Abstract
This paper shows how recently developed regression-based methods for the decomposition of health inequality can be extended to incorporate heterogeneity in the responses of health to the explanatory variables. We illustrate our method with an application to the GHQ measure of psychological well-being taken from the British Household Panel Survey. The results suggest that there is an important degree of heterogeneity in the association of health to explanatory variables across birth cohorts and genders which, in turn, accounts for a substantial percentage of the inequality in observed health.
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References
Bowling, A.: Measuring Health. A Review of Quality of Life Measurement Scales, OUP, Milton Keynes, 1991.
Ferrer-i-Carbonell, A. and Van Praag, B.: Income satisfaction inequality and its causes, Journal of Economic Inequality 1 (2003), 107–127.
Fleurbaey, M.: Health, equity and social welfare, CATT, IDEP, (mimeo), Université de Pau et des Pays de l'Adour, 2004.
Fields, G.S.: Accounting for income inequality and its change: A new method, with applications to the distribution of earnings in the United States, In: S.W. Polachek (ed.), Worker Well Being and Public Policy, Research in Labor Economics Series 22, Elsevier, 2003.
Gakidou, E., Murray, C. and Frenk, J.: Defining and measuring health inequality, Bulletin of the World Health Organisation 78 (2000), 42–52.
Goldberg, D. and Williams, P.: A User's Guide to the General Health Questionnaire, Nfer-Nelson, Windsor, 1988.
Hauck, K. and Rice, N.: Health mobility in the UK: A longitudinal analysis of psychological well-being, (mimeo), University of York, 2003.
Heckman, J.: Micro data, heterogeneity, and the evaluation of public policy: Nobel lecture, Journal of Political Economy 109 (2001), 673–748.
Kakwani, N.C.: Income Inequality and Poverty. Methods of Estimation and Policy Implications, Oxford University Press, Oxford, 1980.
Koenker, R. and Bassett, G.: Robust tests for heteroscedasticity based on regression quantiles, Econometrica 50 (1982), 43–61.
Kolenikov, S. and Shorrocks, A.: A decomposition analysis of regional poverty in Russia, Review of Development Economics 9 (2005), 25–46.
Lambert, P.: The Distribution and Redistribution of Income. A Mathematical Analysis, 2nd edn., Manchester University Press, Manchester, 1993.
Le Grand, J.: An international comparison of ages-at-death, In: J. Fox (ed.), Health Inequalities in European Countries, Gower, Aldershot, 1989.
Likert, R.: A technique for the development of attitude scales, Educational and Psychological Measurement 12 (1952), 313–315.
Morris, S., Sutton, M. and Gravelle, H.: Inequity and inequality in the use of health care in England, CHE Technical Paper Series, 27, 2003.
Oaxaca, R.L.: Male–female wage differentials in urban labor markets, International Economic Review 14 (1973), 693–709.
Rao, V.M.: Two decompositions of concentration ratio, Journal of the Royal Statistical Society. Series A(General) 132 (1969), 418–425.
Shorrocks, A.: Decomposition procedures for distributional analysis: A unified framework based on the Shapley Value, Manuscript, University of Essex, 1999.
Silber, J.: On inequality before death and life table summary measures, Genus 44 (1988), 25–39.
Taylor, M.F., Brice, J., Buck, N. and Prentice, E. (eds.): British Household Panel Survey User Manual, University of Essex, Colchester, 1998.
Van Doorslaer, E. and Jones, A.: Inequalities in self-reported health: Validation of a new approach to measurement, Journal of Health Economics 22 (2003), 61–87.
Van Doorslaer, E. and Koolman, X.: Exploring the differences in income-related health inequalities across European countries, Health Economics 13 (2004), 609–628.
Van Doorslaer, E., Wagstaff, A. and Bleichrodt, H. et al.: Income-related inequalities in health: Some international comparisons, Journal of Health Economics 16 (1997), 93–112.
Wagstaff, A. and van Doorslaer, E.: Measuring inequalities in health in the presence of multiple-category morbidity indicators, Health Economics 3 (1994), 281–291.
Wagstaff, A., van Doorslaer, E. and Paci, P.: Equity in the finance and delivery of health care: Some tentative cross-country comparisons, Oxford Review of Economic Policy 5 (1989), 89–112.
Wagstaff, A., Paci, P. and van Doorslaer, E.: On the measurement of inequalities in health, Social Science and Medicine 33 (1991), 545–557.
Wagstaff, A., van Doorslaer, E. and Watanabe, N.: On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam, Journal of Econometrics 112 (2003), 207–223.
Weich, S., Lewis, G. and Jenkins, S.P.: Income inequality and the prevalence of common mental disorders in Britain, British Journal of Psychiatry 178 (2001), 222–227.
Wildman, J.: Income related inequalities in mental health in Great Britain: Analysing the causes of health inequality over time, Journal of Health Economics 22 (2003), 295–312.
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*Data from the British Household Panel Survey (BHPS) were supplied by the ESRC Data Archive. Neither the original collectors of the data nor the Archive bear any responsibility for the analysis or interpretations presented here. This chapter derives from the project “The dynamics of income, health and inequality over the lifecycle” (known as the ECuity III Project), which is funded in part by the European Community's Quality of Life and Management of Living Resources programme (contract QLK6-CT-2002-02297) and the project “La dinámica del estado de salud y los factores socieconómicos a lo largo del ciclo vital. Implicaciones para las políticas públicas”, which is supported by the Fundación BBVA.
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Jones, A.M., López Nicolás, Á. Allowing for heterogeneity in the decomposition of measures of inequality in health*. J Econ Inequal 4, 347–365 (2006). https://doi.org/10.1007/s10888-005-9019-z
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DOI: https://doi.org/10.1007/s10888-005-9019-z