Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health

B-Tier
Journal: Health Economics
Year: 2015
Volume: 24
Issue: 5
Pages: 516-538

Authors (2)

Benedicte Apouey (Paris School of Economics) Andrew E. Clark (not in RePEc)

Score contribution per author:

1.005 = (α=2.01 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We use British panel data to determine the exogenous impact of income on a number of individual health outcomes: general health status, mental health, physical health problems, and health behaviours (drinking and smoking). Lottery winnings allow us to make causal statements regarding the effect of income on health, as the amount won by winners is largely exogenous. Positive income shocks have no significant effect on self‐assessed overall health, but a significant positive effect on mental health. This result seems paradoxical on two levels. First, there is a well‐known gradient in health status in cross‐sectional data, and second, general health should partly reflect mental health, so that we may expect both variables to move in the same direction. We propose a solution to the first apparent paradox by underlining the endogeneity of income. For the second, we show that lottery winnings are also associated with more smoking and social drinking. General health will reflect both mental health and the effect of these behaviours and so may not improve following a positive income shock. Copyright © 2014 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:24:y:2015:i:5:p:516-538
Journal Field
Health
Author Count
2
Added to Database
2026-01-24