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Socio-economic Influences on the Health of Older Canadians: Estimates Based on Two Longitudinal Surveys

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Author Info
Neil J. Buckley
Frank T. Denton
A. Leslie Robb
Byron G. Spencer

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Abstract

It is well established that there is a positive statistical relationship between socio-economic status (SES) and health, but identifying the direction of causation is difficult. This study exploits the longitudinal nature of two Canadian surveys, the Survey of Labour and Income Dynamics and the National Population Health Survey, to study the link from SES to health (as distinguished from the health-to-SES link). For people aged 50 and older, who are initially in good health, we examine whether changes in health status over the next two to four years are related to prior SES, as represented by income and education. Although the two surveys were designed for different purposes and had different questions for income and health, the evidence they yield with respect to the probability of remaining in good health is similar. Both suggest that SES does play a role and that the differences across SES groups are quantitatively significant, increase with age, and are much the same for men and women.

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File URL: http://economics.ca/cgi/jab?journal=cpp&view=v32n1/CPPv32n1p059.pdf
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Publisher Info
Article provided by University of Toronto Press in its journal Canadian Public Policy.

Volume (Year): 32 (2006)
Issue (Month): 1 (March)
Pages: 59-84
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Handle: RePEc:cpp:issued:v:32:y:2006:i:1:p:59-84

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  1. Dana P. Goldman & James P. Smith, 2004. "Can Patient Self-Management Help Explain the SES Health Gradient?," HEW 0403004, EconWPA. [Downloadable!]
  2. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December. [Downloadable!] (restricted)
  3. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring. [Downloadable!] (restricted)
  4. Jonathan Meer & Douglas T. Miller & Harvey S. Rosen, 2003. "Exploring the Health-Wealth Nexus," NBER Working Papers 9554, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  5. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July. [Downloadable!] (restricted)
  6. Buckley, Neil J. & Denton, Frank T. & Leslie Robb, A. & Spencer, Byron G., 2004. "The transition from good to poor health: an econometric study of the older population," Journal of Health Economics, Elsevier, vol. 23(5), pages 1013-1034, September. [Downloadable!] (restricted)
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  7. Michael Baker & Mark Stabile & Catherine Deri, 2001. "What do Self-Reported, Objective, Measures of Health Measure?," NBER Working Papers 8419, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  8. Van Ourti, Tom, 2003. "Socio-economic inequality in ill-health amongst the elderly: Should one use current or permanent income?," Journal of Health Economics, Elsevier, vol. 22(2), pages 219-241, March. [Downloadable!] (restricted)
  9. Martin Dooley & Jennifer Stewart, 2004. "Family income and child outcomes in Canada," Canadian Journal of Economics, Canadian Economics Association, vol. 37(4), pages 898-917, November. [Downloadable!] (restricted)
  10. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-38, May. [Downloadable!] (restricted)
  11. Neil J. Buckley & Frank T. Denton & A. Leslie Robb & Byron G. Spencer, 2004. "Healthy Aging at Older Ages: Are Income and Education Important?," Social and Economic Dimensions of an Aging Population Research Papers 123, McMaster University. [Downloadable!]
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  12. Adams, Peter & Hurd, Michael D. & McFadden, Daniel & Merrill, Angela & Ribeiro, Tiago, 2003. "Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status," Journal of Econometrics, Elsevier, vol. 112(1), pages 3-56, January. [Downloadable!] (restricted)
  13. Robert W. Fogel & Chulhee Lee, 2003. "Who Gets Health Care?," NBER Working Papers 9870, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  14. Parminder Raina & Vicki Torrance-Rynard & Micheline Wong & Christel Woodward, 2002. "Agreement between Self-Reported and Routinely Collected Health Care Utilisation Data among Seniors," Social and Economic Dimensions of an Aging Population Research Papers 81, McMaster University. [Downloadable!]
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