Health Shock Effects on Diet: More Severe Shock—Stronger Response?

IF 2.4 3区 医学 Q2 ECONOMICS Health economics Pub Date : 2025-01-22 DOI:10.1002/hec.4940
Anna Kristina Edenbrandt, Kim Wadt Skak-Hansen, Sinne Smed
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Abstract

We investigate whether the severity of lifestyle-related health shocks affects the response in dietary patterns. Using data from official patient registers in Denmark, we analyze the effects from strong health shock (SHS) occurrences (cardiovascular disease) and mild health shock (MHS) occurrences (arterial hypertension and hypercholesterolemia). These data are combined with scanner data on food purchases obtained from a consumer panel. Our analysis examines dietary effects stemming from these health shocks, including various nutrients, food groups, and overall adherence to dietary guidelines. Our findings reveal immediate dietary responses to both severe and mild health shocks, with a larger effect observed for SHS compared to MHS. However, among individuals previously exposed to mild health shocks, we observe minimal to no alteration in food consumption after experiencing a SHS. We argue that failing to account for this potential self-selection may lead to a misconception that severe health shocks do not result in dietary improvements.

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健康冲击对饮食的影响:更严重的冲击-更强的反应?
我们调查了与生活方式相关的健康冲击的严重程度是否会影响饮食模式的反应。使用丹麦官方患者登记的数据,我们分析了重度健康休克(SHS)发生(心血管疾病)和轻度健康休克(MHS)发生(动脉高血压和高胆固醇血症)的影响。这些数据与从消费者小组获得的食品购买扫描仪数据相结合。我们的分析考察了这些健康冲击对饮食的影响,包括各种营养物质、食物组和对饮食指南的总体依从性。我们的研究结果揭示了严重和轻度健康冲击的即时饮食反应,与MHS相比,SHS观察到的影响更大。然而,在先前暴露于轻度健康冲击的个体中,我们观察到经历SHS后食物消费的变化很小甚至没有变化。我们认为,不考虑这种潜在的自我选择可能会导致一种误解,即严重的健康冲击不会导致饮食改善。
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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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