{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T19:34:20Z","timestamp":1787945660372,"version":"build-2784847793"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005860","name":"Helsefonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>We investigate whether the severity of lifestyle\u2010related health shocks affects the response in dietary patterns. Using data from official patient registers in Denmark, we analyze the effects from strong health shock (SHS) occurrences (cardiovascular disease) and mild health shock (MHS) occurrences (arterial hypertension and hypercholesterolemia). These data are combined with scanner data on food purchases obtained from a consumer panel. Our analysis examines dietary effects stemming from these health shocks, including various nutrients, food groups, and overall adherence to dietary guidelines. Our findings reveal immediate dietary responses to both severe and mild health shocks, with a larger effect observed for SHS compared to MHS. However, among individuals previously exposed to mild health shocks, we observe minimal to no alteration in food consumption after experiencing a SHS. We argue that failing to account for this potential self\u2010selection may lead to a misconception that severe health shocks do not result in dietary improvements.<\/jats:p>","DOI":"10.1002\/hec.4940","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T04:04:03Z","timestamp":1737605043000},"page":"869-879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Health Shock Effects on Diet: More Severe Shock\u2014Stronger Response?"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9298-6705","authenticated-orcid":false,"given":"Anna Kristina","family":"Edenbrandt","sequence":"first","affiliation":[{"name":"Department of Economics Swedish University of Agricultural Sciences  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim Wadt","family":"Skak\u2010Hansen","sequence":"additional","affiliation":[{"name":"Department of Cardiology Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinne","family":"Smed","sequence":"additional","affiliation":[{"name":"Department of Food and Resource Economics University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfineco.2022.01.004"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebo.2020.02.004"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4466"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeconom.2023.105480"},{"issue":"5","key":"e_1_2_12_6_1","first-page":"837","article-title":"Effect of Spouse Support and Health Beliefs on Medication Adherence","volume":"17","author":"Doherty W. J.","year":"1983","journal-title":"Journal of Family Practice"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980022001409"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"128","article-title":"Indicators for the Evaluation of Diet Quality","volume":"31","author":"Gil \u00c1.","year":"2015","journal-title":"Nutricion Hospitalaria"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpubeco.2022.104620"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214\u2010109x(21)00319\u20103"},{"issue":"4","key":"e_1_2_12_11_1","first-page":"916","article-title":"Association of Diabetes Diagnosis With Dietary Changes and Weight Reduction","volume":"32","author":"Kim D.","year":"2018","journal-title":"Expert Review of Pharmacoeconomics & Outcomes Research"},{"key":"e_1_2_12_12_1","unstructured":"Madkultur.2021.Madkultur21 \u2010 M\u00e5ltidet."},{"key":"e_1_2_12_13_1","volume-title":"Fridafoods Version 4.0","author":"National Food Institute","year":"2019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1257\/app.20160232"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890117117740935"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jeconom.2023.03.008"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4803"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.01.036"},{"key":"e_1_2_12_19_1","unstructured":"Verdun Z. S.2020.Impact of a Health Shock on Lifestyle Behaviours (EUI Working Paper ECO No. 2): Retrieved fromhttps:\/\/hdl.handle.net\/1814\/67590."},{"key":"e_1_2_12_20_1","unstructured":"World Health Organization.2023.Hypertension: Retrieved July 13 2023 fromhttps:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/hypertension."},{"key":"e_1_2_12_21_1","unstructured":"World Health Organization.2024.Healthy Diet: Retrieved February 22 2024 fromwww.who.int\/news\u2010room\/fact\u2010sheets\/detail\/healthy\u2010diet."},{"key":"e_1_2_12_22_1","volume-title":"World Heart Report 2023 \u2010 Confronting the World\u2019s Number One Killer","author":"WorldHeartFederation","year":"2023"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2011.09.009"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2012.11.007"}],"container-title":["Health Economics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hec.4940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T23:24:02Z","timestamp":1743722642000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hec.4940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,22]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/hec.4940"],"URL":"https:\/\/doi.org\/10.1002\/hec.4940","archive":["Portico"],"relation":{},"ISSN":["1057-9230","1099-1050"],"issn-type":[{"value":"1057-9230","type":"print"},{"value":"1099-1050","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,22]]},"assertion":[{"value":"2024-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}