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Three Essays on the Economics of Food and Health Behavior

Three Essays on the Economics of Food and Health Behavior
Author: Elizbeth Robison Botkins
Publisher:
Total Pages: 120
Release: 2017
Genre:
ISBN:
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In recent years the `farm to table' trend, the idea of understanding linkages between agricultural supply, food systems, and the food that is consumed, has been growing in popularity. This dissertation takes this idea a step further and examines topics on the progression from `farm to health outcomes.' It is important to recognize not only that food systems impact the way consumers eat, but that those food choices impact health outcomes and the way that medical care is consumed. The three essays of this dissertation examine three separate points along this continuum to improve the understanding of how food systems, food choice, health outcomes, and healthcare consumption interact. The first essay evaluates factors associated with school districts' decisions to participate in farm to school (FTS) programs. I leverage the USDA's Farm to School Census to analyze factors associated with FTS participation, the types of FTS activities implemented, and the challenges faced by participating school districts. I use spatially articulate data to estimate the spatial spillover effects of FTS participation. The results demonstrate that both school characteristics and local farm production factors are associated with FTS participation. The estimated spatial spillover effect is positive, suggesting that areas with a high penetration of FTS activities have lower barriers associated with implementing FTS programs. In my second essay, I shift to evaluating how parent-child pairs make the daily school lunch decision. Meals served in the National School Lunch Program (NSLP) are on average more healthful than alternatives, implying that increasing participation in the NSLP can improve nutrition for a large number of children. However, there is little understanding of the household decision process that determines participation in the NSLP. This study uses a parent-child choice experiment to assess the impact of both parent and child on NSLP participation. The results show that both have a significant impact on the chosen meal, where parents are concerned with meal palatability and nutrition, while the child only cares about palatability. The decision is also influenced by the household structure and demographics, and the inclusion of local foods in the school lunch option. My final essay evaluates how access to medical care can impact lifestyle choices. I evaluate if there is an ex ante moral hazard effect in health insurance markets. Ex ante moral hazard occurs when an individual takes on more risk knowing they will not bear the full cost of the consequences. In the case of health insurance, this could mean taking on unhealthful eating habits knowing that if these habits lead to illness the cost of care will be covered by insurance. Using panel data from the National Longitudinal Youth Survey 1997, I find evidence of an ex ante moral hazard effect in BMI, binge drinking, and smoking, suggesting that people take on less healthful behaviors, holding all else constant, when they have health insurance. The existence of ex ante moral hazard suggests that insurance companies can seek efficiency gains by finding ways to structure policies that diminish this moral hazard effect.

Three Essays on the Economics of Food, Health, and Consumer Behavior

Three Essays on the Economics of Food, Health, and Consumer Behavior
Author: Thadchaigeni Panchalingam
Publisher:
Total Pages: 140
Release: 2021
Genre: Consumer behavior
ISBN:
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However, while parent and student preferences align on some aspects of locally sourced meal elements, their preferences are not identical, with parents displaying a higher willingness to pay for locally sourced vegetables and students displaying a higher willingness to pay for locally sourced fruit. Joint choices are influenced by both parties. Parents dominate the joint outcomes when the household income is lower, when students eat school lunch more frequently and in dyads featuring a female parent and female student compared to male parent-male student dyads. These findings may hold implications for efforts to promote locally sourced food elements in school lunches and the role of parent engagement in that process. In the third essay, I investigate what characteristics of households, if any, that predict purchase of portion-controlled sizes of full calorie carbonated beverages (i.e., soda sold in less than 12 oz containers) and whether this behavior is associated with other healthy dietary habits. I find that household demographics including income, education, and presence of children or elderly are not associated with the purchasing behavior of full calorie carbonated beverages that are less than 12 oz. However, this behavior is negatively associated with the share of carbonated beverages that are diet and positively associated with the share of food expenditure dedicated to fresh produce, which are proxies used to capture healthy dietary habits. Overall, the findings suggest that there is an association between purchases of less than 12 oz of regular carbonated beverages (i.e., the portion-controlled sizes) and portion control behavior.

Three Essays in Health and Nutrition Economics

Three Essays in Health and Nutrition Economics
Author: Matthew P. Rabbitt
Publisher:
Total Pages: 178
Release: 2014
Genre: Alcoholism and employment
ISBN:
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"This dissertation focuses on aspects of behavior and public policy related to vulnerable populations. The first essay, coauthored with Christian Gregory and David C. Ribar, reviews recent theory and empirical evidence regarding the effect of Supplemental Nutrition Assistance Program (SNAP) participation on food insecurity and replicates the modelling strategies used in the empirical literature. We find that recent evidence suggesting the ameliorative effect of SNAP on food insecurity may not be robust to specification choice or data. Most specifications mirror the existing literature in finding a positive association of food insecurity with SNAP participation. Two-stage least squares and control function methods do show that SNAP reduces food insecurity, but effects are not consistent across sub-populations and are not always statistically significant. In the second essay, I examine the relationship between SNAP participation and food insecurity using data from the 2001-2008 Current Population Survey (CPS-FSS). A behavioral Rasch selection model is proposed and estimated using four subsamples of low-income households: unmarried parent households, married parent households, all-elderly households, and other adult-only households. The behavioral Rasch selection model assumes responses to multiple food hardship questions may be modelled as indicators of a single underlying index of food hardships, and concurrently, controls for the endogeneity of program participation. Simultaneously modelling the outcomes this way leads to more efficient estimation. The models are identified using exogenous changes in state-level polices related to SNAP. The results suggest that SNAP has a strong ameliorative effect on food insecurity for married parent households, all-elderly households, and other adult-only households, while SNAP continues to be associated with greater food hardships for unmarried parent households. Participating in SNAP reduces the probability of food insecurity by 22.4% for other adult-only households, 18% for all-elderly households, and 17% for married parent households. The third and final essay examines the relationship between underage college drinking and the initial occupational choices of male college graduates using data from the National Longitudinal Survey of Youth 1997 (NLSY97). Focusing on recent college graduates and their initial occupational choices allows me to address important timing issues not considered by the existing literature. For the multivariate analyses, I estimate multinomial logistic models of occupational choice, where the occupational choice set is specified as employed full-time in white collar occupations, other occupations, enrolled in school, and neither in school nor employed full-time. In addition, I estimate multinomial logistic selection models that control for the potential endogeneity of underage drinking. The results suggest underage college drinking is not associated with young men's initial occupational choices, with the exception of the decision to be enrolled in school. Young men with any underage college days where they drank two or more drinks are 28.9% less likely to be enrolled in school after completing a bachelor's degree."--Abstract from author supplied metadata.

Essays in Food and Health Economics

Essays in Food and Health Economics
Author: Kara Renee Grant
Publisher:
Total Pages: 222
Release: 2019
Genre: Consumer behavior
ISBN:
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This dissertation consists of three independent and mostly interrelated studies that focus on consumer behavior in the areas of food and healthcare. In my first paper, my coauthors and I analyze consumers' willingness to pay and preferences for reduced food waste and increased shelf life in relation to refrigerated ready-to-eat meals. We find evidence to suggest that consumers are willing to pay for reduced food waste, but willingness to pay for increased shelf life depends on the group being considered. The groups can be separated into health-conscious and on-the-go shoppers where only the on-the-go shopper is willing to pay a premium for a product with an increased shelf life. My second paper elicits consumers' willingness to pay for a clean label and a novel microwave technology. The results suggest that consumers are willing to pay for a clean label and the magnitude varies by group. There are also groups who are willing to pay a premium for the novel technology, but it is not homogeneous among groups. In my third paper, my coauthor and I present a theoretical model of health care consumption in emergency departments and in outpatient settings as functions of patients' time, market price of health care, and health insurance coverage. Applying our theory to data from the Behavioral Risk Factor Surveillance System (BRFSS), we examine the relationship between health care utilization and health insurance coverage. From the interaction between the price effect and the network effect we find that an insured individual in a rural area has a lower likelihood of a checkup within the last year compared to an insured individual in an urban area.