diabetes and behavior change - economics.stanford.edu · orubuloye, je˜ marck, wendy cosford,...
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A ndreyeva, Tat iana, M ichael W Long, and K el ly D B rownel l
A ssociat ion" , " A mer ican D iabet es et al .
B r eyer , B . N ., S. Phelan, P. E. H ogan, R . C. R osen, A . E. K it abchi, R . R . W ing, and
J. S. B rown
Caldwel l , John, Pat Caldwel l , John A nar�, K o� A wusabo-A sare, James N t ozi , I .O.
Or ubuloye, Je� M ar ck, W endy Cosfor d, R achel Colombo, and Elaine H ol l ings
Cummings, L inda and Gr egor y Cooper
D eSant is, Carol , R ebecca Siegel, Pr i t i B andi, and A hmedin Jemal
D ubois, P ier r e, R achel Gr i� t h, and A viv N evo
Einav, L ir an, Ephr aim Leibt ag, and A viv N evo
Espeland, M ark
Est r uch, R ., E. R os, J. Salas-Salvado et al .
Feldst ein, A . C., G. A . N ichols, D . H . Smit h, V . J. St evens, K . B achman, A . G .
R osales, and N . Per r in
for D isease Cont r ol , " Cent er s and Pr event ion"
Fost er , G . D ., K . E. B or r adai le, M . H . Sander s et al .
Fr anz, M ar ion J, John P B ant le, Chr ist ine A B eebe, John D B runzel l , Jean-Louis
Chiasson, A bhimanyu Gar g, Lea A nn H olzmeist er , B yr on H oogwer f, El izabet h
M ayer -D avis, A r shag D M oor adian et al .
Gr egg, E. W ., H . Chen, L . E. W agenknecht et al .
Gr oup" , " D iabet es Pr event ion Progr am R esear ch et al .
Leonhar dt , D avid
L indst r�om, Jaana, P ir j o I lanne-Par ikka, M ar kku Pelt onen, Sir kka A unola, Johan G
Er iksson, K at r i H emi�o, H elena H �am�al�ainen, P ir j o H �ar k�onen, Sir kka
K ein�anen-K iukaanniemi, M aur i Laakso et al .
M yt t on, Ol iver T , D ushy Clar ke, and M ike R ayner
Ogden, C. L ., M . D . Car r ol l , M . A . M cD owel l , and K . M . Flegal
Ost er , Emily
Phelan, S., A . M . K anaya, L . L . Subak, P. E. H ogan, M . A . Espeland, R . R . W ing,
K . L . B urgio, V . D iL i l lo, A . A . Gor in, D . S. W est , and J. S. B rown
Taylor , K at hr yn S., Car l J. H eneghan, A ndr ew J. Far mer , A l ice M . Ful ler , A manda I .
A dler , Je�rey K . A r onson, and R ichar d J. St evens
W ang, Y . C., K . M cPher son, T . M arsh, S. L . Gor t maker , and M . B r own
W ilding, JPH
W il l iamson, D . F., T . J. T hompson, M . T hun, D . F landers, E. Pamuk, and T . B yers
W ing, R . R ., R . C. R osen, J. L . Fava, J. B ahnson, F. B r ancat i , I . N . Gendrano I i i ,
A . K it abchi , S. H . Schneider , and T . A . W adden
W ing, R R , Paula B ol in, Fr eder ick L B rancat i , Geor ge A B r ay, Jeanne M Clar k, M ace
Coday, R ichar d S Cr ow, Je�r ey M Cur t is, Cait l in M Egan, M ar k A Espeland
et al .
020
40
60
Coe
ffici
ent
on
Tes
t P
rod
uct
Spe
ndin
g
first TSmonth
coeff upper/lower
zero_line
months from test strips
N otes
B ehavior Change: Calor ies, Quant i t ies and Spending
−40
00−
200
00
200
04
000
Coe
ffic
ient
on
Te
st P
rod
uct
Spe
nd
ing
first TSmonth
coeff upper/lower
zero_line
months from test strips
−1
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−50
05
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Coe
ffic
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Tes
t P
rodu
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pe
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first TSmonth
coeff upper/lower
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months from test strips
−1
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50
51
015
Co
effic
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t on
Te
st P
rod
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Sp
end
ing
first TSmonth
coeff upper/lower
zero_line
months from test strips
N otes
−3
000−
200
0−
100
00
100
02
000
Goo
d a
nd B
ad
Cal
ori
es
first TSmonth
Good Foods Bad Foods
zero_line
months from test strips
N otes
B ehavior Change by D oct or R ankings
−1
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500
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1,0
00C
han
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alo
ries
by
Do
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an
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First Month 2 to 7 Months
All Good Maj. Good Maj. Bad All Bad All Good Maj. Good Maj. Bad All Bad
N otes
Signi�cant M odule Changes
−200 −100 0 100 200Change in Calories, First Month
YOGURTVEGETABLES − CANNED
UNPREP MEAT/POULTRY/SEAFOOD−FRZNTEA
SEAFOOD − CANNEDPUDDING
PACKAGED MILKPACKAGED MEATS−DELI
MILKJAMS, JELLIES, SPREADS
FROZEN APPETIZERSFRESH PRODUCE
CRACKERSCEREAL
CARBONATED BEVERAGESBREAKFAST FOODS−FROZEN
−300 −200 −100 0 100Change in Calories, 2 to 7 Months
YEASTTEA
SUGAR, SWEETENERSSOFT DRINKS−NON−CARBONATED
SHORTENING, OILPASTANUTSMILK
JUICEICE CREAM, NOVELTIES
DRIED VEGGIES, GRAINSCONDIMENTS
CHEESECARBONATED BEVERAGES
CANDYBUTTER AND MARGARINE
BREAD AND BAKED GOODS
N otes
D iet ar y Concent r at ion and B ehavior Change
−.2
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De
cre
ase
in C
alor
ies
1 2 3 4 5Diet Concentration Qunitile
Calorie Changes and Pre−Diagnosis Diet Concentration
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De
cre
ase
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alor
ies
1 2 3 4 5Diet Concentration Qunitile
Calorie Changes and Diet Concentration (No Diagnosis)
N otes
Tax Equivalent s t o B ehavior Changes
−30 −20 −10 0 10% Tax (Negative = Subsidy) Producing Equivalent Change Magnitude
CARBONATED BEVERAGES
MILK
CEREAL
FRESH PRODUCE
PACKAGED MILK
VEGETABLES − CANNED
SEAFOOD − CANNED
YOGURT
PUDDING
0 5 10 15% Tax (Negative = Subsidy) Producing Equivalent Change Magnitude
SUGAR, SWEETENERS
DRIED VEGGIES, GRAINS
CANDY
CARBONATED BEVERAGES
SHORTENING, OIL
ICE CREAM, NOVELTIES
SOFT DRINKS−NON−CARBONATED
JUICE
BUTTER AND MARGARINE
MILK
N otes
Summar y St at ist ics
Panel A : Panel ist D emographicsM ean Standard D evi at i on Sample Si ze
Panel B : Panel ist Shopping B ehavior
N otes
Test Supply Pur chases B y I nfer r ed D iagnosis T ime
Outcome: Testing Supply Spending
N otes
B ehavior Change A ft er I nfer r ed D iabet es D iagnosis
Outcome: Calor i es Quant i ty i n Oz. Spendi ng ($) Spendi ng ($)
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E�ect s for \ Good" and \ B ad" Foods
Panel A : G ood Foods
Outcome: Calor ies Quanti ty in Oz. Spending ($)
Panel B : B ad Foods
Outcome: Calor ies Quanti ty in Oz. Spending ($)
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Changes and I ni t ial D iet I mpor t ance
Panel A : G r oups R anked by A ggr egat e
G r oup : B ad Foods N on-B ad Foods
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Panel B : G r oups R anked w i t h in H ousehold
G r oup : B ad Foods N on-B ad Foods
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N otes
D emogr aphic H et er ogeneit y
Outcome: Calor i es
F i r st M onth 2-7 M onths
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B asel ine D iet and B ehavior al R esponse
P an el A : Q u al i t y of B asel i n e D i et
Outcome: Percent Change i n Calor i es
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P an el B : C on cen t r at i on of B asel i n e D i et
Outcome: Percent Change i n Calor i es��� ���
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M or t al i t y
R emission
Sleep.A pnea
Er ect i le Funct ion
U r inar y I ncont inence (M en)
U r inar y I ncont inence (W omen)
Product N umber Repor t \ Good Source" N umber Repor t \ B ad Source" Product N umber Repor t \ Good Source" Number Repor t \ B ad Source"
F r ozen P i zza 0 17 L i t e D r essi n g 4 3
C o ok i es 0 17 C o l d C er ea l 7 4
C h o co l a t e ch i p s 0 17 O l i v es 7 4
C o ok i e m i x 0 17 C an n ed V eget ab l es 8 3
So d a 0 17 G r ou n d B eef 9 6
F l av or ed Sy r u p 0 17 C an n ed B ean s 9 5
F r ozen B i scu i t s 0 17 Sou p 9 5
I ce C r eam 0 17 F r ozen F r u i t 9 5
C ak e m i x 0 17 N at u r a l C h eese 10 5
Sl i ce-n -B ak e C o ok i es 0 17 B r eak f ast B ar s 10 4
Su gar 0 17 Sa l sa 10 3
M ay on n a i se 0 16 O l i v e O i l 11 0
Sp am 0 14 P ean u t B u t t er 12 3
B u t t er 0 14 D r i ed F r u i t 12 3
C r eam er 0 12 T u n a 12 1
P o t a t o C h i p s 1 16 C ot t age ch eese 13 2
J am 1 16 E ggs 13 1
Sal ad D r essi n g 1 15 F r ozen V eget ab l es 14 1
P ast a D i n n er 1 15 Y ogu r t 14 0
Sn ack C r ack er s 1 14 Sh r i m p 15 1
B r ead 1 12 H ot C er ea l 15 0
M ar ger i n e 1 12 F r esh F r u i t 15 0
J u i ce 2 13 C h i ck en 16 0
F l ou r 2 8 F i sh 17 0
R egu l a r M i l k 3 11 L ow F at M i l k 17 0
P o t a t o es 3 9 V eget ab l es 17 0
A p p l esau ce 3 8 N u t s 17 0
P r et zel s 4 9 D r i ed B ean s 17 0
P ast a 4 9
R i ce 4 9
P i ck l es 4 3