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Causal Spousal Health Spillover Effects and Implications for Program Evaluation
American Economic Journal: Economic Policy ( IF 6.067 ) Pub Date : 2017-11-01 , DOI: 10.1257/pol.20150573
Jason Fletcher 1 , Ryne Marksteiner 2
Affiliation  

Current methods of cost effectiveness analysis implicitly assume zero spillovers among social ties. This can underestimate the benefits of health interventions and misallocate resources toward interventions with lower comprehensive effects. We discuss the implications of social spillovers for program evaluation and document the first evidence of causal spillovers of health behaviors between spouses by leveraging experimental data from the Lung Health Study (smoking) and COMBINE Study (drinking). We find large decreases in spousal substance use from treatments with a therapy component, which reduces the incremental cost effectiveness ratios of some treatments by 12 to 18 percent.

中文翻译:

配偶健康溢出效应和对项目评估的影响

当前的成本效益分析方法隐含地假设社会关系之间的溢出为零。这可能会低估卫生干预措施的好处,并将资源错误地分配给综合效果较低的干预措施。我们讨论了社会溢出对计划评估的影响,并通过利用肺健康研究(吸烟)和联合研究(饮酒)的实验数据记录了配偶之间健康行为因果溢出的第一个证据。我们发现使用治疗成分的治疗大大减少了配偶物质的使用,这将某些治疗的增量成本效益比降低了 12% 到 18%。
更新日期:2017-11-01
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