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A discrete choice decomposition analysis of racial and ethnic differences in children's health insurance coverage

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  • Pylypchuk, Yuriy
  • Selden, Thomas M.

Abstract

This paper presents a multivariate decomposition analysis of racial and ethnic differences in children's health insurance using the 2004-2005 Medical Expenditure Panel Survey. We present two methodological contributions. First, we adapt a recently-developed matching decomposition method for use with sample-weighted data. Second, we develop a fully nonparametric approach that implements decomposition through weight adjustments. Accounting for the black-white wealth gap: a nonparametric approach. Journal of the American Statistical Association 97, 663-673]. Differences in observed characteristics explain large percentages of racial and ethnic coverage differences. Important contributors include poverty levels, parent education, family structure (for black children), and immigration-related factors (for Hispanic children). We also examine racial and ethnic differences in parent offers of employer-sponsored insurance and in children's coverage conditional on having a parent offer. Comparison of our linear, nonlinear, and nonparametric results suggests researchers may face a trade-off between robustness and precision when selecting among decomposition methodologies for discrete outcomes.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 27 (2008)
Issue (Month): 4 (July)
Pages: 1109-1128

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Handle: RePEc:eee:jhecon:v:27:y:2008:i:4:p:1109-1128

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Web page: http://www.elsevier.com/locate/inca/505560

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Cited by:
  1. Linda Dynan, 2009. "The Contribution of Economists to Understanding Racial Health Disparities in the US," Atlantic Economic Journal, International Atlantic Economic Society, vol. 37(3), pages 213-223, September.
  2. Michael Keane & Meliyanni Johar & Glenn Jones & Elizabeth Savage & Olena Stavrunova, 2012. "Discrimination in a universal health system: Explaining socioeconomic waiting time gaps," Economics Series Working Papers 2012-W11, University of Oxford, Department of Economics.
  3. Bowblis, John R. & Yun, Myeong-Su, 2010. "Racial and Ethnic Disparities in the Use of Drug Therapy," IZA Discussion Papers 4853, Institute for the Study of Labor (IZA).

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