Abstract
In this article we employ the tool of anchoring vignettes to analyze gender differences in self-assessments of health in Europe. We propose and estimate an extension of the basic vignette model for correcting the lack of interpersonal comparability of self-assessments on a categorical scale. Our extension allows for potential correlation in the self-assessments of health on different domains by including an unobservable individual effect, common to all domains but different across individuals, in both the thresholds and the equations for the latent health problems. After applying this model to the SHARE data, we find that vignettes help narrow gender differences in self-assessments of health, although these differences are not entirely eliminated.
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Bago D’Uva T, Van Doorslaer E, Lindeboom M, O’Donnell O (2008) Does reporting heterogeneity bias the measurement of health disparities. Health Econ 17: 351–375
Bago d’Uva T, Lindeboom M, O’Donnell O, van Doorslaer E (2011) Slipping anchor? testing the vignettes approach to identification and correction of reporting heterogeneity. J Hum Resour 46(4): 872–903
Baker M, Stabile M, Deri C (2004) What do self-reported, objective measures of health measure?. J Hum Resour 39(4): 1067–1093
Börsch-Supan A, Jürges H (2005) The survey of health, aging, and retirement in Europe. Methodology. Mannheim Research Institute for the Economics of Aging, Mannheim
Case A, Deaton A (2005) Broken down by work and sex: how our health declines. In: Wise D (eds) Analyses in the economics of aging. University of Chicago Press, Chicago
Case A, Paxson C (2005) Sex differences in morbidity and mortality. Demography 42: 189–214
Datta Gupta N, Kristensen N, Pozzoli D (2010) External validation of the use of vignettes in cross-country health studies. Econ Model 27(4): 854–865
Deaton A (2008) Income, health, and well-being around the world: Evidence from the gallup world poll. J Econ Perspect 22: 53–72
Johnston D, Propper C, Shields M (2009) Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient. J Health Econ 28: 540–552
Jürges H (2007) True health vs response styles: exploring cross-country differences in self-reported health. Health Econ 16: 163–178
Kapteyn A, Smith J, van Soest A (2007) Vignettes and self-reports of work disability in the united states and the netherlands. Am Econ Rev 97: 461–473
King G, Wand J (2007) Comparing incomparable survey responses: evaluating and selecting anchoring vignettes. Polit Anal 15: 46–66
King G, Murray C, Salomon J, Tandon A (2004) Enhancing the validity and cross-cultural comparability of measurement in survey research. Am Polit Sci Rev 98: 191–207
Lindeboom M, van Doorslaer E (2004) Cut-point shift and index shift in self-reported health. J Health Econ 23: 1083–1099
Rantanen T, Guralnik J, Foley D, Masaki K, Leveille S, Curb J et al (1999) Midlife hand grip strength as a predictor of old age disability. J Am Med Assoc 21: 558–560
Salomon J, Mathers C, Chatterji S, Sadana R, Üstün T, Murray C (2003) Quantifying individual levels of health: definitions, concepts and measurement issues. In: Murray C, Evans D (eds) Health systems performance assessment: debates, methods and empiricism. World Health Organization, Geneva
Salomon J, Tandon A, Murray C (2004) Comparability of self rated health: cross sectional multi-country survey using anchoring vignettes. Br Med J 328: 258–260
Sen A (2002) Health: perception versus observation. Br Med J 324: 860–861
van Soest A, Delaney L, Harmon C, Kapteyn A, Smith J (2011) Validating the use of anchoring vignettes for the correction of response scales differences in subjective questions. J R Stat Soc A 174: 575–595
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Peracchi, F., Rossetti, C. Heterogeneity in health responses and anchoring vignettes. Empir Econ 42, 513–538 (2012). https://doi.org/10.1007/s00181-011-0530-8
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DOI: https://doi.org/10.1007/s00181-011-0530-8