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Public Smoking Bans, Youth Access Laws, and Cigarette Sales at Vending Machines 公共场所禁烟、青少年接触法和自动售货机的香烟销售
Pub Date : 2010-03-01 DOI: 10.2139/ssrn.1593045
M. Kvasnička
Tobacco control policies have proliferated in many countries in recent years, in particular youth access laws and public smoking bans. The effectiveness of youth access laws is still disputed, however, as are the costs of public smoking bans to the hospitality industry. Using a unique data set on cigarette sales at more than 100k vending machines that provides first objective evidence on the outgoing and customer behavior of smokers, we study both outcome dimensions by investigating several recent tobacco control measures in Germany. We find a large negative effect on cigarette sales of a nation-wide introduction of devices for electronic age verification in cigarette vending machines, particularly at machines placed outdoors and in localities that are strongly frequented by youths. In contrast, there is no evidence that a country-wide smoking ban in federal buildings affected cigarette sales in these premises and only weak evidence that a recent rise in the minimum legal smoking age affected cigarette purchases by youths. Finally, state-level smoking bans appear to have reduced indoor sales of cigarettes at vending machines, especially in bars. However, the magnitude of the estimated effect is rather modest, suggesting that businesses in the hospitality industry are unlikely to have been affected severely.
近年来,烟草控制政策在许多国家激增,特别是青少年获取法律和公共场所禁烟令。然而,青少年接触法律的有效性仍然存在争议,就像公共场所禁烟对酒店业的影响一样。使用超过10万台自动售货机的卷烟销售的独特数据集,为吸烟者的外出和顾客行为提供了第一个客观证据,我们通过调查德国最近的几项烟草控制措施来研究这两个结果维度。我们发现,在全国范围内引入香烟自动售货机的电子年龄验证设备对香烟销售产生了很大的负面影响,特别是在户外和年轻人经常光顾的地方。相比之下,没有证据表明全国范围内的联邦建筑禁烟令影响了这些场所的香烟销售,只有微弱的证据表明,最近最低合法吸烟年龄的提高影响了年轻人的香烟购买。最后,州一级的禁烟令似乎减少了室内自动售货机的香烟销售,尤其是在酒吧。然而,估计影响的程度相当温和,这表明酒店业的企业不太可能受到严重影响。
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引用次数: 12
Much Ado About Nothing? Smoking Bans and Germany’s Hospitality Industry 无事生非?禁烟令与德国酒店业
Pub Date : 2010-03-01 DOI: 10.2139/ssrn.1593026
M. Kvasnička, H. Tauchmann
Over the last years, public smoking bans have been introduced in most European countries. Unlike elsewhere, in Germany such bans were introduced at state level at different points in time, which provides important intra-country regional variation that can be exploited to identify the effects of such bans on the hospitality industry. Using monthly data from a compulsory survey carried out by the German Federal Statistical Office, we study the short-run effects that these bans had on establishments’ sales. In contrast to the largely US-based literature, we find that smoke-free policies had a negative (yet moderate) effect on establishment sales. Closure rates of businesses in the hospitality industry.
在过去的几年里,大多数欧洲国家都实行了公共场所禁烟令。与其他地方不同的是,德国在不同的时间点在州一级实施了此类禁令,这提供了重要的国家内部区域差异,可以利用这些差异来确定此类禁令对酒店业的影响。我们利用德国联邦统计局(German Federal Statistical Office)开展的一项强制性调查的月度数据,研究了这些禁令对企业销售的短期影响。与主要以美国为基础的文献相反,我们发现无烟政策对企业销售有负面(但适度)影响。酒店业企业的关闭率。
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引用次数: 0
The Prevalence of Drug Use Among Students of Iasi 雅西族学生吸毒情况调查
Pub Date : 2010-01-31 DOI: 10.2139/SSRN.1572391
Ș. Cojocaru, Daniela Cojocaru, Ovidiu Bunea, M. Rădoi, Catalin Asavoaei, M. Ursan
The purpose of the research is to estimate the number of drug users among students of the universities from Iasi, to identify students' behavior towards the use of drugs, drug purchase offer, solutions to reduce the use of drugs. Research using mix methods for estimating the number of drug users using a representative survey, the use of focus groups to obtain qualitative information.
本研究的目的是估计雅西省高校学生中吸毒人数,了解学生对吸毒的行为、购买毒品的报价、减少吸毒的解决方案。研究采用混合方法估计吸毒人数,采用代表性调查,采用焦点小组获得定性信息。
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引用次数: 0
Costs of Including Growth Hormone Replacement Therapy into the Universal Coverage Benefit Package of Thailand 将生长激素替代疗法纳入泰国全民覆盖福利计划的费用
Pub Date : 2010-01-13 DOI: 10.2139/SSRN.1550063
K. Pachanee, P. Prakongsai
Growth hormone replacement therapy (GHRT) is an expensive health service excluded from the universal coverage (UC) benefit package of Thailand. Its high costs and exclusion from the UC benefit package prevent poor patients from access to such health care. This study aims to estimate costs of providing GHRT to patients diagnosed with growth hormone deficiency (GHD). It also explores demand for and supply of, and total costs per unit of height increase from universal access to GHRT. Methods include comprehensive literature review, in-depth interviews of childhood endocrinologists from three university hospitals about costs of GHRT and its current practice, and modeling costs for height increase using different products. Research findings indicate the incidence of GHD in Thailand is approximately 1 to 50,000 of people aged less than 15 years. A weekly dosage of GHRT recommended by the Thai Pediatric Endocrine Society range from 0.1 to 0.3 mg per kg depending on patient's responses. Cessation criteria of GHRT comprise a) attainment of adult height at 165 and 155 cm in male and female respectively, b) bone age above 16 and 14 years in male and female respectively, and c) the annual increase of height lower than 2.5 cm. On supply side, approximately 40 Pediatric Endocrinologists are available in public and private settings across the country. Costs of GHRT are varied from factors including patient’s age and gender, type and dose of GH use. Data from a university hospital show costs of GHRT range from 950 to 2580 USD per every 1 cm of height increase when using a cheaper GH product. The costs will increase from 1460 to 4000 USD per every 1cm of height increase when using the original GH. High cost burden of GHRT poses a challenging question on whether it should be included in the UC benefit package.
生长激素替代疗法(GHRT)是一项昂贵的保健服务,不包括在泰国的全民覆盖(UC)福利计划中。它的高费用和被排除在UC福利包之外,使贫困患者无法获得这种保健服务。本研究旨在估计为生长激素缺乏症(GHD)患者提供GHRT的成本。它还探讨了普遍使用GHRT的需求和供应,以及单位高度的总成本增加。方法包括综合文献查阅,对三所大学附属医院的儿童内分泌科医生进行深度访谈,了解GHRT的成本及目前的做法,以及使用不同产品增加身高的建模成本。研究结果表明,泰国15岁以下人群中GHD的发病率约为1至5万人。泰国儿科内分泌学会推荐的GHRT每周剂量范围为每公斤0.1至0.3毫克,具体取决于患者的反应。停止GHRT的标准包括:a)男性和女性成人身高分别达到165和155厘米;b)男性和女性骨骼年龄分别超过16岁和14岁;c)身高年增长率低于2.5厘米。在供应方面,全国大约有40名儿科内分泌学家在公共和私人环境中提供服务。GHRT的费用因患者的年龄和性别、GH使用的类型和剂量等因素而异。来自一所大学医院的数据显示,当使用较便宜的生长激素产品时,GHRT的成本为每增加1厘米身高950至2580美元。使用原GH时,每增加1cm的高度,成本从1460美元增加到4000美元。GHRT的高成本负担提出了一个具有挑战性的问题,即是否应将其纳入UC福利包。
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引用次数: 0
The Association Between Remarriage and HIV Infection: Evidence from National HIV Surveys in Africa 再婚与艾滋病毒感染之间的关系:来自非洲国家艾滋病毒调查的证据
Pub Date : 2009-11-01 DOI: 10.1596/1813-9450-5118
D. de Walque, Rachel Kline
The literature shows that divorced, separated, and widowed individuals in Africa are at significantly increased risk for HIV. Using nationally representative data from 13 countries in Sub-Saharan Africa, this paper confirms that formerly married individuals are at significantly higher risk for HIV. The study goes further by examining individuals who have remarried. The results show that remarried individuals form a large portion of the population - usually larger than the divorced, separated, or widowed - and that they also have higher than average HIV prevalence. This large number of high-risk remarried individuals is an important source of vulnerability and further infection that needs to be acknowledged and taken into account in prevention strategies.
文献显示,非洲离婚、分居和丧偶的人感染艾滋病毒的风险显著增加。本文使用了撒哈拉以南非洲13个国家的具有全国代表性的数据,证实了已婚者感染艾滋病毒的风险要高得多。这项研究进一步调查了再婚的人。结果表明,再婚的人占人口的很大一部分——通常比离婚、分居或丧偶的人要多——而且他们的艾滋病毒感染率也高于平均水平。大量的高危再婚人员是易感性和进一步感染的重要来源,需要在预防战略中予以承认和考虑。
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引用次数: 6
Gender Variations of Physiological and Psychological Stress Among Police Officers 警察生理和心理压力的性别差异
Pub Date : 2009-10-02 DOI: 10.2139/ssrn.1498187
M. Gächter, D. Savage, B. Torgler
This paper analyses the effect of gender on reported and perceived levels of stress through examination of both the physical and psychological indicators. It may be interesting to work with police data due to high stress levels among police officers and the fact that the work environment is male dominant (females are a minority). In our study we not only explore gender differences, but also whether job and private environmental factors such as effective cooperation between units, a higher trust in the work partner, a higher level of work-life-balance and home stability, and a higher level of interactional fairness, affect female and male officers differently. Using multivariate regression analysis of police officers we find that female officers are significantly more likely to report suffering from physical stress indicators than their male counterparts while no gender differences are observable in regards to psychological stress. Moreover, a higher level of trust and cooperation, and a higher level of interactional fairness at work are not able to absorb physical stress among female, while these factors have a strong impact on male officers. On the other hand, for both, female and male officers, work-life balance and stability at home have the tendency of reducing physical stress.
本文通过检查生理和心理指标,分析了性别对报告和感知压力水平的影响。由于警察的高压力水平和工作环境是男性主导(女性是少数)的事实,处理警察数据可能是有趣的。在我们的研究中,我们不仅探讨了性别差异,还探讨了工作和私人环境因素,如单位之间的有效合作,对工作伙伴的更高信任,更高水平的工作-生活平衡和家庭稳定性,以及更高水平的互动公平,是否对男女军官产生不同的影响。通过对警员的多元回归分析,我们发现女性警员比男性警员更有可能报告遭受身体压力指标,而在心理压力方面没有观察到性别差异。此外,工作中较高的信任与合作水平、较高的相互公平水平不能吸收女性的身体压力,而这些因素对男性军官的影响较大。另一方面,对于男女军官来说,工作与生活的平衡和家庭的稳定都有减少身体压力的趋势。
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引用次数: 11
Misdiagnosis, Learning, and the Adoption of New Malaria Therapy in Tanzania 误诊、学习和采用新的疟疾疗法在坦桑尼亚
Pub Date : 2009-10-01 DOI: 10.2139/ssrn.1357771
Achyuta R. Adhvaryu
We examine the role of social learning in the adoption of a new and effective therapy for malaria. In our model, individuals learn about the effectiveness of the new therapy by observing the health outcomes of past adopters. We show that misdiagnosis of malaria -- which is common in resource-poor settings -- can slow the learning process and stifle adoption. Using data from a pilot program which distributed the new therapy through health facilities in Tanzania, we estimate a learning effect and test for the role of misdiagnosis in learning and adoption. Our empirical strategy accounts for various potential sources of bias, including persistence in the local disease environment and selection into adoption based on the severity of illness. We find that when past adopters have poor health outcomes, the subsequent probability of adoption decreases. This learning effect is smaller in villages where misdiagnosis is more prevalent, and adoption rates in these places are lower over time. Finally, we simulate pairing the introduction of the new therapy with a new diagnostic test for malaria. The results of the simulation show that when misdiagnosis is reduced, learning occurs more quickly and adoption rates are higher.
我们检查社会学习的作用在采用新的和有效的治疗疟疾。在我们的模型中,个体通过观察过去采用者的健康结果来了解新疗法的有效性。我们的研究表明,疟疾的误诊——这在资源贫乏的环境中很常见——可能会减缓学习过程并阻碍采用。利用在坦桑尼亚的卫生设施中分发新疗法的试点方案的数据,我们估计了学习效果,并测试了误诊在学习和采用中的作用。我们的经验策略考虑了各种潜在的偏见来源,包括在当地疾病环境中的持久性和根据疾病的严重程度选择采用。我们发现,当过去的收养者健康状况不佳时,随后被收养的可能性就会降低。在误诊更为普遍的村庄,这种学习效果较小,随着时间的推移,这些地方的采用率也较低。最后,我们模拟将新疗法的引入与一种新的疟疾诊断测试配对。仿真结果表明,当误诊减少时,学习速度更快,采用率更高。
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引用次数: 1
The Relationship between Stress and Social Capital among Police Officers 警察压力与社会资本的关系研究
Pub Date : 2009-09-02 DOI: 10.2139/ssrn.1498194
M. Gächter, D. Savage, B. Torgler
This paper analyzes the effectiveness of social capital in reducing the negative externalities associated with stress, as well as the physical and psychological indicators of stress among police officers. Despite the fact that there is a large multidisciplinary literature on stress or on social capital, the link between both factors is still underexplored. In this empirical paper we therefore aim at reducing such a shortcoming. We focus on a strategically important work environment, namely law enforcement agents, that is not only characterized as physically and emotionally demanding, but also as an essential part for a well-functioning society due to the fact that inefficiencies in the police force can induce large negative externalities. Using a multivariate regression analysis focusing on nine different proxies for stress and two proxies for social capital and conducting several robustness checks, we find strong evidence that an increased level of social capital is correlated with a lower level of stress. From a policy perspective, our findings suggest that stress reduction programs should actively engage employees to build stronger social networks.
本文分析了社会资本在降低与压力相关的负外部性方面的有效性,以及警察压力的生理和心理指标。尽管有大量关于压力或社会资本的多学科文献,但这两个因素之间的联系仍未得到充分探讨。因此,在这篇实证论文中,我们旨在减少这样一个缺点。我们的重点是具有重要战略意义的工作环境,即执法人员,其特点不仅是体力和情感上的要求,而且由于警察部队的低效率会引起巨大的负面外部性,因此它也是一个运作良好的社会的重要组成部分。通过对压力的9个不同代理和社会资本的2个代理进行多元回归分析,并进行若干稳健性检查,我们发现强有力的证据表明,社会资本水平的提高与压力水平的降低相关。从政策的角度来看,我们的研究结果表明,减压计划应该积极地让员工参与进来,建立更强大的社会网络。
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引用次数: 5
Agent Orange and the Prevalence of Cancer Among the Vietnamese Population 30 Years after the End of the Vietnam War 越南战争结束30年后,橙剂与越南人口中癌症的发病率
Pub Date : 2009-09-01 DOI: 10.1596/1813-9450-5041
Quy-Toan Do
During the Vietnam War, more than 70 million liters of military herbicide were sprayed over the combat zone. This study uses self and proxy-reported data on cancer status obtained from a nationally representative health survey of the Vietnamese population (N=158,019), combined with measures of military herbicide exposure computed from detailed information on US and allied wartime military activities. No significant difference in the prevalence of reported cancer is detected between communes with some degree of exposure and those with none. When restricting the analysis to exposed communes and adopting a continuous measure of herbicide exposure, there is evidence of a dose-response relationship; among communes that were exposed, increasing exposure to past military spraying is associated with increasing prevalence of reported cancer in 2001-2002. There is mixed evidence as to whether cohorts born before or after the end of the spraying campaigns are equally affected.
在越南战争期间,超过7000万升的军用除草剂被喷洒在战区。本研究使用了从越南人口(N=158,019)的全国代表性健康调查中获得的自我报告和代理报告的癌症状况数据,并结合了从美国及其盟国战时军事活动的详细信息中计算出的军事除草剂暴露量。在有一定程度辐射的社区和没有辐射的社区之间,报告的癌症发病率没有显著差异。当将分析限制在暴露的社区并采用除草剂暴露的连续测量时,有证据表明存在剂量-反应关系;在接触的社区中,越来越多地接触过去的军事喷洒与2001-2002年报告的癌症发病率上升有关。关于在喷洒运动结束之前或之后出生的人群是否受到同样的影响,证据不一。
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引用次数: 14
The Value of Reducing Cancer Risks at Contaminated Sites: Are More Heavily Exposed People Willing to Pay More? 降低污染场所癌症风险的价值:受污染程度越重的人愿意支付更多吗?
Pub Date : 2009-08-07 DOI: 10.2139/ssrn.1445377
A. Alberini, S. Tonin, M. Turvani
We use conjoint choice questions to investigate people’s tastes for cancer risk reductions and income in the context of public programs that would provide for remediation at abandoned industrial contaminated sites. Our survey was self-administered using the computer by persons living in the vicinity of an important contaminated site on the Italian National Priority List. The value of a prevented case of cancer is €2.6 million, but this figure does vary with income, perceived exposure to contaminants, and opinions about priorities that should be pursued by cleanup programs.
我们使用联合选择问题来调查人们对降低癌症风险和收入的偏好,在公共项目的背景下,这些公共项目将为废弃的工业污染场地提供修复。我们的调查是由居住在意大利国家优先名单上的一个重要污染地点附近的人使用计算机自行进行的。预防一个癌症病例的价值为260万欧元,但这一数字确实因收入、对污染物的感知暴露以及对清洁项目应该追求的优先事项的看法而有所不同。
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引用次数: 56
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Health Economics Evaluation Methods eJournal
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