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Children’s health benefits of reducing environmental tobacco smoke exposure: evidence from parents who smoke

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Abstract

This paper uses data from the 1991 National Maternal and Infant Health Survey to estimate propositions derived from a model of intrahousehold allocation, wherein parents engage in a consumption activity (smoking) that produces own utility, while generating environmental tobacco smoke (ETS) that harms their children’s health. We find a statistically significant negative association between sample mothers‘ assessed health of their children and the children’s daily exposures to ETS. Mothers’ average annual willingness-to-pay (WTP) for a 1-hour-per-day reduction in child ETS exposure (about a 17% decrease in daily exposure) is about $150. WTP estimates for respondent mother and child health status further suggest that smoking mothers on average value their child’s health roughly 55% higher than their own health.

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References

  1. Agee MD, Crocker TD (1994) Parental and social valuations of child health information. J Public Econ 55:89–105

  2. Agee MD, Crocker TD (1996) Parents’ discount rate for child quality. Southern Economic Journal 63:36–50

  3. Agee MD, Crocker TD (2002) A model of neighborhood conditions and internal household environments. In: List JA, De Zeeuw A (eds.) Recent advances in environmental economics. Edward Elgar, Cheltenham, UK, pp 182–201

  4. Anderson TW, Rubin H (1949) Estimation of the parameters of a single equation in a complete system of stochastic equations. Ann Math Stat 20:46–63

  5. Angrist JD, Krueger AB (2001) Instrumental variables and the search for identification: From supply and demand to natural experiments. J Econ Perspect 15:69–85

  6. Becker GS (1962) Investments in human capital: a theoretical analysis. J Polit Econ 70(Pt 2):9–39

  7. Behrman JR (1997) Intrahousehold distribution and the family. In: Rosenzweig MR, Stark O (eds) Handbook of population and family economics. Elsevier Science, New York, pp 125–187

  8. Bound J (1991) Self-reported versus objective measures of health in retirement models. J Hum Resour 26:106–138

  9. Browning M (1992) Children and household behaviors. J Econ Lit 30:1434–1475

  10. Carlin PS, Sandy R (1991) Estimating the implicit value of a young child’s life. South Econ J 58:186–202

  11. Chaloupka FJ (1991) Rational addictive behavior and cigarette smoking. J Polit Econ 99:722–742

  12. Chaloupka FJ, Warner KE (1999) The economics of smoking. Working Paper 7047, National Bureau of Economic Research, Cambridge

  13. Chen SN, Shogren JF, Orazem PF, Crocker TD (2002) Prices and health: identifying the effects of nutrition, exercise, and medication choices on blood pressure. Am J Agric Econ 84:990–1002

  14. Chiang AC (1984) Fundamentals of mathematical economics. McGraw-Hill, New York

  15. Cimons M (2001) Huge drop seen in secondhand smoke levels. Los Angeles Times

  16. Clark A, Etile F (2001) Do health changes affect smoking? Evidence from British panel data. J Health Econ 21:533–562

  17. Contoyannis P, Jones AM (2004) Socio-economic status, health and lifestyle. J Health Econ 23:965–995

  18. Deaton A, Muellbaur J (1980) Economics and Consumer Behavior. Cambridge University Press, Cambridge

  19. Desvousges WH, Johnson FR, Banghaf HS (1998) Environmental policy analysis with limited information: principles and applications of the transfer method. Edward Edgar, Aldershot

  20. Dickie M, Messman VG (2004) Parental altruism and the value of avoiding acute illness: are kids worth more than parents? J Environ Econ Manage 48:1146–1174

  21. Dockins C, Jenkins R, Owens N, Simon N, Wiggins L (2002) Valuation of childhood risk reduction: the importance of age, risk preferences and perspective. Risk Anal 22:335–346

  22. Dufour J (2003) Identification, weak instruments, and statistical inference in econometrics. Can J Econ 36:767–808

  23. Eibner C, Evans WN (2005) Relative deprivation and poor health. J Human Resour 40:591–620

  24. Groot W (2000) Adaptation and scale of reference bias in self-assessments of quality of life. J Health Econ 19:403–420

  25. Grossman M (1999) The human capital model of the demand for health, Working Paper 7078, National Bureau of Economic Research, Cambridge

  26. Grossman M, Joyce TJ (1990) Unobservables, pregnancy resolutions, and birth weight production functions in New York City. J Polit Econ 98:983–1007

  27. Harris J, Lopez-Valcarcel BC (2004) Asymmetric social interactions in economics: cigarette smoking among young people in the United States, 1992–1999. Working Paper W10409, National Bureau of Economic Research, Cambridge

  28. Hausman JA (1978) Specification tests in econometrics. Econometrica 46:1251–1271

  29. Heckman JJ (1979) Sample selection bias as a specification error. Econometrica 47:153–161

  30. Institute of Medicine (1985) Preventing low birthweight. National Academy Press, Washington

  31. Kobus K (2003) Peers and adolescent smoking. Addiction 1:37–55

  32. Kuchler F, Golan E (1999) Assigning values to life: comparing methods for valuing health. Agriculture Economics Report No. 784, Food and Rural Economics Division, Economic Research Service, U.S. Department of Agriculture, Washington

  33. Lindeboom M, Van Doorslaer E (2004) Cut-point shift and index shift in self-reported health. J Health Econ 23:1083–1099

  34. Liu JT, Hammitt JK, Wang JD, Liu JL (2000) Mother’s willingness-to-pay for her own and her child’s health: A contingent valuation study in Taiwan. Health Econ 9:319–326

  35. Markowittz S, Grossman M (1998) Alcohol regulation and domestic violence towards children. Contemp Econ Policy 16:309–320

  36. National Center for Health Statistics (1991) The national maternal and infant health survey. Department of Health and Human Services, Washington

  37. Pagan A (1984) Econometric issues in the analysis of regressions with generated regressors. Int Econ Rev 25:221–247

  38. Rivers D, Vuong QH (1988) Limited information estimators and exogeneity tests for simultaneous probit models. J Econom 39:347–366

  39. Rosenzweig M, Schultz TP (1983) Estimating a household production function: heterogeneity, the demand for health inputs and their effects on birth weight. J Polit Econ 91:723–746

  40. Rosenzweig M, Schultz TP (1988) The stability of household production technology: a replication. J Human Resour 23:535–549

  41. Rovira J, Viscusi WK, Antonanzas F, Costa J, Hart W, Carvallo I (2000) Smoking risks in Spain: Part II Perceptions of environmental tobacco smoke externalities. Discussion Paper No. 305, John M. Olin Center for Law, Economics, and Business, Harvard University, Cambridge

  42. Sargan JD (1976) Testing for misspecification after estimating using instrumental variables. London School of Economics, London

  43. Smith VK, Taylor DH, Sloan FA Jr, Johnson FR, Desvousges WH (2001) Do smokers respond to health shocks? Rev Econ Stat 83:675–687

  44. Spengler JD, Dockery DW, Turner WG, Wolfson JM, Ferris BG Jr (1987) Long-term measurements of respirable sulfates and particles inside and outside homes. Atmos Environ 15:23–30

  45. Staiger D, Stock JH (1997) Instrumental variables regression with weak instruments. Econometrica 65:557–586

  46. US Environmental Protection Agency (1992) Respiratory health effects of passive smoking: lung cancer and other disorders, US Environmental Protection Agency, EPA /600/6–90/006F, Washington

  47. US Environmental Protection Agency (2000) Guidelines for preparing economic analyses, US Environmental Protection Agency, 240-R-00–003, Washington

  48. US Surgeon General (1986) The health consequences of involuntary smoking. US Government Printing Office, Washington

  49. Van Doorslaer E, Jones AM (2003) Inequalities in self-reported health: validation of a new approach to measurement. J Health Econ 22:61–87

  50. Viscusi WK (1992) Smoking: Making the risky decision. Harvard University Press, Cambridge

  51. Viscusi WK, Hersch J (2001) Cigarette smokers as job risk takers. Rev Econ Stat 83:269–280

  52. Viscusi WK, Magat W, Huber J (1987) An investigation of the rationality of consumer valuations of multiple health risks. Rand J Econ 18:465–479

  53. Wilhelm MO (1996) Bequest behaviors and the effects of heirs’ earnings: testing the altruistic model of bequest. Am Econ Rev 86:874–892

  54. Zavoina R, McElvey W (1975) A statistical model for the analysis of ordinal level dependent variables. J Math Sociol Summer:103–120

  55. Zweiful P, Breyer F (1997) The economics of health. Oxford University Press, New York

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Author information

Correspondence to Mark D. Agee.

Additional information

Helpful comments and suggestions by Scott Atkinson, Donald Kenkel, and two anonymous referees are gratefully acknowledged. Marcy Agee and Stefanos Nastis provided valuable research assistance. Although the U.S. Environmental Protection Agency provided financial support through Grant#R82871601, the research has not been subjected to the Agency’s required peer and policy review and therefore does not necessarily reflect the views of the Agency

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Agee, M.D., Crocker, T.D. Children’s health benefits of reducing environmental tobacco smoke exposure: evidence from parents who smoke. Empirical Economics 32, 217–237 (2007) doi:10.1007/s00181-006-0079-0

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Keywords

  • Children’s health valuation
  • Environmental tobacco smoke