Education, risk perceptions, and health behaviors

You, Kai (2011): Education, risk perceptions, and health behaviors.

Abstract

It is acknowledged that there exists an association between education and health behaviors, but channels through which educational gradients resulted are not well investigated. We propose that personal risk perceptions of developing cancers in the future account for part of the gradients. To explore it, we merge two datasets to test causal effects at both individual and MSA levels. Endogeneity is considered and eased. We find that risk perceptions significantly enhance people’s smoking decisions, and prostate cancer and colorectal cancer screening. Educational gradients are robust perceived risks. It is suggested to improve health behaviors, health service providers and public health manager should take measures to enhance personal perceived risk toward diseases.

• Item Type: MPRA Paper
• Language: English
• Subjects: I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior

References

Aas, E., 2009. Pecuniary compensation increases participation in screening for colorectal cancer. Health Economics 18 (3), 337–354. ___________________________________________________________ Berkman, L. F., 1995. The role of social relations in health promotion. Psychosomatic Medicine 57 (3), 245-254. ____________________________________________________________ Cutler, D., Lleras-Muney, A., 2010. Understanding differences in health behaviors by education. Journal of Health Economics 29 (1), 1-28. ____________________________________________________________ De Walque, D., 2007. Does education affect smoking behaviors? Evidence using the Vietnam draft as an instrument for college education. Journal of Health Economics 26, 877–895. ____________________________________________________________ Gerking, S., Khaddaria, R., 2011, Perceptions of health risk and smoking decisions of young people. Health Economics doi: 10.1002/hec.1760. ____________________________________________________________ Grimard, F., Parent, D., 2007. Education and smoking: Were Vietnam war draft avoiders also more likely to avoid smoking? Journal of Health Economics 26 (5), 896-926. ____________________________________________________________ Grossman, M., 1972. On the concept of health capital and the demand for health. Journal of Political Economy 80, 223–255. ____________________________________________________________ Grossman, M., 2006. Education and nonmarket outcomes. In: Hanushek, E.,Welch,F. (Eds.), Handbook of the Economics of Education, vol. 2. North-Holland, Amsterdam. ____________________________________________________________ Kemptner, D., Jürges, H., Reinhold, S., 2011. Changes in compulsory schooling and the causal effect of education on health. Journal of Health Economics 30 (2), 340-354. ____________________________________________________________ Kiviniemi, M.T., Orom, H., Giovino, G.A., 2011. Psychological distress and smoking behavior: the nature of the relation differs by race/ethnicity. Nicotine and Tobacco Research 13(2), 113-119. ———————————————————————————————————————————————————————————— Lange, F., 2011. The role of education in complex health decisions: Evidence from cancer screening. Journal of Health Economics 30 (1), 43-54. ———————————————————————————————————————————————————————————— Lundborg. P., Anderson H., 2008. Gender, risk perceptions, and smoking behavior. Journal of Health Economics 27, 1299-1311. ____________________________________________________________ Mellor, J. M. and Freeborn, B. A. 2010. Religious participation and risky health behaviors among adolescents. Health Economics 20 (10), 1226–1240. ____________________________________________________________ Nortona, E. C., Lindroothb, R. C., Ennett, S. T., 2003. How measures of perception from survey data lead to inconsistent regression results: evidence from adolescent and peer substance use. Health Economics 12, 139-148. ____________________________________________________________ Rimal, R.N and Juon, H., 2010. Use of the Risk Perception Attitude Framework for Promoting Breast Cancer Prevention. Journal of Applied Social Psychology 40 (2), 287-310. ____________________________________________________________ Rimal, R.N., and Real, K., 2003. Perceived Risk and Efficacy Beliefs as Motivators of Change: Use of the Risk Perception Attitude (RPA) Framework to Understand Health Behaviors. Human Communication Research 29 (3), 370–399. ____________________________________________________________ Parka, G., Kang, C., 2008. Does education induce healthy lifestyle? Journal of Health Economics 27, 1516–1531. ____________________________________________________________ Philips, Z., Mark Avis, M., 2007. Why do women participate in the English cervical cancer screening programme? Journal of Health Economics 26 (2), 306-325. ____________________________________________________________ Tenn, S., Herman, D. A., Wendling, B., 2009. The role of education in the production of health: An empirical analysis of smoking behavior, Journal of Health Economics 29 (3), 404-417. ____________________________________________________________ Viscusi, W. K., 1990. Do Smokers Underestimate Risks?. Journal of Political Economy 98 (6), 1253-1269. ____________________________________________________________ Viscusi, W. K., 1991. Age Variations in Risk Perceptions and Smoking Decisions. The Review of Economics and Statistics 73 (4), 577-588. ____________________________________________________________ Viscusi, W. K., Hakes, J., 2008. Risk Beliefs and Smoking Behavior. Economic Inquiry 46 (1), 45-59.