in Italy in the 1990s," Chapters, in: Edward N. Wolff (ed.), International Perspectives on Household Wealth, chapter 7, Edward Elgar Publishing.
    28. O'Higgins, Niall, 1994. "YTS, Employment, and Sample Selection Bias," Oxford Economic Papers, Oxford University Press, vol. 46(4), pages 605-628, October.
    29. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    30. Trenton G. Smith, 2004. "The McDonald’s Equilibrium. Advertising, empty calories, and the endogenous determination of dietary preferences," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 23(3), pages 383-413, December.
    31. Anderson, Patricia M. & Butcher, Kristin F. & Levine, Phillip B., 2003. "Maternal employment and overweight children," Journal of Health Economics, Elsevier, vol. 22(3), pages 477-504, May.
    32. Victor R. Fuchs, 2018. "Reflections on the Socio-Economic Correlates of Health," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 10, pages 115-124, World Scientific Publishing Co. Pte. Ltd..
    33. Sanz-de-Galdeano, Anna, 2005. "The Obesity Epidemic in Europe," IZA Discussion Papers 1814, Institute of Labor Economics (IZA).
    34. Inas Rashad & Sara Markowitz, 2007. "Incentives in Obesity and Health Insurance," NBER Working Papers 13113, National Bureau of Economic Research, Inc.
    35. Guido Heineck, 2005. "Up in the Skies? The Relationship between Body Height and Earnings in Germany," LABOUR, CEIS, vol. 19(3), pages 469-489, September.
    36. Brunello, Giorgio & D'Hombres, Beatrice, 2007. "Does body weight affect wages?: Evidence from Europe," Economics & Human Biology, Elsevier, vol. 5(1), pages 1-19, March.
    37. Susan Averett & Sanders Korenman, 1996. "The Economic Reality of the Beauty Myth," Journal of Human Resources, University of Wisconsin Press, vol. 31(2), pages 304-330.
    38. Komlos, John & Smith, Patricia K. & Bogin, Barry, 2003. "Obesity and the Rate of Time Preference: Is there a Connection?," Discussion Papers in Economics 60, University of Munich, Department of Economics.
    39. repec:bla:obuest:v:62:y:2000:i:0:p:771-800 is not listed on IDEAS
    40. Pfeifer, Christian & Cornelißen, Thomas, 2010. "The impact of participation in sports on educational attainment--New evidence from Germany," Economics of Education Review, Elsevier, vol. 29(1), pages 94-103, February.
    41. Borghans, Lex & Golsteyn, Bart H.H., 2006. "Time discounting and the body mass index: Evidence from the Netherlands," Economics & Human Biology, Elsevier, vol. 4(1), pages 39-61, January.
    42. Morris, Stephen, 2006. "Body mass index and occupational attainment," Journal of Health Economics, Elsevier, vol. 25(2), pages 347-364, March.
    43. John M. Barron & Bradley T. Ewing & Glen R. Waddell, 2000. "The Effects Of High School Athletic Participation On Education And Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 82(3), pages 409-421, August.
    44. Mary A. Burke & Frank Heiland, 2007. "Social Dynamics Of Obesity," Economic Inquiry, Western Economic Association International, vol. 45(3), pages 571-591, July.
    45. Donald Kenkel & Dean Lillard & Alan Mathios, 2006. "The Roles of High School Completion and GED Receipt in Smoking and Obesity," Journal of Labor Economics, University of Chicago Press, vol. 24(3), pages 635-660, July.
    46. David Lempert, 2007. "Women's Increasing Wage Penalties from Being Overweight and Obese," Working Papers 414, U.S. Bureau of Labor Statistics.
    47. Heineck, Guido, 2006. "Height and weight in Germany, evidence from the German Socio-Economic Panel, 2002," Economics & Human Biology, Elsevier, vol. 4(3), pages 359-382, December.
    48. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    49. John Komlos & Ariane Breitfelder & Marco Sunder, 2008. "The Transition to Post-industrial BMI Values Among US Children," NBER Working Papers 13898, National Bureau of Economic Research, Inc.
    50. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408, Elsevier.
    51. Dalton Conley & Rebecca Glauber, 2005. "Gender, Body Mass and Economic Status," NBER Working Papers 11343, National Bureau of Economic Research, Inc.
    52. John Cawley, 2004. "The Impact of Obesity on Wages," Journal of Human Resources, University of Wisconsin Press, vol. 39(2).
    53. Joseph J. Sabia, 2007. "The Effect of Body Weight on Adolescent Academic Performance," Southern Economic Journal, John Wiley & Sons, vol. 73(4), pages 871-900, April.
    54. Long, James E & Caudill, Steven B, 1991. "The Impact of Participation in Intercollegiate Athletics on Income and Graduation," The Review of Economics and Statistics, MIT Press, vol. 73(3), pages 525-531, August.
    55. Hanushek, Eric A, 1986. "The Economics of Schooling: Production and Efficiency in Public Schools," Journal of Economic Literature, American Economic Association, vol. 24(3), pages 1141-1177, September.
    56. Smith, Patricia K. & Bogin, Barry & Bishai, David, 2005. "Are time preference and body mass index associated?: Evidence from the National Longitudinal Survey of Youth," Economics & Human Biology, Elsevier, vol. 3(2), pages 259-270, July.
    57. D. Fabbri & C. Monfardini & R. Radice, 2004. "Testing exogeneity in the bivariate probit model: Monte Carlo evidence and an application to health economics," Working Papers 514, Dipartimento Scienze Economiche, Universita' di Bologna.
    58. David Roodman, 2009. "Mixed-process models with cmp," DC09 Stata Conference 11, Stata Users Group.
    59. Joan Costa Font & Joan Gil Trasfi, 2005. "Obesity and the Incidence of Chronic Diseases: a Seemingly Unrelated Probit Approach," Working Papers in Economics 137, Universitat de Barcelona. Espai de Recerca en Economia.
    60. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852.
    61. David Roodman, 2009. "Estimating Fully Observed Recursive Mixed-Process Models with cmp," Working Papers 168, Center for Global Development.
    62. A. J. Culyer & J. P. Newhouse (ed.), 2000. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, edition 1, volume 1, number 1.
    63. John Cawley, 2000. "Body Weight and Women's Labor Market Outcomes," NBER Working Papers 7841, National Bureau of Economic Research, Inc.
    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. Brunello, Giorgio & Labartino, Giovanna, 2014. "Regional differences in overweight rates: The case of Italian regions," Economics & Human Biology, Elsevier, vol. 12(C), pages 20-29.
    2. Adriana Barone & Cristian Barra, 2022. "Gender differences in weight status and early school leaving in Italy," Regional Science Policy & Practice, Wiley Blackwell, vol. 14(3), pages 644-666, June.
    3. Barone, Adriana & Barra, Cristian, 2019. "Weight status and mental health in Italy: Evidence from EHIS2 microdata," MPRA Paper 96703, University Library of Munich, Germany.
    4. BARONE, Adriana & NESE, Annamaria, 2017. "Investment in Education, Obesity and Health Behaviours," CELPE Discussion Papers 146, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.
    5. Barone, Adriana & Nese, Annamaria, 2015. "Body Weight and Gender: Academic Choice and Performance," MPRA Paper 68450, University Library of Munich, Germany.
    6. BARONE, Adriana & NESE, Annamaria, 2014. "Body Weight and Academic Performance: Gender and Peer Effects," CELPE Discussion Papers 129, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.

    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. 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.
    2. 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.
    3. Vincenzo Atella & Joanna Kopinska, 2011. "Body weight of Italians: the weight of Education," CEIS Research Paper 189, Tor Vergata University, CEIS, revised 23 Mar 2011.
    4. BARONE, Adriana & NESE, Annamaria, 2014. "Body Weight and Academic Performance: Gender and Peer Effects," CELPE Discussion Papers 129, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.
    5. García Villar, Jaume & Quintana-Domeque, Climent, 2009. "Income and body mass index in Europe," Economics & Human Biology, Elsevier, vol. 7(1), pages 73-83, March.
    6. Barone, Adriana & Nese, Annamaria, 2015. "Body Weight and Gender: Academic Choice and Performance," MPRA Paper 68450, University Library of Munich, Germany.
    7. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    8. Borghans, Lex & Golsteyn, Bart H.H., 2006. "Time discounting and the body mass index: Evidence from the Netherlands," Economics & Human Biology, Elsevier, vol. 4(1), pages 39-61, January.
    9. Borghans, L. & Golsteyn, B.H.H., 2005. "Time discounting and the body mass index," ROA Research Memorandum 5E, Maastricht University, Research Centre for Education and the Labour Market (ROA).
    10. Dodd, Mark C., 2014. "Intertemporal discounting as a risk factor for high BMI: Evidence from Australia, 2008," Economics & Human Biology, Elsevier, vol. 12(C), pages 83-97.
    11. Atella, Vincenzo & Pace, Noemi & Vuri, Daniela, 2008. "Are employers discriminating with respect to weight?: European Evidence using Quantile Regression," Economics & Human Biology, Elsevier, vol. 6(3), pages 305-329, December.
    12. Nathalie Mathieu‐Bolh, 2022. "The elusive link between income and obesity," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 935-968, September.
    13. Charles J. Courtemanche & Joshua C. Pinkston & Christopher J. Ruhm & George L. Wehby, 2016. "Can Changing Economic Factors Explain the Rise in Obesity?," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1266-1310, April.
    14. BARONE, Adriana & NESE, Annamaria, 2017. "Investment in Education, Obesity and Health Behaviours," CELPE Discussion Papers 146, CELPE - CEnter for Labor and Political Economics, University of Salerno, Italy.
    15. 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.
    16. Barone, Adriana & Barra, Cristian, 2019. "Weight status and mental health in Italy: Evidence from EHIS2 microdata," MPRA Paper 96703, University Library of Munich, Germany.
    17. Courtemanche, Charles & Tchernis, Rusty & Ukert, Benjamin, 2018. "The effect of smoking on obesity: Evidence from a randomized trial," Journal of Health Economics, Elsevier, vol. 57(C), pages 31-44.
    18. Koffi-Ahoto Kpelitse & Rose Anne Devlin & Sisira Sarma, 2014. "The Effect of Income on Obesity among Canadian Adults," Working Papers 14C002, Canadian Centre for Health Economics.
    19. Joan Costa Font & Joan Gil Trasfi, 2005. "Obesity and the Incidence of Chronic Diseases: a Seemingly Unrelated Probit Approach," Working Papers in Economics 137, Universitat de Barcelona. Espai de Recerca en Economia.
    20. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.

    More about this item

    Keywords

    obesity; early school-leaving;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    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:iza:izadps:dp4229. 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: Holger Hinte (email available below). General contact details of provider: https://edirc.repec.org/data/izaaade.html .

    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.