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Global Health Economics and
            Sustainability
                                                                                      Affect heuristics in substance use



            Table 1. Selected Variables in the SLI and RBI
            Index         Variables constituting the index                Descriptions of variables
            SLI  Adolescent has a cell phone (cel); the household has a   The variables cel; comp; internet; maid and car assumed a value of 1 if the
                 computer (comp); the household has Internet (internet);   adolescent responded in the affirmative and 0 if not. The variable bath assumed
                 the household has a housemaid (maid); the household has   values from 0 to 5.
                 a car (car); the number of bathrooms with showers in the
                 household (bath).
            RBI  Frequency of seat belt use in the front seat (belt_front);   The variables belt_front; belt_back; helmet assumed the value 0 if the adolescent
                 frequency of seat belt use in the back seat (belt_back);   did not report riding a car/motorcycle during the reference period; otherwise,
                 frequency of motorcycle helmet use (helmet); frequency of   the value 1 was assigned if the adolescent always wore a seat belt/helmet, 2 if
                 riding in a car with a drunk driver (drunk_drive); became   used most of the time, 3 if sometimes, 4 if rarely, and 5 if never. The variable
                 involved in a fight (fight); used a condom during first sexual  drunk_drive assumed the value 0 if the adolescent did not ride in a car with a
                 intercourse (condom).                   drunk driver during the reference period; otherwise, the value 1 was assigned for
                                                         once, 2 for 2 or 3 times, 3 for 4 or 5 times, and 4 for 6 times or more. The variable
                                                         fight assumed a value of 1 if the adolescent became involved in a fight and 0 if not.
                                                         The variable condom assumed a value of 0 if the adolescent had never engaged in
                                                         sexual intercourse, 1 if they used a condom during the first sexual intercourse,
                                                         and 2 if a condom was not used.
            Source: Author’s elaboration based on NSHS 2019 data.
            Abbreviations: SLI: Standard of living index; RBI: Risk behavior index.

              The initial sample comprised 165,838 respondents.   The simulation methods required to estimate this
            Elementary School students and respondents with missing   type of model are computationally demanding  (Hair
            information that appeared as “I do not know” for any of the   et al.,  2009).  However, simulated maximum likelihood
            selected variables were excluded from the sample. Answers   methods such as the Geweke-Hajivassiliou-Keane (GHK)
            in the “I do not know” category were considered only for   simulator have become popular with the advancement of
            the intended education variable because this answer could   modern computers, allowing the estimation of models
            be interpreted as the absence of aspiration in adolescents   with multiple equations (Cappellari &  Jenkins, 2003;
            about their future after high school. Thus, the final sample   Greene, 2012).
            for analysis comprised 55,883 respondents.
                                                                 Model estimation was effected using the GHK
            2.2. Multivariate probit model                     simulation method, which displays desirable properties
                                                               for simulated maximum likelihood methods applied
            According to Greene (2012), the multivariate probit model   in multivariate  models  of limited dependent variables
            is adequate when the interest is in the joint determination
            of multiple binary variables. In the present study, the   (Cappellari & Jenkins, 2013).
            interest is in the joint determination of substance use by   Cappellari & Jenkins (2003) presented the simulated
            adolescents. The multivariate probit model presented   maximum likelihood method for the case of a
            by Cappellari & Jenkins (2003) is given by the following   multivariate probit model with M = 3. This case applies to
            system with M equations:                           the present study, which analyzes the joint determination
                                                               of the consumption of alcoholic beverages, cigarettes,
                     x +
                    '
               y =  im  β m im  im ,m =ò  1,…  M        (3)    and illicit drugs by  adolescents. The  log-likelihood
                *
                                                               function proposed by Cappellari & Jenkins (2003) for a
                        *
                  = 1   if y > 0
                 
               y im    im                              (4)    multivariate probit model with 3 equations is denoted as
                   = 0 otherwise                             follows:
                                                                     N
              Where ϵ  denotes the error term with multivariate normal   L = ∑ w  log ( ; )φµ Ω
                     im
            distribution, with zero mean and variance-covariance matrix   i= 1  i  3  i                    (5)
            V. Matrix V has elements of value equal to 1 on its main
            diagonal and elements off the main diagonal equal to the   Where  w  is the sampling weight of the observation,
                                                                         j
            correlations p = p  p  represents the correlation between   i  =  1,…, N,  e  ϕ   (.)  is  a  trivariate  standard  normal
                                                                              3
                             mj
                           mj
                      jm
            the error terms of the equations m and j. The multivariate   distribution whose arguments μ e Ω are defined as follows:
                                                                                        i
            probit model is an interesting choice model because it allows   µ  ' xK β  ,  ' x  ,K β  ' x  )
            a flexible correlation structure for the unobserved factors.  i  ( K β =  1 i  1 i 1  2 i  2 i 2  3 i  3 i 3  (6)
            Volume 3 Issue 1 (2025)                        151                       https://doi.org/10.36922/ghes.3829
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