The European Journal of Health Economics

, Volume 19, Issue 9, pp 1285–1301 | Cite as

Health inequality indices and exogenous risk factors: an illustration on Luxembourgish workers

  • Stéphane Mussard
  • Maria Noel Pi Alperin
  • Véronique Thireau
Original Research


This paper proposes an aggregable family of multidimensional concentration indices which is characterized in order to be consistent with a property of exogenous risk factors, i.e. health risks for which agents are not responsible for. It is shown that those indices are of interest when individuals face different risk factors, whereas traditional indices fail to deal with heterogeneous agents. In this respect, necessary and suficient conditions are stated in order to rank two health distributions thanks to the generalized concentration curves. An illustration is performed using a sample of individuals living in Luxembourg aged 50 and older.


Concentration Dominance Health inequality Mirror Symmetry SHARE Luxembourg 

JEL Classification

D6 I1 



The Support of Chrome, Lameta, and Liser is gratefully acknowledged. This paper uses data from SHARE Wave 5 (DOI: 10.6103/SHARE.w5.100). The SHARE data collection has been primarily funded by the European Commission through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3: RII-CT-2006- 062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812), and FP7 (SHAREPREP: N\(^\circ\)211909, SHARE-LEAP: N\(^\circ\)227822, SHARE M4: N\(^\circ\)261982). Additional funding from the U.S. National Institute on Aging (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06-11, and OGHA_04-064) and from various national funding sources is gratefully acknowledged (see\(\ddag\) This research is part of the HEDYNAP project supported by the Luxembourg Fonds National de la Recherche (contract C12/SC/3977324/HEADYNAP/Pi Alperin) and by core funding from Liser from the Ministry of Higher Education and Research of Luxembourg.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Stéphane Mussard
    • 1
    • 2
    • 3
  • Maria Noel Pi Alperin
    • 2
  • Véronique Thireau
    • 1
  1. 1.ChromeUniversité de NîmesNîmesFrance
  2. 2.LISEREsch-sur-AlzetteLuxembourg
  3. 3.MREUniversité de MontpellierNîmesFrance

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