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Full-Text Articles in Social and Behavioral Sciences

What Explains Spatial Cariations Of Covid-19 Vaccine Hesitancy?: A Social-Ecological-Technological Systems Approach, Arun Pallathadka, Heejun Chang, Daikwon Han Jul 2023

What Explains Spatial Cariations Of Covid-19 Vaccine Hesitancy?: A Social-Ecological-Technological Systems Approach, Arun Pallathadka, Heejun Chang, Daikwon Han

Geography Faculty Publications and Presentations

While COVID-19 vaccines have been available since December 2020 and efforts have been made to vaccinate the maximum population, a large number of people are continuing to be hesitant, prolonging the pandemic in the US. While most previous studies investigated social, economic, and demographic variables that are associated with COVID-19 vaccine hesitancy, we added ecological and technological variables to better understand the spatial variations of vaccine rates in the contiguous United States using spatial regression and geographically weighted regression (GWR) models. We aim to identify spatially varying social, ecological, and technological factors that are associated with COVID-19 vaccination rates, which …


The Impact Of Single Motherhood On A Child’S Emotional Disposition In Asia: A Scoping Review, Afiq Azri Mohd Ghani, Fatin Syamilah Che Yob, Lim Seong Pek, Rita Wong Mee Mee, Md Rosli Ismail, Uzzairah Nabila Ahmad Tazli, Tengku Shahrom Tengku Shahdan Jul 2023

The Impact Of Single Motherhood On A Child’S Emotional Disposition In Asia: A Scoping Review, Afiq Azri Mohd Ghani, Fatin Syamilah Che Yob, Lim Seong Pek, Rita Wong Mee Mee, Md Rosli Ismail, Uzzairah Nabila Ahmad Tazli, Tengku Shahrom Tengku Shahdan

Makara Human Behavior Studies in Asia

Corresponding to the current pandemic issue, Covid-19 has driven unprecedented economic loss and instability to many, particularly among low-income families, especially in Asia. In context, families involved single mothers who are markedly affected by job loss; thus, low-income households had markedly affected the well-being and development of children. In addition to family environment, sociodemographic variables, such as socioeconomic status, educational level of parents, and parental conflict, had also been associated with problematic or competent behaviors during childhood. This scoping review aimed to determine current knowledge regarding the impact of single motherhood on the emotional well-being of a child. This review …


Employee Engagement Is The Key: Its Mediating Role Between Person–Environment Fit And Organizational Commitment Among Filipino Employees, Ma. Criselda T. Pacquing Jul 2023

Employee Engagement Is The Key: Its Mediating Role Between Person–Environment Fit And Organizational Commitment Among Filipino Employees, Ma. Criselda T. Pacquing

Makara Human Behavior Studies in Asia

Employee engagement has been a popular topic in human resources management and development for several years now. However, the majority of the information on this construct came from the perspective of other cultures, and scientific research-based literature conducted on the engaging behavior of Filipinos, most notably on the antecedents and consequences, is limited. Thus, this study aimed to examine P–E fit and organizational commitment as an antecedent and the consequence of employee engagement, respectively. Similarly, the mediating function of employee engagement on the association of P–E fit with organizational commitment was explored. A total of 1252 employees from different Filipino-owned …


Enhancing The Definitions Of Climate-Change Loss And Damage Based On Land Conversion In Florida, U.S.A., Elena A. Mikhailova, Zhenbang Hao, Hamdi A. Zurqani, Mark A. Schlautman, Gregory C. Post, George B. Shepherd, Sarah J. Kolarik Jul 2023

Enhancing The Definitions Of Climate-Change Loss And Damage Based On Land Conversion In Florida, U.S.A., Elena A. Mikhailova, Zhenbang Hao, Hamdi A. Zurqani, Mark A. Schlautman, Gregory C. Post, George B. Shepherd, Sarah J. Kolarik

Geography Faculty Publications and Presentations

Loss and damage (L&D) from climate change result from past and current greenhouse gas (GHG) emissions. Current definitions of L&D exclude GHG emissions even though they represent L&D to human beings and the environment. This study’s objective was to identify and quantify the L&D from GHG emissions associated with land developments using the state of Florida (FL) in the United States of America (USA) as a case study. All land developments in FL caused various L&D (20,249.6 km2, midpoint 3.0 1011 of total soil carbon (TSC) losses with midpoint $50.3B (where B = billion = 109, USD) in social costs …


Kinerja Ekspor Indonesia: Dampak Pandemi Covid-19 Vs Perang Rusia, Samsul Arifin Jul 2023

Kinerja Ekspor Indonesia: Dampak Pandemi Covid-19 Vs Perang Rusia, Samsul Arifin

Jurnal Ekonomi dan Pembangunan Indonesia

Is COVID an obstacle to Indonesia’s trade flows vs. war to boost Indonesia’s exports? Application of the Gravity model using the OLS panel data fixed effect method to address the endogeneity problem for the 2018q1–2022q3 period. The significant positive results of exporters’ and importers’ GDP and the significant negatif results of distance prove the validity of the gravity model. The significant negatif results of the COVID-19 dummy and the significant positive results of the dummy war show that Indonesia’s exports with trading partners during COVID-19 have decreased, while the impact of the war was able to encourage an increase in …


Apakah Modal Manusia Penting Untuk Mengangkat Jawa Timur Dari Jebakan Kelas Menengah?, Christiayu Natalia, Setyo Tri Wahyudi Jul 2023

Apakah Modal Manusia Penting Untuk Mengangkat Jawa Timur Dari Jebakan Kelas Menengah?, Christiayu Natalia, Setyo Tri Wahyudi

Jurnal Ekonomi dan Pembangunan Indonesia

Optimizing demographic dividend requires human capital quality improvement. However, disparities in the quality of human capital between regions in East Java becoming challenge in increasing GRDP per capita growth before demographic bonus period ends. This research analyze the effect of human capital quality on GRDP per capita growth during 2011–2022 period generally in East Java Province and specifically in districts/cities with low human capital quality. Dynamic panel data regression analysis using the First-Difference Generalized Moment Method (FD-GMM) was used in this research. The research results show a significant influence of the quality of human capital on GDP per capita growth.


Extreme Heat Vulnerability Among Older Adults: A Multi-Level Risk Index For Portland, Oregon, Jacklyn N. Kohon, Katsuya Tanaka, Dani Himes, Paula Carder, Eiji Toda, Bryant Carlson Jul 2023

Extreme Heat Vulnerability Among Older Adults: A Multi-Level Risk Index For Portland, Oregon, Jacklyn N. Kohon, Katsuya Tanaka, Dani Himes, Paula Carder, Eiji Toda, Bryant Carlson

Institute on Aging Publications

Background and Objectives

Extreme heat is an environmental health equity concern disproportionately impacting low-income older adults and people of color. Exposure factors, such as living in rental housing and lack of air conditioning, and sensitivity factors, such as chronic disease and social isolation, increase mortality risk among older adults. Older persons face multiple barriers to adaptive heat mitigation, particularly for those living in historically temperate climates. This study measures two heat vulnerability indices to identify areas and individuals most vulnerable to extreme heat and discusses opportunities to mitigate vulnerability among older adults.

Research Design and Methods

We constructed two heat …


The Effect Of Resource Quality And Species Interactions On Dermestes Maculatus, Sarah Aliahmad Jul 2023

The Effect Of Resource Quality And Species Interactions On Dermestes Maculatus, Sarah Aliahmad

Student Theses

Forensic entomology is the use and application of insect information in legal matters, particularly in death investigations as insects utilize decomposing remains as a food source to complete their life cycle. Dermestes maculatus (DeGeer), larder beetles belonging to the family Dermestidae, are of considerable forensic importance since their larvae are typically found on human corpses during the later stages of decomposition – the advanced and dry/skeletal stages. Dermestes maculatus can be useful in estimating the post-mortem interval (PMI) of a cadaver with advanced decomposition. The purpose of this study was to investigate the colonization (egg-laying) behavior of D. maculatus; …


Conceptualizing Condominium Law And Children: Comparing The State Of Strata Titles Law In New South Wales And Singapore, Hang Wu Tang Jul 2023

Conceptualizing Condominium Law And Children: Comparing The State Of Strata Titles Law In New South Wales And Singapore, Hang Wu Tang

Research Collection Yong Pung How School Of Law

Purpose: This article conceptualises the legal relations embedded within condominium housing and the various theories of property ownership to ascertain how children’s interest fit within this framework. The laws of two jurisdictions, New South Wales and Singapore are examined to determine how their strata law responds when children’s safety is at stake. Design/methodology/approach: A comparative method using case law, statutes and secondary literature across both jurisdictions is adopted. This article also draws on various theories of property ownership. Findings: Drawing on pluralist moral theories of property law, the thesis advanced is that children’s issues within condominiums should not be subject …


The First Peoples Of The Lower Rio Grande Valley Of Texas And Northern Mexico: An Interdisciplinary Approach To Defining The Paleoindian Period, Starr Elena Hein Jul 2023

The First Peoples Of The Lower Rio Grande Valley Of Texas And Northern Mexico: An Interdisciplinary Approach To Defining The Paleoindian Period, Starr Elena Hein

Theses and Dissertations

The archaeological record of the Lower Rio Grande Valley of Texas and northern Mexico is poorly understood. There are few excavated sites at which Paleoindian cultural materials have been found, and in these cases the context is uncertain. In order to better understand the Paleoindian period, projectile points that reside in private collections are documented, and the time period they are assigned to, based on absolute dating from surrounding regions, is used to cross-date local materials. This is limited by the lack of named typology for Upper Paleolithic materials in the Americas. Clovis is well represented in the Lower Rio …


Relations Between Heart Rate And Precursors To Aggression With Children With Autism Spectrum Disorder, Emily Wynn Dowling Jul 2023

Relations Between Heart Rate And Precursors To Aggression With Children With Autism Spectrum Disorder, Emily Wynn Dowling

Theses and Dissertations

Aggression is a commonly reported problem behavior for individuals diagnosed with autism spectrum disorder. When assessing and treating aggression, there are risks of injury to the client and staff when the problem behavior is aggression. Investigating physiological arousal states of clients may be fruitful if this physiological measure can be used to predict occurrences of problem behavior, such as aggression. Previous research has shown varied results when investigating the relations between heart rate and problem behaviors. For some individuals, heart rate increased preceding problem behavior and for others heart rate decreased (Barrera et al., 2007). The temporal relation between heart …


Comparing Video Modeling To Tactile Feedback To Train Medical Skills, Kelcie Erin Mccafferty Jul 2023

Comparing Video Modeling To Tactile Feedback To Train Medical Skills, Kelcie Erin Mccafferty

Theses and Dissertations

Medical skills and practices have been continuously advancing, with many recent advancements in clinical practice. However, medical training has yet to develop in tandem with medical advancement. Behavior analysis has a large body of research and practice in the area of skill acquisition to offer the medical field. TAGteach® is one example of a behavior analytic method that could be beneficial to the medical field. Although traditional applications of TAGteach® have been proven to be effective, they may not be socially valid or accepted by the larger population or medical professionals. The purpose of the present study was to compare …


Exploring The Impact Of Collaboration Processes On Policy Networks Success: A Case Study Of Food Policy Councils, Beomgeun Cho, In Hae Noh, April M. Roggio, Luis Felipe Luna-Reyes Jul 2023

Exploring The Impact Of Collaboration Processes On Policy Networks Success: A Case Study Of Food Policy Councils, Beomgeun Cho, In Hae Noh, April M. Roggio, Luis Felipe Luna-Reyes

Research Collection School of Social Sciences

Innovative forms of collaborative governance have evolved to address a diversity of wicked problems. Collaboration processes involved in these forms of governance appear to have a paradoxical nature, where the necessary inclusiveness and diversity of actors may also be important obstacles for a successful collaboration. We apply theories of collaborative and network governance, and fuzzy-set Qualitative Comparative Analysis, to explore the impact of collaboration process characteristics (network density, diversity, inclusion and participation) on 12 food policy councils. Our findings suggest that collaborative arrangements where diverse stakeholders have equal and inclusive access to active deliberation constitute one path to effective outcomes.


Psu Student Housing Insecurity Interim Report, Jacen Greene, Homelessness Research & Action Collaborative, Portland State University Jul 2023

Psu Student Housing Insecurity Interim Report, Jacen Greene, Homelessness Research & Action Collaborative, Portland State University

Homelessness Research & Action Collaborative Publications and Presentations

EXECUTIVE SUMMARY


Project Background

This study on student housing insecurity and homelessness was funded as part of a HUD FY2023 Community Project Funding Opportunity awarded to Portland State University. Phase 1 of the study, which led to this report by PSU’s Homelessness Research & Action Collaborative (HRAC), includes a literature review; a summary of PSU student survey results; a description of PSU programs based on interviews with staff and administrators; an analysis of programs at other institutions; and a set of recommendations for better addressing student housing needs. Phase 2 of the study will include the results of a comprehensive …


Subjective Socioeconomic Status Moderates Self-Esteem Reactivity To Daily Stressor Exposure: Evidence From A Daily Diary Approach, Yi Jing Chua, Nadyanna M. Majeed, Verity Yu Qing Lua, Chi-Ying Cheng, Andree Hartanto Jul 2023

Subjective Socioeconomic Status Moderates Self-Esteem Reactivity To Daily Stressor Exposure: Evidence From A Daily Diary Approach, Yi Jing Chua, Nadyanna M. Majeed, Verity Yu Qing Lua, Chi-Ying Cheng, Andree Hartanto

Research Collection School of Social Sciences

Research on self-esteem reactivity has demonstrated that self-esteem fluctuates in response to daily stressor exposure, and the strength of this relationship varies between individuals. Drawing upon the positive link between objective socioeconomic status (SES) and self-esteem, how subjective SES influences self-esteem reactivity to daily stressor exposure was explored. Using a 7-day daily diary study, the current study (N-participants = 243, N-days = 1651) adopted a multilevel analysis to demonstrate that subjective SES attenuated the within-person association between daily stressor exposure and daily self-esteem, even after controlling for demographics and objective indicators of SES. The interactions were also consistent across social …


Whom Do We Learn From? The Impact Of Global Networks And Political Regime Types On E-Government Development, Beomgeun Cho, Karl R. Rethemeyer Jul 2023

Whom Do We Learn From? The Impact Of Global Networks And Political Regime Types On E-Government Development, Beomgeun Cho, Karl R. Rethemeyer

Research Collection School of Social Sciences

This study investigates the impact of global networks on e-government development and the role of political regime types in e-government diffusion through international networks. We built a unique social network dataset that covers 148 countries for the years between 2003 and 2014. Our network dataset is rooted in two assumptions: 1) international organizations serve as peak organizations for international policy networks, 2) public managers who participate in international e-government conferences held by the UN and OECD work as boundary spanners. Our empirical evidence suggests that countries well embedded in global e-government networks receive ideas for public sector innovation from international …


Positive And Negative Experiences With Supportive Services And Programming: Gaps And Recommendations From Youth Experiencing Homelessness, Judy Y. Tan, G. Allen Ratliff, Ilsa Lund, Sherilyn Adams, Colette Auerswald, Marguerita Lightfoot Jul 2023

Positive And Negative Experiences With Supportive Services And Programming: Gaps And Recommendations From Youth Experiencing Homelessness, Judy Y. Tan, G. Allen Ratliff, Ilsa Lund, Sherilyn Adams, Colette Auerswald, Marguerita Lightfoot

OHSU-PSU School of Public Health Faculty Publications and Presentations

Services for youth experiencing homelessness (YEH) are designed with limited input from the youth themselves. This study explored the experiences and recommendations for services aimed at mitigating the negative effects of homelessness among youth. A total of 45 interviews were conducted with YEH (ages 15 to 24, M = 21.5 years) who experienced at least one night of homelessness. Transcripts were coded by using a modified constructivist grounded theory approach. YEH reported myriad challenges to navigating disjointed programming and misguided policies. Recommendations from YEH for policy and programmatic change include peacekeeping and diffusion training for program staff, trauma-informed approaches, and …


Effect Of Variable Delays To Reinforcement On Skill Acquisition Of Tacts In Children With Autism, Ya-Chien Yang Jul 2023

Effect Of Variable Delays To Reinforcement On Skill Acquisition Of Tacts In Children With Autism, Ya-Chien Yang

Theses and Dissertations

Basic research has established that immediate reinforcement produces the best outcome when learning a skill. More recent research has followed, showing that even 8-10 seconds of brief delays may impair learning. In one of the few applied studies on this topic, Majdalany et al. (2016) showed that participants with Autism Spectrum Disorder (ASD) acquired tacts more quickly with immediate reinforcement, compared to delays of 6s and 12s. However, no research has examined variable delays to reinforcement, which may be more common in classrooms and clinics. Thus, the purpose of the proposed study was to expand previous research by examining variable …


Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel Jul 2023

Further Evaluation Of The Effects Of Music And Rird On Vocal Stereotypy, Keith Happel

Theses and Dissertations

Vocal stereotypy (VS), or vocalizations that are noncontexual or nonfunctional, is commonly exhibited in individuals on the autism spectrum. The nature of vocal stereotypy may pose an issue for some individuals, ranging from social ostracization to the inability to perform daily tasks. Previous research has shown that access to matched stimulation (e.g., music) and response interruption and redirection (RIRD), a form of punishment, are effective at decreasing vocal stereotypy (Gibbs et al., 2018). However, in the aforementioned study, researchers did not evaluate a less intrusive treatment in isolation prior to implementing punishment. The purpose of the current investigation is to …


Do Women See Leadership As Risky? The Potential Role Of Stereotypes And The Perception Of Risk In Claiming A Leader Identity, Julia Macgregor-Peralta Jul 2023

Do Women See Leadership As Risky? The Potential Role Of Stereotypes And The Perception Of Risk In Claiming A Leader Identity, Julia Macgregor-Peralta

Theses and Dissertations

The purpose of this research was to determine if women perceive leadership as riskier than men do, and whether that could be holding women back. Specifically, this study investigated the influence of gender and leadership views on the development of leader identity and the role that perception of risk of leadership plays. Role Congruity Theory of Leadership, Lack of Fit, and Adaptive Leadership Theory were used as theoretical frameworks in this cross-sectional study using 2022 archival data. Participants were undergraduate and graduate students from five different universities in the United States. Leader role alignment (LRA), which is the congruence between …


Am I Committed Or Conflicted? Examining Implications Of Self-Concept Structure For Self-Regulation, Well-Being, And Performance, Nicholas Aaron Moon Jul 2023

Am I Committed Or Conflicted? Examining Implications Of Self-Concept Structure For Self-Regulation, Well-Being, And Performance, Nicholas Aaron Moon

Theses and Dissertations

Although research on self-concept is extensive, few studies have examined the relationship between specific aspects of self-concept structure (e.g., self-concept clarity) and self-regulation constructs (e.g., goal commitment). In addition, research has linked aspects of self-concept structure with well-being outcomes, but less is known about the mechanisms involved in these relationships. This research addresses these two issues by examining self-concept structure (self-concept clarity and self-concept differentiation) as antecedents of key self-regulatory mechanisms (goal commitment and goal conflict) and how these linkages may help explain connections between self-concept structure and well-being and performance. More specifically, two studies examined these relationships, with Study …


Actions Speak Louder Than Words: The Role Of Organization Segmentation Norms On Work-Family Enrichment, Engagement & Burnout, Sarah Jensen Jul 2023

Actions Speak Louder Than Words: The Role Of Organization Segmentation Norms On Work-Family Enrichment, Engagement & Burnout, Sarah Jensen

Theses and Dissertations

Increased frequency of virtual work environments has changed the dynamics of boundary management decisions for employees and underscored the importance of organizations being aware and purposeful of how their norms will impact their employees. The goal of this study was to a) understand how organizations norms towards segmentation impact employee burnout, engagement, and enrichment, and b) how segmentation preferences, job demands, and job crafting strengthen these relationships. Two samples of participants were recruited from a mental health organization (N = 73) and mTurk (N = 80) to complete surveys on the variables for the study. Organizations with a norm for …


Affiliative And Challenging Prosocial Behavior: Exploring Why And When Through The Lens Of Self-Construal, Vanessa Melendez Jul 2023

Affiliative And Challenging Prosocial Behavior: Exploring Why And When Through The Lens Of Self-Construal, Vanessa Melendez

Theses and Dissertations

Prosocial behavior yields important benefits for both employees and organizations. This research was designed to extend our understanding of the antecedents of prosocial behavior by focusing on self-construal. Specifically, this study investigates (a) the distinction between affiliative and challenging forms of prosocial behavior and how these relate to self-concept orientations (SCOs), (b) workplace affective commitment variables (workgroup commitment and organizational commitment) and motives (prosocial values and organizational concern) as potential mediators, and (c) independent self-construal as a potential moderator of the link between interdependent SCOs and affective and motivational mediators. The study involved 205 full-time workers completing two Qualtrics surveys …


Increasing Cheerleader Safety Through The Observer Effect, Madison Elizabeth Duke Jul 2023

Increasing Cheerleader Safety Through The Observer Effect, Madison Elizabeth Duke

Theses and Dissertations

Cheerleading has a high rate of serious injuries, but the safety of cheerleaders has seldom been researched. Behavior analytic research has never investigated cheerleading and has rarely focused on improving the safety of athletes. The present study examined scored observations, a common intervention in the behavior-based safety literature, as a method to increase the safety of cheerleaders completing basic movements. This has previously been shown to produce the observer effect, wherein an observer’s safe behavior is increased after observing and scoring the behavior of another performer. Scored observations alone increased basic cheerleading movements to a mastery criteria for one of …


Milner Monitor, July 2023, Milner Library Jul 2023

Milner Monitor, July 2023, Milner Library

Milner Library Newsletters

Internal newsletter produced by Milner Library staff between 2018 and present.


Efficacy Of, And Preference For, A Modification To Differential Reinforcement Procedures, Carissa Basile Jul 2023

Efficacy Of, And Preference For, A Modification To Differential Reinforcement Procedures, Carissa Basile

Dissertations (1934 -)

Tic disorders, such as Tourette’s Syndrome, are chronic, childhood-onset neurological conditions that involve sudden, repetitive, and involuntary motor movements and/or vocalizations. Individuals with tics often experience a premonitory urge, which is an aversive sensation that occurs right before a tic that may functionally influence tics. Previous research has suggested reinforced tic suppression can effectively reduce tics. Although effective, it may be useful to better understand the behavioral contingencies that most effectively lead to suppression. The purpose of the current study was to compare standard reinforced tic suppression with reinforced tic suppression that included an option for participant-initiated breaks using an …


Uniform Nonparametric Inference For Spatially Dependent Panel Data, Jia Li, Zhipeng Liao, Wenyu Zhou Jul 2023

Uniform Nonparametric Inference For Spatially Dependent Panel Data, Jia Li, Zhipeng Liao, Wenyu Zhou

Research Collection School Of Economics

This article proposes a uniform functional inference method for nonparametric regressions in a panel-data setting that features general unknown forms of spatio-temporal dependence. The method requires a long time span, but does not impose any restriction on the size of the cross section or the strength of spatial correlation. The uniform inference is justified via a new growing-dimensional Gaussian coupling theory for spatio-temporally dependent panels. We apply the method in two empirical settings. One concerns the nonparametric relationship between asset price volatility and trading volume as depicted by the mixture of distribution hypothesis. The other pertains to testing the rationality …


Volatility Puzzle: Long Memory Or Anti-Persistency, Shuping Shi, Jun Yu Jul 2023

Volatility Puzzle: Long Memory Or Anti-Persistency, Shuping Shi, Jun Yu

Research Collection School Of Economics

The log realized volatility (RV) is often modeled as an autoregressive fractionally integrated moving average model ARFIMA(1,d,01,d,0). Two conflicting empirical results have been found in the literature. One stream shows that log RV has a long memory (i.e., the fractional parameter d > 0). The other stream suggests that the autoregressive coefficient α is near unity with antipersistent errors (i.e., d α close to 0 and d close to 0.5) from Model 2Model 2 (ARFIMA(1,d,01,d,0) with α close to unity and d close to –0.5). An intuitive explanation is given. For the 10 financial assets considered, despite that no definitive conclusions …


Young Women In Cities, Yumi Koh, Li Jing, Yifan Wu, Junjian Yi, Hanzhe Zhang Jul 2023

Young Women In Cities, Yumi Koh, Li Jing, Yifan Wu, Junjian Yi, Hanzhe Zhang

Research Collection School Of Economics

Young women outnumber young men in cities in many countries during periods of economic growth and urbanization. This gender imbalance among young urbanites is more pronounced in larger cities. We use the gradual rollout of special economic zones across China as a quasi-experiment to establish the causes of this gender imbalance. Our analysis suggests that a key contributor is gender-differential incentives to migrate due to rural women’s higher likelihood of marrying and marrying up in cities when urbanization creates more economic opportunities and an abundance of high-income marriage-age men.


The Importance Of The First Generic Substitution: Evidence From Sweden, Aljoscha Janssen, David Granlund Jul 2023

The Importance Of The First Generic Substitution: Evidence From Sweden, Aljoscha Janssen, David Granlund

Research Collection School Of Economics

We analyze changes in the willingness to substitute from prescribed pharmaceuticals to more affordable generic equivalents in response to the first experience with a substitution. Using Swedish individual-level data of prescribed and dispensed pharmaceuticals, we em-ploy a dynamic event study and an instrumental variable approach to show that an initial substitution reduces the probability of opposing subsequent substitutions by 39 percent-age points. We recommend that policy-makers target patients with a history of opposed substitution and offer additional discounts to promote substitution as long-term savings outweigh one-time costs.