Does college selectivity reduce obesity? A partial identification approach

IF 2 3区 医学 Q2 ECONOMICS Health economics Pub Date : 2024-06-27 DOI:10.1002/hec.4869
Giorgio Brunello, Dimitris Christelis, Anna Sanz-de-Galdeano, Anastasia Terskaya
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Abstract

We use data from the National Longitudinal Study of Adolescent to Adult Health to investigate whether the quality of tertiary education -measured by college selectivity-causally affects obesity prevalence in the medium run (by age 24–34) and in the longer run (about 10 years later). We use partial identification methods, which allow us, while relying on weak assumptions, to overcome the potential endogeneity of college selectivity as well as the potential violation of the stable unit treatment value assumption due to students interacting with each other, and to obtain informative identification regions for the average treatment effect of college selectivity on obesity. We find that attending a more selective college causally reduces obesity, both in the medium and in the longer run. We provide evidence that the mechanisms through which the impact of college selectivity on obesity operates include an increase in income, a reduction in physical inactivity and in the consumption of fast food and sweetened drinks.

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大学选择性会减少肥胖吗?部分识别法
我们利用 "全国青少年到成人健康纵向研究"(National Longitudinal Study of Adolescent to Adult Health)的数据,研究高等教育的质量--以大学选择性来衡量--是否会在中期(24-34 岁)和长期(约 10 年后)对肥胖发生率产生因果影响。我们使用了部分识别方法,这种方法允许我们在依赖弱假设的情况下,克服大学选择性的潜在内生性,以及由于学生之间相互影响而可能违反稳定单位处理值假设的情况,并获得大学选择性对肥胖的平均处理效应的信息识别区域。我们发现,无论从中期还是长期来看,上一所选择性更强的大学都会因果地减少肥胖。我们提供的证据表明,大学选择性对肥胖的影响机制包括增加收入、减少体育锻炼以及减少快餐和甜饮料的消费。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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