Publications of Tracy Falba

%% Journal Articles   
   Author = {Falba, TA and Sindelar, JL},
   Title = {Spousal concordance in health behavior change},
   Journal = {Health Services Research},
   Volume = {43},
   Number = {1},
   Pages = {96-116},
   Year = {2008},
   ISSN = {0017-9124},
   url = {},
   Keywords = {spouse; smoking; alcohol; exercise; preventive services;
             smoking-cessation; husbands; marriage; support; maintenance;
             patterns; families; history; model},
   Abstract = {Objective. This study examines the degree to which a married
             individual's health habits and use of preventive medical
             care are influenced by his or her spouse's behaviors. Study
             Design. Using longitudinal data on individuals and their
             spouses, we examine changes over time in the health habits
             of each person as a function of changes in his or her
             spouse's health habits. Specifically, we analyze changes in
             smoking, drinking, exercising, cholesterol screening, and
             obtaining a flu shot. Data Source. This study uses data from
             the Health and Retirement Study (HRS), a nationally
             representative sample of individuals born between 1931 and
             1941 and their spouses. Beginning in 1992, 12,652 persons
             (age-eligible individuals as well as their spouses) from
             7,702 households were surveyed about many aspects of their
             life, including health behaviors, use of preventive
             services, and disease diagnosis. Sample. The analytic sample
             includes 6,072 individuals who are married at the time of
             the initial HRS survey and who remain married and in the
             sample at the time of the 1996 and 2000 waves. Principal
             Findings. We consistently find that when one spouse improves
             his or her behavior, the other spouse is likely to do so as
             well. This is found across all the behaviors analyzed, and
             persists despite controlling for many other factors.
             Conclusions. Simultaneous changes occur in a number of
             health behaviors. This conclusion has prescriptive
             implications for developing interventions, treatments, and
             policies to improve health habits and for evaluating the
             impact of such measures.},
   Key = {RefWorks:96}

   Author = {Snyder, A and Falba, T and Busch, S and Sindelar,
   Title = {Are State legislatures responding to public opinion when
             allocating funds for tobacco control programs?},
   Journal = {Health Promotion Practice},
   Volume = {5},
   Number = {3 Suppl},
   Pages = {35S-45S},
   Year = {2004},
   Month = {July},
   ISSN = {1524-8399},
   url = {},
   Keywords = {Health Promotion/*economics; Humans; Politics; *Public
             Opinion; *Resource Allocation; Smoking/epidemiology/*prevention
             & control; *State Government; Tobacco Industry/economics/*legislation
             & jurisprudence; United States/epidemiology},
   Abstract = {This study explored the factors associated with state-level
             allocations to tobacco-control programs. The primary
             research question was whether public sentiment regarding
             tobacco control was a significant factor in the states' 2001
             budget decisions. In addition to public opinion, several
             additional political and economic measures were considered.
             Significant associations were found between our outcome,
             state-level tobacco-control funding per capita, and key
             variables of interest including public opinion, amount of
             tobacco settlement received, the party affiliation of the
             governor, the state's smoking rate, excise tax revenue
             received, and whether the state was a major producer of
             tobacco. The findings from this study supported our
             hypothesis that states with citizens who favor more
             restrictive indoor air policies allocate more to tobacco
             control. Effective public education to change public opinion
             and the cultural norms surrounding smoking may affect
             political decisions and, in turn, increase funding for
             crucial public health programs.},
   Doi = {10.1177/1524839904264591},
   Key = {RefWorks:87}