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Cities and Smoking

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  • Michael Darden

Abstract

In 1956, 52% of urban men and 42% of rural men smoked cigarettes. By 2010, the disparity had flipped: 24.7% of urban men and 30.6% of rural men smoked. Smoking remains the greatest preventable cause of mortality in the United States, and understanding the underlying causes of place-specific differences in behavior is crucial for policy aimed at reducing regional inequality. Using geocoded data from the National Longitudinal Survey of Youth, I estimate a dynamic model that captures smoking behavior, location decisions, and education over thirty years. Simulation of the estimated model demonstrates that selection on permanent unobserved variables that are correlated with smoking cessation, both in native populations and in those who migrate between rural and urban areas, explains 62.8$\%$ of the urban/rural smoking disparity. Alternatively, differential tobacco control policies explain only 7.3% of the urban/rural smoking disparity, which suggests that equalizing cigarette taxes across regions may fail to bridge gaps in behavior and health. This paper emphasizes that rural smoking disparities are largely driven by who selects into rural communities.

Suggested Citation

  • Michael Darden, 2020. "Cities and Smoking," NBER Working Papers 27334, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:27334
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    References listed on IDEAS

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    1. Richelle L. Winkler & Kenneth M. Johnson, 2016. "Moving Toward Integration? Effects of Migration on Ethnoracial Segregation Across the Rural-Urban Continuum," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1027-1049, August.
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    More about this item

    JEL classification:

    • H2 - Public Economics - - Taxation, Subsidies, and Revenue
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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