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The Relationship between Income and Morbidity—Longitudinal Findings from the German Ageing Survey

Author

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  • Elena Reche

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany)

  • Hans-Helmut König

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany)

  • André Hajek

    (Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany)

Abstract

It is often assumed that higher income contributes to physical health. Indeed, there is a huge amount of research showing a strong significant association between income and health. However, very few studies have used longitudinal data and an objective variable for health, such as morbidity. Therefore, this study aims to examine the association between the income and morbidity of individuals over time. Data from a total of four waves (year 2008 to year 2017) of the nationally representative German Ageing Survey was analyzed by linear fixed-effects regressions. The used equivalized income was based on the respondents’ monthly net household income. To obtain a comprehensive picture of the dependent variable morbidity, self-reported diseases, current symptoms, and physician-diagnosed diseases were examined. The analyses showed no significant association between percentage changes in income and morbidity in the total sample. Even after considering selected socioeconomic groups in further subgroup analyses, there was no significant within-person association found over time. In summary, the unexpected results of this study suggest that the previously assumed link between income and health in Germany may be called into question. Further research based on longitudinal studies is, therefore, required.

Suggested Citation

  • Elena Reche & Hans-Helmut König & André Hajek, 2021. "The Relationship between Income and Morbidity—Longitudinal Findings from the German Ageing Survey," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12365-:d:687027
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    References listed on IDEAS

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    1. Veenstra, Gerry & Vanzella-Yang, Adam, 2020. "Family income and self-rated health in Canada: Using fixed effects models to control for unobserved confounders and investigate causal temporality," Social Science & Medicine, Elsevier, vol. 250(C).
    2. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    3. Halliday, Timothy J., 2007. "Income Volatility and Health," IZA Discussion Papers 3234, Institute of Labor Economics (IZA).
    4. Benedicte Apouey & Andrew E. Clark, 2015. "Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health," Health Economics, John Wiley & Sons, Ltd., vol. 24(5), pages 516-538, May.
    5. Huisman, Martijn & Kunst, Anton E. & Mackenbach, Johan P., 2003. "Socioeconomic inequalities in morbidity among the elderly; a European overview," Social Science & Medicine, Elsevier, vol. 57(5), pages 861-873, September.
    6. Paula K. Lorgelly & Joanne Lindley, 2008. "What is the relationship between income inequality and health? Evidence from the BHPS," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 249-265, February.
    7. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    8. Schoeni, Robert F, 1995. "Marital Status and Earnings in Developed Countries," Journal of Population Economics, Springer;European Society for Population Economics, vol. 8(4), pages 351-359, November.
    9. Ecob, Russell & Davey Smith, George, 1999. "Income and health: what is the nature of the relationship?," Social Science & Medicine, Elsevier, vol. 48(5), pages 693-705, March.
    10. Gunasekara, Fiona Imlach & Carter, Kristie & Blakely, Tony, 2011. "Change in income and change in self-rated health: Systematic review of studies using repeated measures to control for confounding bias," Social Science & Medicine, Elsevier, vol. 72(2), pages 193-201, January.
    11. Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
    12. Yunyun Jiang & Haitao Zheng & Tianhao Zhao, 2019. "Socioeconomic Status and Morbidity Rate Inequality in China: Based on NHSS and CHARLS Data," IJERPH, MDPI, vol. 16(2), pages 1-19, January.
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