TY - RPRT AU - Cawley, John AU - Ruhm, Christopher J. TI - The Economics of Risky Health Behaviors PY - 2011/May/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 5728 UR - https://www.iza.org/publications/dp5728 AB - Risky health behaviors such as smoking, drinking alcohol, drug use, unprotected sex, and poor diets and sedentary lifestyles (leading to obesity) are a major source of preventable deaths. This chapter overviews the theoretical frameworks for, and empirical evidence on, the economics of risky health behaviors. It describes traditional economic approaches emphasizing utility maximization that, under certain assumptions, result in Pareto-optimal outcomes and a limited role for policy interventions. It also details nontraditional models (e.g. involving hyperbolic time discounting or bounded rationality) that even without market imperfections can result in suboptimal outcomes for which government intervention has greater potential to increase social welfare. The chapter summarizes the literature on the consequences of risky health behaviors for economic outcomes such as medical care costs, educational attainment, employment, wages, and crime. It also reviews the research on policies and strategies with the potential to modify risky health behaviors, such as taxes or subsidies, cash incentives, restrictions on purchase and use, providing information and restricting advertising. The chapter concludes with suggestions for future research. KW - income KW - health behaviors KW - alcohol KW - tobacco KW - smoking KW - drugs KW - obesity KW - diet KW - food KW - physical activity KW - public health KW - public policy KW - taxation KW - subsidies KW - addiction KW - externalities KW - advertising KW - information KW - behavioral economics KW - neuroeconomics KW - human capital KW - education KW - prices KW - sex KW - time preference KW - peers KW - bounded rationality KW - medical costs KW - employment KW - wages KW - crime KW - hyperbolic discounting ER -