Pennsylvania State University, USA.
Soc Sci Med. 2021 Mar;272:113732. doi: 10.1016/j.socscimed.2021.113732. Epub 2021 Feb 2.
Low family income is frequently assumed to be a primary social determinant of youth obesity in the U.S. But while the observed correlation between family income and youth obesity is consistently negative, the true causal relationship is unclear. I take advantage of a natural experiment - the boom economy created by development of the Marcellus Shale geological formation for natural gas extraction - to study whether income gains affect youth obesity rates among Pennsylvania students. To test this relationship, I compile data from geological, administrative, Census and other governmental sources and estimate cross-sectional OLS regression models, longitudinal fixed effects models, and two-stage instrumental variable models within a difference-in-differences framework. Falsification tests indicate that children's location relative to the Marcellus Shale's geological boundaries is a valid instrument for income gains. Yet plausibly exogenous income gains do not alter youth obesity rates, regardless of the community's initial level of poverty or affluence and regardless of the child's grade level. Thus, the observed disparities in youth obesity by area income in Pennsylvania do not result from simple differences in disposable income and the relative cost of "healthy" versus "unhealthy" goods and services.
家庭收入低通常被认为是美国青少年肥胖的主要社会决定因素。但是,尽管观察到家庭收入与青少年肥胖之间存在负相关关系,但真正的因果关系尚不清楚。我利用了一个自然实验——马塞勒斯页岩地质构造的天然气开采带来的繁荣经济——来研究收入增长是否会影响宾夕法尼亚州学生的青少年肥胖率。为了检验这种关系,我从地质、行政、人口普查和其他政府来源汇编数据,并在差分差异框架内估计横截面 OLS 回归模型、纵向固定效应模型和两阶段工具变量模型。验证性测试表明,儿童相对于马塞勒斯页岩地质边界的位置是收入增长的有效工具。然而,无论社区的初始贫困或富裕程度如何,也无论孩子的年级如何,外生的、合理的收入增长并不能改变青少年肥胖率。因此,宾夕法尼亚州按地区收入划分的青少年肥胖率的差异并不是由可支配收入的简单差异以及“健康”与“不健康”商品和服务的相对成本造成的。