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Family Health Spillovers: A Multidimensional Regression Discontinuity Design

Kampfen, F.;, O'Donnell, O.; and Qin, X.;

Health, Econometrics and Data Group (HEDG) Working Papers from HEDG, c/o Department of Economics, University of York

Abstract: A multidimensional regression discontinuity design reveals large and asymmetric spill overs from personalized health information within Chinese families. Warning a man that he has high blood pressure (BP) is estimated to reduce his wife’s BP by 7.5% and her probability of high BP by 24% points, while there is no female-to- male spill over. Warning a parent (father, particularly) reduces their adult child’s BP. Identified mechanisms are reduced adiposity (spousal) and healthier behavior (intergenerational). Asymmetry can be explained by joint health production under collective but gender-unequal household decision making. We demonstrate screening even for non-communicable disease risk can generate positive spill overs.

Keywords: health behavior; peer effects; information; collective household; screening (search for similar items in EconPapers)
JEL-codes: C21 I12 I15 (search for similar items in EconPapers)
Date: 2026-08
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