The Relationship Between Household Income and Body Mass Index : Instrumental Variable Approach


Abstract views: 578 / PDF downloads: 476

Authors

  • Banu Beyaz Sipahi Dr. Öğr. Üyesi, Tarsus Üniversitesi, banubeyazsipahi@tarsus.edu.tr

DOI:

https://doi.org/10.46291/ISPECIJSSHvol4iss2pp77-97

Keywords:

Body Mass Index (BMI), Household Income, Endogenity, Generalized Moments Method (GMM)

Abstract

In Turkey increasig of Body Mass Index (BMI) has become a public health problem with the economic consequences. Many economic factors such as the individual's income level, real change in food prices, technological change and increase in physical activity cost affect the distribution of BMI. However, since the rapid increase in the prevalence of BMI recently affected productivity and income in the labor market, the relationship between BMI and income is considered to be two-way. For this reason, the biggest problem is the endogenity.The effect of income on BMI; it is explained that low income groups prefer low-energy and energy-intensive foods, while high income groups prefer  food consumption away of home by changing their consumption patterns. In this study, It is considered that relation between household income and BMI simultaneously with using TurkStat “2016 Health Survey Data’’. The effect of income and other socio-demographic variables on the BMI was analysed for the first time. However, since the indirect effect of BMI on income is important, this effect was examined with the Generalized Moments Method (GMM). In addition, it was demonstrated that the indirect effect of BMI distributions on income put forward with instrumental variables. As a result of the study, it was revealed that there is a causality relation between household income and BMI. It was found that the effect of BMI on income and the effect of education on BMI was statistically positive.

References

Asiseh, F. Yao, J. (2016). Family Income and Body Mass Index- What have We Learned from China, Health Economics Review, 6-52.

Averett, S.L. (2011). Labor Market Consequenes: Employment, Wages, Disability and Absenteeism, The Oxford Handbook of the Social Science of Obesity, OxfordUniversity Press, New York, NY: 531-552.

Baum, C. Mark, S. and Steven S. (2003). Instrumental Variables and GMM:Estimation and Testing,” Stata Journal, 3: 1.

Caballero, B.(2007). The Global Epidemic of Obesity: An Overview, Epidemiologic Reviews, Vol 29, 1-5.

Cameron, A.C. Trivedi, P.K. (2009). Microeconometrics Using Stata, Published by Stata Press, College Station, Texas, 171-204.

Cawley, J,(2004). The Impact of Obesity on Wages, the Journal of Human Resources, 39(2) 451-474.

Cawley, J. (2015). An Economy of Scales: A Selective Review of Obesity’s Economic Causes, Consequences and Solutions. Journal of Health Economics, Vol 43: 244-258.

Cesur, R., Dursun, B. and Mocan, N. (2014). The Impact of Education on Health and Health Behavior in a Middle-Income, Low-Education Country. NBER Working Paper No. 20764, 1-48.

Chou, S. Grossman M, Saffer H. (2004). An Economic Analysis of Adult Obesity: Results from the Behavioral Risk Factor Surveillance System. Journal of Health Economics, 23(3), 565-587.

Conley, D. Glauber, R. (2007). Gender, body mass, and socioeconomic status: new evidence from the PSID. Advances in Health Economics and Health Services Research 17, 253-275.

Crowle J. Turner E.,(2010). Childhood Obesity: An Economic Perspective, Australian Government

Cutler, D.M, Glaeser E.L, Shapiro J.M. (2003). Why have Americans Become More Obese?”. Journal of Economic Perspective, 17(3), 93-118.

Erem C. Arslan C. Hacıhasanoğlu A. Değer O. Topbaş M, Ukinc K., Ersöz H.Ö., Telatar M. (2004). Prevalence of Obesity and Associated Risk Factors in a Turkish Population (Trabzon City, Turkey). Obesity Research, 12(7): 1117-1127.

Hatemi H. Yumuk V.D, Turan N., Arık N. (2003). Prevalence of Overweight and Obesity in Turkey. Metabolic Syndrome and Related Disorders, 1(4): 285-290.

İpek E. (2019). Türkiye’de Obezitenin Sosyoekonomik Belirleyicileri. UİİİD-IJEAS,(25):57-70 ISSN 1307-9832.

Jeffery R.W. French S.A (1996). Socioeconomic status and weight control practices among 20-to 45-year-old women. Am J Public Health; 86(7):1005–10.

Karaoğlan D. Tansel A. (2019). Determinants of Body Mass Index in Turkey: A Quantile Regression Analysis from a Middle Income Country. Boğaziçi Journal Review of Social, Economic and Administrative Studies, Vol. 32, no. 2 , pp. 01-17.

Kenkel D. (1991). Health Behavior, Health Knowledge and Schooling. Journal of Political Economy, Vol 99,(1991), 287-305.

Kline, B. Tobias, J.L. (2008). The wages of BMI: Bayesian analysis of a skewed treatment–response model with nonparametric endogeneity. Journal of Applied Econometrics, 23, 767-793.

Komlos, J. Smith, P.K. Bogin, B. (2004). Obesity and the rate of time preference: is there a connection?. Journal of biosocial science, 36, 209-219.

Lakdawalla, D. Philipson, T. (2002). The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination. National Bureau of Economic Research, INC, NBER Working Papers 8946, (2002), 1-34.

Lakdawalla D. Philipson T. Bhattacharya J. (2005). Welfare-Enhancing Technological Change and the Growth of Obesity. American Economic Review, American Association, Vol 95(2), 253-257.

Lindeboom, M., Lundborg, P. & Van Der Klaauw, B. (2010). Assessing the impact of obesity on labor market outcomes. Economics & Human Biology, 8, 309-319.

Mavromaras, K., “Policy Forum: A Multidisciplinary View of Obesity Economics and Obesity”, the Australian Economic Review, Vol. 41, No. 1, (2008), 78-84.

Meyer K.A.Guilkey D.K. Tien H-C Kiefe C. Popkin B.M. Larsen P-G. (2016). Instrumental Variables Simultaneous Equations Model of Phyysical Activity and Body Mass Index. American Journal of Epidemiology, Vol 184, No.6

Morris, S. (2006). Body mass index and occupational attainment. Journal of Health Economics 25, 347-364.

Morris S (2007). The Impact of Obesity on Employment. Labour Economics, Vol 14, (2007), 413-433.

Pekcan G. (2001). Türkiye’de Beslenme Sorunları ve Boyutları: Besin ve Beslenme Politikalarının Önemi. Yeni Türkiye Sağlık Özel Sayısı I, 39, 572-585.

Philipson, T. Posner, R.A. (1999). The Long Run Growth in Obesity as A Function of Technological Change. John M. Olin Law & Economics Working Paper No. 78 ,1-33.

Popkin B.M. (2001). The Nutrition Transition and Obesity in the Developing World. Journal of Nutrition, 131, 871-873.

Römling C. Qaim M. (2011). Direct and Indirect Determinants of Obesity: The Case of Indonesia. Proceedings of the German Development Economics Conference, Berlin, No.70, 1-29.

Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü, Sağlıklı Beslenme ve Hareketli Hayat Dairesi Başkanlığı Web sitesi, https://hsgm.saglik.gov.tr/tr/obezite/dunyada-obezitenin-gorulme-sikligi.html, Erişim Tarihi 06.02.2020

Sassi F. (2010). Obesity and Economics of Prevention, OECD Report, 1-270, (www.oecd.org/publishing/corrigenda).

Schmeiser M. (2009). Expanding Wallets and Waistlines: The Impact of Family Income on the BMI of Women and Men Eligible for the Earned Income Tax Credit. Health Economics, 18(11), 1277-94.

Sobal J. Stunkard A.J. (1989). Socioeconomic Status and Obesity: A Review of the Literature. Psychol Bull., 105, (1989), 260-275.

Tansel A. Karaoğlan D. (2014). Health Behaviors and Education in Turkey. Koç University-TÜSİAD Economic Research Forum Working Paper Series, working paper 1414,1-40

Tansel A., Karaoğlan D., (2016). The Causal Effect of Education on Health Behaviors: Evidence from Turkey. Economic Research Forum Working Paper No 1030, 1-26.

Tomer J.F. (2010). What Causes Obesity? and Why has It Grown so Much? An Alternative View. Research Paper for Max Planck Institute for Economics in Jena, Germany, (2010), 1-38.

Türkiye İstatistik Kurumu, Sağlık Araştırması-2016 veri seti, Ankara.

Villar J.G., Quintana-Domeque C. (2009). Income and Body Mass Index in Europe, Economics and Human Biology, Vol 7: 73-83.

WHO World Health Organization: Obesity and Overweight, http://www.who.int/mediacentre/factsheets/fs311/en/ (04.02.2020).

Wyatt S. Faan R.N. Winters K.P. Dubbert P.M. (2006). Overweight and Obesity: Prevalence, Consequences and Causes of a Growing Public Health Problem. The American Journal of the Medical Sciences, Vol 331, No 4, 166-174.

Yumuk, V. D. (2005). Prevalence of Obesity in Turkey. Obesity Reviews, 6(1): 9-10.

Published

2020-05-13

How to Cite

Banu Beyaz Sipahi. (2020). The Relationship Between Household Income and Body Mass Index : Instrumental Variable Approach. ISPEC International Journal of Social Sciences & Humanities, 4(2), 77–97. https://doi.org/10.46291/ISPECIJSSHvol4iss2pp77-97

Issue

Section

Articles