Abstract: Recent demographic and economic research has analyzed the expected increase in the proportion of the population who are elderly. One consequence of an increasing elderly population is expansion in health care utilization, hence funding problems may arise.. European institutions encourage member states to promote good health among their citizens to mitigate the ageing effects on the health care system. Our objective was to examine the effect of healthy lifestyles among Southern European older adults on health care utilization by focusing on the number of outpatient doctor visits (ODV) and nights hospitalized (NH). Negative binominal regressions were conducted using a panel data set consisting of five waves (2004-2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Our results add new empirical evidence on the effect of Southern European older adults' lifestyles on their health care utilization. Engaging in vigorous physical activities reduces the number of ODV visits and NH by 7.8% and 28.25%, respectively. Moreover, smoking increases NH by 14.22%. Member states should establish policies to promote healthy lifestyles, with vigorous physical activities playing a key role, to reduce health services utilization

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