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Articles 1 - 30 of 92
Full-Text Articles in Behavioral Economics
Heat & Social Cooperation: The Effects Of Thermal Stress On Altruism, Alexander J. Courtman
Heat & Social Cooperation: The Effects Of Thermal Stress On Altruism, Alexander J. Courtman
Master's Theses
Recent literature has highlighted the effects of temperature on economic outcomes and violence in humans, on both the interpersonal and intergroup levels: as temperatures rise, humans are more likely to exhibit increased aggression and agitation. However, little research has been done on how pro-social behaviors like cooperation and altruism among humans might respond to increased temperatures. As extreme heat events increase in frequency, will humans and communities work together in the face of adverse shocks and crises? Leveraging experimental data collected randomized controlled trails held in 4 locations across the world, this paper seeks to establish a relationship between thermal …
Modelling The Naira Exchange Rate Dependence Using Static And Time-Varying Copula, Kabir Katata
Modelling The Naira Exchange Rate Dependence Using Static And Time-Varying Copula, Kabir Katata
CBN Journal of Applied Statistics (JAS)
This paper examines the dependence structure of different currencies versus the Nigerian Naira using constant and time-varying copula. Daily Naira/USD, Naira/Yuan, Naira/Pound, and Naira/Euro exchange rates from 23 December 2011 to 12 May 2020 were utilised. We fitted eight constant and time-varying copula families using the exchange rate standardised residuals. The study finds that the Naira exchange rate may be estimated with student t-copula, Symmetrized Joe-Clayton (SJC), or Rotated Gumbel copula models and Autoregressive (AR)– Glosten Jagannathan RunkleGeneralized Autoregressive Conditional Heteroscedastic (GJR-GARCH) (1,1) models with skewed t residuals for margins. The Naira exchange rate returns is timevarying, tail-dependent, and asymmetric. …
External Debt Pass-Through To Inflation In Nigeria, Emmanuel A. Asue, James V. Ikyaator
External Debt Pass-Through To Inflation In Nigeria, Emmanuel A. Asue, James V. Ikyaator
CBN Journal of Applied Statistics (JAS)
This study examines external debt pass-through to inflation in Nigeria using annual data from 1981 to 2020 based on structural vector autoregressive (SVAR) model. The results reveal that an increase in external debt service leads to a significant depreciation of the exchange rate, which leads to a contemporaneous increase in inflation, while the direct response of inflation to external debt is statistically not significant. The impulse response confirms these results. The forecast error variance decomposition depicts that future values of official exchange rate depend on external debt, inflation and external debt service. The study recommends that the Nigerian government should …
Financial Inclusion And Poverty Reduction In Nigeria: The Role Of Microfinance Institutions, Okwudili W. Ugwuoke, Oliver E. Ogbonna, Aye-Agele Freeman
Financial Inclusion And Poverty Reduction In Nigeria: The Role Of Microfinance Institutions, Okwudili W. Ugwuoke, Oliver E. Ogbonna, Aye-Agele Freeman
CBN Journal of Applied Statistics (JAS)
This study investigates the role of microfinance institutions as a vehicle for driving financial inclusion and alleviating poverty in Nigeria using the EFinA 2018 household survey data. The probit model, propensity score matching, and average treatment effect methods are applied for the analyses. The study finds that financial inclusion driven by access to, and usage of products/services provided by microfinance institutions reduces poverty. The study recommends among others the need for increased access to microfinance products/services and an integrated poverty reduction policies that identifies microfinance institutions as a critical enabler
The Effect Of Conditional Cash Transfers On The Prepaid And Postpaid Expenditures Of Internet And Cellular Services: The Case Of Filipino Households, Krisann Carmina G. Caoile, Edgar Desher P. Empeño, Raphael Manuel P. Ramos, Marie Angeline A. Trinidad, Myrna S. Austria, Ma. Ella Oplas, Tereso S. Tullao Jr, Winfred M. Villamil
The Effect Of Conditional Cash Transfers On The Prepaid And Postpaid Expenditures Of Internet And Cellular Services: The Case Of Filipino Households, Krisann Carmina G. Caoile, Edgar Desher P. Empeño, Raphael Manuel P. Ramos, Marie Angeline A. Trinidad, Myrna S. Austria, Ma. Ella Oplas, Tereso S. Tullao Jr, Winfred M. Villamil
Angelo King Institute for Economic and Business Studies (AKI)
Technology has been playing a large role in the lives of households regardless of income. How, then, do poor families value the importance of internet and cellular services due to the existence of outcome-improving or outcome-worsening effects associated with these services? At the same time, since the Pantawid Pamilyang Pilipino Program (4Ps) substantially affects its beneficiaries’ household expenditures, assessing its effectiveness concerning its objectives is important. Most literature on how poor households spend their cash transfers is centered on directly linked goods such as health and education. However, the relationship between CCTs and expenditures on goods that play a more …
Per Capita Gdp’S Potential Effect On The Percentage Of Children In Foster Care, Jenna Mcclain
Per Capita Gdp’S Potential Effect On The Percentage Of Children In Foster Care, Jenna Mcclain
Honors College Theses
Few studies have been conducted on the presence of a direct connection between per capita gross domestic product (GDP) and the percentage of children in foster care in a given region. GDP is a known indicator of economic growth (Powers, 1995; Roshaniza & Selvaratnam, 2015), as is a child’s potential for foster care placement associated with a parent or family’s financial status (Bald et. al, 2022; Barth et. al, 2010). Poverty is the bridge in many of these scenarios – low GDP can be indicative of higher poverty rates, and financial hardship under poverty classification can lead to child maltreatment …
Social Media Impacts On Arkansas Consumer Perceptions Of Gmos, Elizabeth R. Berner
Social Media Impacts On Arkansas Consumer Perceptions Of Gmos, Elizabeth R. Berner
Graduate Theses and Dissertations
This study builds upon previous consumer perceptions of GMOs studies. A need existed to determine what, if any, effects social media messages about GMOs had on consumer perceptions in Arkansas. The study utilized a qualitative approach with three focus groups. Data were analyzed using descriptive code. Participants were found to have a general understanding of GMOs, though discussion about what a GMO product was took an uncertain tone. Most participants did not consider GMOs as a factor when purchasing products. Rather participants considered characteristics such as price, quality, and convenience. Participants did not believe the infographics had changed their opinions …
Becoming A Father, Staying A Father: An Examination Of The Cumulative Fatherhood Wage Premium To U.S. Residential Fathers, Ohjae Gowen
Research Collection School of Social Sciences
The instability of fathers’ co-residence with children has become an increasingly prevalent experience for U.S. families. Despite long-standing scholarship examining the relationship between fatherhood and wage advantages, few studies have investigated how variation in fathers’ stable co-residence with a child may produce temporal changes in the wage premium over the life course. Building on prior explanations of the fatherhood wage premium, I test if the wage premium grows with time since the birth of a resident child and if the premium depends on fathers’ co-residence with a child. I use marginal structural models with repeated outcome measures and data from …
Evaluating Garment Fit Perception For Pregnant Women During 1st, 2nd, Or 3rd Trimesters, Nelima Zipporah Barasa
Evaluating Garment Fit Perception For Pregnant Women During 1st, 2nd, Or 3rd Trimesters, Nelima Zipporah Barasa
Graduate Theses and Dissertations
During pregnancy, women experience diverse physical body changes as the pregnancy progresses through different periods. It has been noted that anthropometric changes occur during pregnancy in a non-linear manner and can be measured using 3D body scanners at various stages of pregnancy. The changes are diverse, and impact pregnant women's garment fit differently as the pregnancy progresses through each trimester. Pregnant women have experience in dressing their pre-pregnant bodies in stylish garments and would similarly want to dress fashionably when pregnant. This has led to the need for garments that can accommodate body changes comfortably and fashionably without losing the …
Behavioral Science Interventions Could Increase Snap Comprehension And Awareness Among Military Families, Colleen Heflin, Hannah Patnaik, Leonard M. Lopoo, Siobhan O'Keefe
Behavioral Science Interventions Could Increase Snap Comprehension And Awareness Among Military Families, Colleen Heflin, Hannah Patnaik, Leonard M. Lopoo, Siobhan O'Keefe
Population Health Research Brief Series
Food insecurity is more common among military families than the general population, and the transition from active service to civilian life is a time of heightened risk. The Supplemental Nutritional Assistance Program (SNAP) is designed to support food security among low-income families. Many eligible military and veteran families do not enroll in SNAP due to a lack of information, stigma, and administrative barriers. This brief highlights findings from a survey experiment conducted in 2022 and 2023 to assess how small changes to SNAP informational flyers, such as simplifying information provided about SNAP, highlighting that other veterans use SNAP, and emphasizing …
Book Review: Kings, Conquerors, Psychopaths: From Alexander To Hitler To The Corporation, Tim Bakken
Book Review: Kings, Conquerors, Psychopaths: From Alexander To Hitler To The Corporation, Tim Bakken
Genocide Studies and Prevention: An International Journal
The book Kings, Conquerors, Psychopaths is a survey of a vast amount of human wrongdoing. It lays bare the motivations of aggressors who wish to subjugate nations or groups of people and corporate executives and government bureaucrats who make discretionary decisions that harm people. Along with cataloging mass killings by despots and soldiers, the book includes stories about Ponzi-schemers and the deaths of automobile drivers and passengers who were killed by vehicle defects known to the manufacturer. The book posits that “[p]owerful, elite forces are trying to force us backward toward a non-democratic state, one where power, wealth, and prerogative …
An Economic Evaluation Of The Use Of Non-Combusted Alternatives Using A Cost Of Illness Approach: The Philippine Case, Christopher James R. Cabuay
An Economic Evaluation Of The Use Of Non-Combusted Alternatives Using A Cost Of Illness Approach: The Philippine Case, Christopher James R. Cabuay
Angelo King Institute for Economic and Business Studies (AKI)
Smoking continues to be one of the leading causes of death and disability around the world. Recent health studies, however, have reported that these diseases are more likely to be due to the smoke from burning rather than the actual nicotine content. This study uses a cost of illness approach in estimating the cost of smoking-related illness in the Philippines and calculating the potential reduction in costs if a significant portion of the adult smoking population switches to the exclusive use of non-combusted alternatives (NCAs), which drastically reduces the risk of contracting smoking-related diseases. This study finds that cost reductions …
Will The Philippine Development Plan 2023-2028 Targets Be Met?, Jesus Felipe
Will The Philippine Development Plan 2023-2028 Targets Be Met?, Jesus Felipe
Angelo King Institute for Economic and Business Studies (AKI)
EARLY THIS YEAR, President Ferdinand Marcos, Jr. signed the Philippine Development Plan 2023-2028 (PDP). The document contains hundreds of targets. Some of the key targets to be attained by 2028 are as follows (in fact, the Plan provides yearly targets):
1.) an annual growth rate of 6.5-8% (since 2024); 2.) a gross national income per capita of $6,044-$6,571 (50% higher than that in 2023); 3.) inflation between 2%-4% (from 2.5%-4.5% in 2023); 4.) a government fiscal deficit of 3% (from 6.1% in 2023); 5.) a debt-to-GDP ratio of 48%-53% (from 60%-62% in 2023); 6.) an unemployment rate of 4%-5% (from …
A Brief Comparison Of Two Early Neighborhoods: Consumerism And Social Class In 20th Century Lincoln, Nebraska, Mariska Molnar
A Brief Comparison Of Two Early Neighborhoods: Consumerism And Social Class In 20th Century Lincoln, Nebraska, Mariska Molnar
Department of Anthropology: Theses and Student Research
In the Fall of 2018, Matthew Hansen monitored the destruction of a parking lot two blocks north of the Capitol Building in Lincoln, Nebraska for the subsequent building of a geothermal system. During this period, and excavation was conducted with the aid of the University of Nebraska-Lincoln Campus Archaeology Project, and 12 features were identified. Five features produced artifacts, with Feature 11, a cistern, being the most fruitful. The collection was named the Capitol Wellfield, and a portion of the artifacts, which includes diagnostic glass and ceramic pieces, are housed on campus for studying.
Most research and publication have been …
How Tiktok “Locks In” Its Users With Reference To What Happened In The Homeland Version Douyin Application, Yang Yang, Li Zi'ang, Zhigen Zhao, Sabrina (Zi Tong) Peng, Liyu Dou, Changyu Li, Yinqi Wang
How Tiktok “Locks In” Its Users With Reference To What Happened In The Homeland Version Douyin Application, Yang Yang, Li Zi'ang, Zhigen Zhao, Sabrina (Zi Tong) Peng, Liyu Dou, Changyu Li, Yinqi Wang
Research Collection School Of Economics
In October 2022, Douyin, the homeland version of TikTok, introduced a new rule requiring all its users to promote only Douyin-approved products during their live-streaming events and in their non-live short-videos. This requirement essentially restricts its users to monetize their content strictly through Douyin-approved products, as promoting products has become the most important source of income for Douyin users. This requirement essentially creates a lock-in effect.
Should I Stay Or Should I Go: A Preliminary Case Study Of Labor Migration Aspirations Among Female Undergraduate Students At The University Of Jordan, Simon Khairallah
Should I Stay Or Should I Go: A Preliminary Case Study Of Labor Migration Aspirations Among Female Undergraduate Students At The University Of Jordan, Simon Khairallah
Independent Study Project (ISP) Collection
This preliminary case study investigated the composition, complexity, and presence of labor migration aspirations among female undergraduate students at the University of Jordan. The University of Jordan was selected as the research site due to its size and prominence in Jordan. The study sought to explore female participants’ perspectives on the current economic situation in Jordan, migration aspirations, and desired destinations. Interviews were conducted with undergraduate students at the University of Jordan. Of these ten participants, six expressed clear labor migration aspirations, three expressed aspirations to stay, and one expressed ambivalent migration aspirations. Nearly all participants expressed negative views of …
Tackling Misperceptions About Immigrants With Fact-Checking Interventions: A Randomized Survey Experiment, Syngjoo Choi, Chung-Yoon Choi, Kim
Tackling Misperceptions About Immigrants With Fact-Checking Interventions: A Randomized Survey Experiment, Syngjoo Choi, Chung-Yoon Choi, Kim
Research Collection School Of Economics
We conduct a randomized online survey experiment to study the impact of fact-checking offers and financial incentives on misperceptions about immigrants. We find that natives overestimate the number of immigrants and the social and economic costs of immigration. Offering a free check of the factual information about immigrants reduces these misperceptions; it becomes more effective when combined with financial incentives. However, more than half of the participants never took up offers to check factual information. Using a model of information search with limited attention, we identify the presence of non-negligible costs of information search and processing, which limits the effectiveness …
Selection Homophily And Peer Influence For Adolescents’ Smoking And Vaping Norms And Outcomes In High And Middle-Income Settings, Jennifer M. Murray, Sharon Sánchez-Franco, Olga L. Sarmiento, Erik O. Kimbrough, Christopher Tate, Shannon C. Montgomery, Rajnish Kumar, Laura Dunne, Abhijit Ramalingam, Erin L. Krupka, Felipe Montes, Huiyu Zhou, Laurence Moore, Linda Bauld, Blanca Llorente, Frank Kee, Ruth F. Hunter
Selection Homophily And Peer Influence For Adolescents’ Smoking And Vaping Norms And Outcomes In High And Middle-Income Settings, Jennifer M. Murray, Sharon Sánchez-Franco, Olga L. Sarmiento, Erik O. Kimbrough, Christopher Tate, Shannon C. Montgomery, Rajnish Kumar, Laura Dunne, Abhijit Ramalingam, Erin L. Krupka, Felipe Montes, Huiyu Zhou, Laurence Moore, Linda Bauld, Blanca Llorente, Frank Kee, Ruth F. Hunter
Economics Faculty Articles and Research
The MECHANISMS study investigates how social norms for adolescent smoking and vaping are transmitted through school friendship networks, and is the first study to use behavioral economics methodology to assess smoking-related social norms. Here, we investigate the effects of selection homophily (the tendency to form friendships with similar peers) and peer influence (a social process whereby an individual’s behavior or attitudes are affected by peers acting as reference points for the individual) on experimentally measured smoking and vaping norms, and other smoking outcomes, in adolescents from high and middle-income settings. Full school year groups in six secondary schools in Northern …
Why The Public Discourse On Education Is Wrong, Jesus Felipe
Why The Public Discourse On Education Is Wrong, Jesus Felipe
Angelo King Institute for Economic and Business Studies (AKI)
ONCE upon a time, the Philippines was praised for its relatively well-educated labor force. Not anymore. The situation seems to have reversed: policymakers and commentators single out education as one of the primary causes for the country’s poor performance (lack of competitiveness) and the unemployability of many of its workers.
To put the discussion in the correct context, I will start by arguing that the relevant measure of progress for a developing nation like the Philippines is productivity. Without productivity increases, there cannot be increases in income. Productivity in the Philippines is low in general. Is education the key to …
Are There Differences In Household Borrowing Across Religions?, Seth Dunn
Are There Differences In Household Borrowing Across Religions?, Seth Dunn
All Graduate Plan B and other Reports, Spring 1920 to Spring 2023
This study explores the relationship between religion and economic behavior, specifically asking whether variations in household borrowing can be attributable to identification with different Christian religious traditions across the United States. The hypothesis of different borrowing behaviors across religions is motivated historically and theoretically. Historical data from l967 and 1971 are used in ordinary least squared and logistic regression analyses. Density of religious affiliations and relevant controls are used to predict households’ debt and attitudes towards different reasons for borrowing. Some differences across religions are found. This research contributes to a broader literature exploring the impact of religion on economic …
Understanding Factors Influencing Electric Vehicle Adoption: Evidence From Panel Data Analysis, Ryker Brian
Understanding Factors Influencing Electric Vehicle Adoption: Evidence From Panel Data Analysis, Ryker Brian
All Graduate Plan B and other Reports, Spring 1920 to Spring 2023
This paper investigates the factors influencing the adoption of electric vehicles (EVs) using panel data from California. The analysis employs a panel data model with within effects to examine the relationship between EV adoption rates and various socio-economic factors. The continued analysis gives out-of-sample forecasted results for the 4 counties with the highest share of electric vehicles registered in 2021. Additionally, the paper explores the influence of supply-side issues and complementary infrastructure on EV adoption. An introduction to Hidden Markov Methods is then given as the next step in the research.
Assessing Determinants Of Participation In Conservation Programs In The U. S., Manita Ale
Assessing Determinants Of Participation In Conservation Programs In The U. S., Manita Ale
Department of Agricultural Economics: Dissertations, Theses, and Student Research
The United States Department of Agriculture (USDA) has implemented conservation programs through Natural Resources Conservation Service (NRCS) and Farm Service Agency (FSA). Conservation Reserve Program (CRP), Conservation Stewardship Program (CSP), and Environmental Quality Incentives Program (EQIP) are some of them. These programs provide financial and technical assistance to farmers and ranchers to adopt land management practices that generate environmental benefits. In this study, we explore the determinants of participation in conservation programs (CRP, CSP, EQIP) in Iowa, Kansas, and Nebraska. For this, we use a unique survey-based data set comprising observations from row crop farmers in these states. We are …
Does Fertility Matter For Middle Aged And Older Adults’ Risk Attitudes?, Christine Ho, Bussarawan Teerawichitchainan, Joanne Tan, Eugene Rui Le Tan
Does Fertility Matter For Middle Aged And Older Adults’ Risk Attitudes?, Christine Ho, Bussarawan Teerawichitchainan, Joanne Tan, Eugene Rui Le Tan
Research Collection School Of Economics
Given that risk attitudes influence many decisions, it is important to understand the factors that shape such attitudes in late adulthood, when individuals face important risky decisions. While research finds that parenthood tends to correlate with lower risk tolerance in western countries, there is a lacuna on whether such associations persist in late adulthood, and are applicable to the Asian context, where children are conventionally considered a linchpin of old age support. Data for middle aged and older individuals come from the nationwide Singapore Life Panel (N = 6,740). Multivariate statistical analyses are employed to estimate the associations between willingness …
Beef And Dairy Substitution Effects Associated With Carbon Labeling And An Information Intervention, Sara Gardner Hedgecock
Beef And Dairy Substitution Effects Associated With Carbon Labeling And An Information Intervention, Sara Gardner Hedgecock
Graduate Theses and Dissertations
Understanding consumer perceptions of carbon emissions in agriculture is a critical step to help increase the sustainability of food consumption. According to the Food and Agriculture Organization of the United Nations, 14.5 percent of all global anthropogenic GHG emissions are estimated to be represented by livestock (FAO), and cattle, raised for beef and milk, are the largest animal species responsible for emissions, comprising over 60 percent of the livestock sector’s emissions. This motivates this study’s analysis of beef and dairy milk products and alternatives. To better understand how consumers may substitute meat and milk products when provided with information about …
Monetary Policy And Stagflation: A Trade-Off Between Price Stability And Economic Growth?, Leef H. Dierks
Monetary Policy And Stagflation: A Trade-Off Between Price Stability And Economic Growth?, Leef H. Dierks
Journal of New Finance
Several euro area economies are likely to experience a stagflation in 2023. This situation is characterized by a combination of economic stagnation, i.e., GDP growth falling below its potential growth rate, and a pronounced increase in inflation as was last observed during the 1970s’ oil crisis. A stagflation presents the European Central Bank with a dilemma. Should it further tighten its monetary policy in an attempt to align euro area inflation (expectations) with its target of two per cent p.a. in the medium term? Or should the ECB re-adopt a more accommodative stance so as to stimulate economic growth in …
Search Models Of Money: Alternative Means-Of Payment And Consumer Behaviour With Credit, Kheng Tat Marcus Tan
Search Models Of Money: Alternative Means-Of Payment And Consumer Behaviour With Credit, Kheng Tat Marcus Tan
Dissertations and Theses Collection (Open Access)
This dissertation consists of three chapters on Search Models of Money.
The first chapter is a review of recent advances in Search Models of Money. It reviews the Lagos and Wright (2005) framework which is the workhorse of many modern search models with applications to models with Competing Media of Exchange to Fiat Currency, and models with Money and Credit. We trace the history of the development of search models of money from the first generation to present day. We highlight recent developments that address puzzles such as the coexistence of money in an environment where an asset serves as …
Monitoring The Philippine Economy State Of The Economy Report, Mitzie Irene P. Conchada, Lawrence B. Dacuycuy, Jesus Felipe, Desher Edgar Empeño, Brendan Emmanuel A. Miranda
Monitoring The Philippine Economy State Of The Economy Report, Mitzie Irene P. Conchada, Lawrence B. Dacuycuy, Jesus Felipe, Desher Edgar Empeño, Brendan Emmanuel A. Miranda
Angelo King Institute for Economic and Business Studies (AKI)
The Philippine economy recovered from the COVID-19 pandemic during 2022. It posted a very high annual growth rate, 7.6%, although this must be understood in the context of a low base. AKI’s State of the Economy Report focuses on three issues in the context of the new Administration’s 8-Point Socioeconomic Agenda and the Philippine Development Plan 2023-2028: growth, inflation, and the fiscal deficit and national debt. Overall, we have a positive view of the economy over the medium and long-term. However, we argue that:
-The focus of economic policy has to shift decisively toward changing the structure of the economy …
Reflections On Inflation: How Bad Has It Been?, Jesus Felipe
Reflections On Inflation: How Bad Has It Been?, Jesus Felipe
Angelo King Institute for Economic and Business Studies (AKI)
THE increase in prices that countries have experienced since March 2022 has brought old fears about the deleterious impact of inflation. It is true that prices increased after the Russian invasion of Ukraine and this affected a series of commodities that are imported. Yet, it is important to understand how much prices have increased, the nature of inflation we have experienced, and the reaction of central banks.
The Impact Of Upzoning On Housing Construction In Auckland*, Ryan Greenaway-Mcgrevy, Peter C. B. Phillips
The Impact Of Upzoning On Housing Construction In Auckland*, Ryan Greenaway-Mcgrevy, Peter C. B. Phillips
Research Collection School Of Economics
There is a growing debate about whether upzoning is an effective policy response to housing shortages and unaffordable housing. This paper provides empirical evidence to further inform debate by examining the various impacts of recently implemented zoning reforms on housing construction in Auckland, the largest metropolitan area in New Zealand. In 2016, the city upzoned approximately three quarters of its residential land to facilitate construction of more intensive housing. We use a quasi-experimental approach to analyze the short-run impacts of the reform on construction, allowing for potential shifts in construction from non-upzoned to upzoned areas (displacement effects) that would, if …
The Importance Of The First Generic Substitution: Evidence From Sweden, Aljoscha Janssen, David Granlund
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.