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Studying the Child Obesity Epidemic With Natural Experiments

Author

Listed:
  • Robert Sandy
  • Gilbert Liu
  • John Ottensmann
  • Rusty Tchernis
  • Jeffrey Wilson
  • O.T. Ford

Abstract

We utilize clinical records of successive visits by children to pediatric clinics in Indianapolis to estimate the effects on their body mass of environmental changes near their homes. We compare results for fixed-residence children with those for cross-sectional data. Our environmental factors are fast food restaurants, supermarkets, parks, trails, and violent crimes, and 13 types of recreational amenities derived from the interpretation of annual aerial photographs. We looked for responses to these factors changing within buffers of 0.1, 0.25, 0.5, and 1 mile. We found that cross-sectional estimates are quite different from the Fixed Effects estimates of the impacts of amenities locating near a child. In cross section nearby fast food restaurants were associated with higher BMI and supermarkets with lower BMI. These results were reversed in the FE estimates. The recreational amenities that appear to lower children's BMI were fitness areas, kickball diamonds, and volleyball courts. We estimated that locating these amenities near their homes could reduce the weight of an overweight eight-year old boy by 3 to 6 pounds.

Suggested Citation

  • Robert Sandy & Gilbert Liu & John Ottensmann & Rusty Tchernis & Jeffrey Wilson & O.T. Ford, 2009. "Studying the Child Obesity Epidemic With Natural Experiments," NBER Working Papers 14989, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:14989
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    1. Hillary L. Burdette & Robert C. Whitaker, "undated". "A National Study of Neighborhood Safety, Outdoor Play, Television Viewing, and Obesity in Preschool Children," Mathematica Policy Research Reports 00f455b55fca4b50b00d94d51, Mathematica Policy Research.
    2. Andrew J. Plantinga & Stephanie Bernell, 2007. "The Association Between Urban Sprawl And Obesity: Is It A Two‐Way Street?," Journal of Regional Science, Wiley Blackwell, vol. 47(5), pages 857-879, December.
    3. 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.
    4. 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.
    5. Brownson, R.C. & Baker, E.A. & Housemann, R.A. & Brennan, L.K. & Bacak, S.J., 2001. "Environmental and policy determinants of physical activity in the United States," American Journal of Public Health, American Public Health Association, vol. 91(12), pages 1995-2003.
    6. Kaushal, N., 2007. "Do food stamps cause obesity?: Evidence from immigrant experience," Journal of Health Economics, Elsevier, vol. 26(5), pages 968-991, September.
    7. Daniel L. Millimet & Rusty Tchernis & Muna Husain, 2010. "School Nutrition Programs and the Incidence of Childhood Obesity," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    8. repec:mpr:mprres:4706 is not listed on IDEAS
    9. Hogan J.W. & Tchernis R., 2004. "Bayesian Factor Analysis for Spatially Correlated Data, With Application to Summarizing Area-Level Material Deprivation From Census Data," Journal of the American Statistical Association, American Statistical Association, vol. 99, pages 314-324, January.
    10. 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.
    11. Patricia M. Anderson & Kristin F. Butcher, 2006. "Reading, Writing, and Refreshments: Are School Finances Contributing to Children’s Obesity?," Journal of Human Resources, University of Wisconsin Press, vol. 41(3).
    12. Michael L. Anderson & David A. Matsa, 2011. "Are Restaurants Really Supersizing America?," American Economic Journal: Applied Economics, American Economic Association, vol. 3(1), pages 152-188, January.
    13. 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.
    14. Courtemanche, Charles, 2008. "Working Yourself to Death? The Relationship Between Work Hours and Obesity," MPRA Paper 25324, University Library of Munich, Germany.
    15. Shin-Yi Chou & Inas Rashad & Michael Grossman, 2008. "Fast-Food Restaurant Advertising on Television and Its Influence on Childhood Obesity," Journal of Law and Economics, University of Chicago Press, vol. 51(4), pages 599-618, November.
    16. Mary A. Burke & Frank Heiland, 2007. "Social Dynamics Of Obesity," Economic Inquiry, Western Economic Association International, vol. 45(3), pages 571-591, July.
    17. repec:mpr:mprres:3740 is not listed on IDEAS
    18. Haas, J.S. & Lee, L.B. & Kaplan, C.P. & Sonneborn, D. & Phillips, K.A. & Liang, S.-Y., 2003. "The Association of Race, Socioeconomic Status, and Health Insurance Status with the Prevalence of Overweight among Children and Adolescents," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2105-2110.
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    Cited by:

    1. Maoyong Fan & Yanhong Jin, 2014. "Do Neighborhood Parks and Playgrounds Reduce Childhood Obesity?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 96(1), pages 26-42.
    2. FLEURBAEY, Marc & SCHOKKAERT, Erik, 2011. "Equity in health and health care," LIDAM Discussion Papers CORE 2011026, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
    3. Mouhcine Guettabi & Abdul Munasib, 2014. "Urban Sprawl, Obesogenic Environment, And Child Weight," Journal of Regional Science, Wiley Blackwell, vol. 54(3), pages 378-401, June.
    4. Sandy, Robert & Tchernis, Rusty & Wilson, Jeffrey & Liu, Gilbert & Zhou, Xilin, 2013. "Effects of the built environment on childhood obesity: The case of urban recreational trails and crime," Economics & Human Biology, Elsevier, vol. 11(1), pages 18-29.
    5. Lisa Stolzenberg & Stewart J. D’Alessio & Jamie L. Flexon, 2019. "The Impact of Violent Crime on Obesity," Social Sciences, MDPI, vol. 8(12), pages 1-12, December.

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    • I1 - Health, Education, and Welfare - - Health

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