IDEAS home Printed from https://ideas.repec.org/a/spr/ijphth/v62y2017i6d10.1007_s00038-017-0953-x.html
   My bibliography  Save this article

Associations of relative income deprivation with perceived happiness and self-rated health among the Hong Kong Chinese population

Author

Listed:
  • Chee Hon Chan

    (The University of Hong Kong
    The University of Hong Kong)

  • Ho Kit Wong

    (The University of Hong Kong)

  • Paul Siu Fai Yip

    (The University of Hong Kong
    The University of Hong Kong)

Abstract

Objectives To investigate the association of relative income deprivation (RID) with perceived happiness and self-rated health in Hong Kong. Methods We measured RID on Yitzhaki indices constructed using multiple reference groups and used multilevel ordinal logistic regression models to assess its linkages with the two outcomes, using data from 6272 respondents from a large-scale representative household survey. Results Among the overall population, increased RID was found to be consistently associated with reduced perceived happiness, even after adjusting for respondents’ level of absolute income and other socio-demographic covariates; however, there were no consistent associations between RID and self-rated health. In subgroup analysis, we observed significant linkages between RID and self-rated health only among men, the middle and older age ranges, and among those with less education and those not engaged in economic activities. Conclusions Our findings suggest that RID is adversely associated with perceived happiness. However, its negative linkage with self-rated health is less clear. The weak tie between RID and self-rated health may relate to the Hong Kong context, where the public health system is relatively equitable and has multiple pro-poor health policies.

Suggested Citation

  • Chee Hon Chan & Ho Kit Wong & Paul Siu Fai Yip, 2017. "Associations of relative income deprivation with perceived happiness and self-rated health among the Hong Kong Chinese population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 697-707, July.
  • Handle: RePEc:spr:ijphth:v:62:y:2017:i:6:d:10.1007_s00038-017-0953-x
    DOI: 10.1007/s00038-017-0953-x
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s00038-017-0953-x
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s00038-017-0953-x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Oshio, Takashi & Kobayashi, Miki, 2010. "Income inequality, perceived happiness, and self-rated health: Evidence from nationwide surveys in Japan," Social Science & Medicine, Elsevier, vol. 70(9), pages 1358-1366, May.
    2. Hugh Gravelle & Matt Sutton, 2009. "Income, relative income, and self‐reported health in Britain 1979–2000," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 125-145, February.
    3. Su Kye & Keeho Park, 2014. "Health-related determinants of happiness in Korean adults," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(5), pages 731-738, October.
    4. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    5. Timothy Smeeding & Gunther Schmaus & Brigitte Buhmann & Lee Rainwater, 1988. "Equivalence Scales, Well-Being, Inequality and Poverty: Sensitivity Estimates Across Ten Countries Using the LIS Database," LIS Working papers 17, LIS Cross-National Data Center in Luxembourg.
    6. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
    7. Johnston, Janice M. & Leung, Gabriel & Saing, Hnin & Kwok, Kin-On & Ho, Lai-Ming & Wong, Irene O.L. & Tin, Keith Y.K., 2006. "Non-attendance and effective equity of access at four public specialist outpatient centers in Hong Kong," Social Science & Medicine, Elsevier, vol. 62(10), pages 2551-2564, May.
    8. Alesina, Alberto & Di Tella, Rafael & MacCulloch, Robert, 2004. "Inequality and happiness: are Europeans and Americans different?," Journal of Public Economics, Elsevier, vol. 88(9-10), pages 2009-2042, August.
    9. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    10. Kuo, Chun-Tung & Chiang, Tung-liang, 2013. "The association between relative deprivation and self-rated health, depressive symptoms, and smoking behavior in Taiwan," Social Science & Medicine, Elsevier, vol. 89(C), pages 39-44.
    11. Franzini, Luisa & Fernandez-Esquer, Maria Eugenia, 2006. "The association of subjective social status and health in low-income Mexican-origin individuals in Texas," Social Science & Medicine, Elsevier, vol. 63(3), pages 788-804, August.
    12. Adjaye-Gbewonyo, Kafui & Kawachi, Ichiro, 2012. "Use of the Yitzhaki Index as a test of relative deprivation for health outcomes: A review of recent literature," Social Science & Medicine, Elsevier, vol. 75(1), pages 129-137.
    13. Takashi Oshio & Kayo Nozaki & Miki Kobayashi, 2011. "Relative Income and Happiness in Asia: Evidence from Nationwide Surveys in China, Japan, and Korea," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 104(3), pages 351-367, December.
    14. Subramanyam, Malavika & Kawachi, Ichiro & Berkman, Lisa & Subramanian, S.V., 2009. "Relative deprivation in income and self-rated health in the United States," Social Science & Medicine, Elsevier, vol. 69(3), pages 327-334, August.
    15. Sonja Lyubomirsky & Heidi Lepper, 1999. "A Measure of Subjective Happiness: Preliminary Reliability and Construct Validation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 46(2), pages 137-155, February.
    16. Kondo, Naoki & Kawachi, Ichiro & Subramanian, S.V. & Takeda, Yasuhisa & Yamagata, Zentaro, 2008. "Do social comparisons explain the association between income inequality and health?: Relative deprivation and perceived health among male and female Japanese individuals," Social Science & Medicine, Elsevier, vol. 67(6), pages 982-987, September.
    17. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
    18. Demakakos, Panayotes & Nazroo, James & Breeze, Elizabeth & Marmot, Michael, 2008. "Socioeconomic status and health: The role of subjective social status," Social Science & Medicine, Elsevier, vol. 67(2), pages 330-340, July.
    19. Yitzhaki, Shlomo, 1983. "On an Extension of the Gini Inequality Index," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 24(3), pages 617-628, October.
    20. Mishra, Sandeep & Carleton, R. Nicholas, 2015. "Subjective relative deprivation is associated with poorer physical and mental health," Social Science & Medicine, Elsevier, vol. 147(C), pages 144-149.
    21. Salti, Nisreen, 2010. "Relative deprivation and mortality in South Africa," Social Science & Medicine, Elsevier, vol. 70(5), pages 720-728, March.
    22. 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.
    23. Brigitte Buhmann & Lee Rainwater & Guenther Schmaus & Timothy M. Smeeding, 1988. "Equivalence Scales, Well‐Being, Inequality, And Poverty: Sensitivity Estimates Across Ten Countries Using The Luxembourg Income Study (Lis) Database," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 34(2), pages 115-142, June.
    24. Wildman, John, 2003. "Income related inequalities in mental health in Great Britain: analysing the causes of health inequality over time," Journal of Health Economics, Elsevier, vol. 22(2), pages 295-312, March.
    25. Buhmann, Brigitte, et al, 1988. "Equivalence Scales, Well-Being, Inequality, and Poverty: Sensitivity Estimates across Ten Countries Using the Luxembourg Income Study (LIS) Database," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 34(2), pages 115-142, June.
    26. Gabriel M. Leung & Keith Y. K. Tin & Owen O'Donnell, 2009. "Redistribution or horizontal equity in Hong Kong's mixed public–private health system: a policy conundrum," Health Economics, John Wiley & Sons, Ltd., vol. 18(1), pages 37-54, January.
    27. Ling, Davina C., 2009. "Do the Chinese "Keep up with the Jones"?: Implications of peer effects, growing economic disparities and relative deprivation on health outcomes among older adults in China," China Economic Review, Elsevier, vol. 20(1), pages 65-81, March.
    28. Hounkpatin, Hilda Osafo & Wood, Alex M. & Dunn, Graham, 2016. "Does income relate to health due to psychosocial or material factors? Consistent support for the psychosocial hypothesis requires operationalization with income rank not the Yitzhaki Index," Social Science & Medicine, Elsevier, vol. 150(C), pages 76-84.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mansi Jain & Gagan Deep Sharma & Mandeep Mahendru, 2019. "Can I Sustain My Happiness? A Review, Critique and Research Agenda for Economics of Happiness," Sustainability, MDPI, vol. 11(22), pages 1-36, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pak, Tae-Young & Choung, Youngjoo, 2020. "Relative deprivation and suicide risk in South Korea," Social Science & Medicine, Elsevier, vol. 247(C).
    2. Adjaye-Gbewonyo, Kafui & Kawachi, Ichiro, 2012. "Use of the Yitzhaki Index as a test of relative deprivation for health outcomes: A review of recent literature," Social Science & Medicine, Elsevier, vol. 75(1), pages 129-137.
    3. Kuo, Chun-Tung & Chiang, Tung-liang, 2013. "The association between relative deprivation and self-rated health, depressive symptoms, and smoking behavior in Taiwan," Social Science & Medicine, Elsevier, vol. 89(C), pages 39-44.
    4. Hounkpatin, Hilda Osafo & Wood, Alex M. & Dunn, Graham, 2016. "Does income relate to health due to psychosocial or material factors? Consistent support for the psychosocial hypothesis requires operationalization with income rank not the Yitzhaki Index," Social Science & Medicine, Elsevier, vol. 150(C), pages 76-84.
    5. Sun, Yu & You, Wen, 2016. "Relative-deprivation effects on child health in China," 2016 Annual Meeting, July 31-August 2, Boston, Massachusetts 235926, Agricultural and Applied Economics Association.
    6. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    7. Luo, Weixiang & Xie, Yu, 2020. "Economic growth, income inequality and life expectancy in China," Social Science & Medicine, Elsevier, vol. 256(C).
    8. Miething, Alexander, 2013. "A matter of perception: Exploring the role of income satisfaction in the income–mortality relationship in German survey data 1995–2010," Social Science & Medicine, Elsevier, vol. 99(C), pages 72-79.
    9. Esposito, Lucio & Villaseñor, Adrián, 2017. "Relative deprivation: Measurement issues and predictive role for body image dissatisfaction," Social Science & Medicine, Elsevier, vol. 192(C), pages 49-57.
    10. Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income inequality and health: Lessons from a refugee residential assignment program," Journal of Health Economics, Elsevier, vol. 31(4), pages 617-629.
    11. Modrek, Sepideh & Dow, William H. & Rosero-Bixby, Luis, 2012. "Long-term association of economic inequality and mortality in adult Costa Ricans," Social Science & Medicine, Elsevier, vol. 74(2), pages 158-166.
    12. Gero, Krisztina & Kondo, Katsunori & Kondo, Naoki & Shirai, Kokoro & Kawachi, Ichiro, 2017. "Associations of relative deprivation and income rank with depressive symptoms among older adults in Japan," Social Science & Medicine, Elsevier, vol. 189(C), pages 138-144.
    13. Sakketa Tekalign Gutu & Gerber Nicolas, 2018. "Working Paper 296 - Relative Deprivation and Well-Being of the Rural Youth," Working Paper Series 2423, African Development Bank.
    14. Maite Blázquez & Elena Cottini & Ainhoa Herrarte, 2014. "The socioeconomic gradient in health: how important is material deprivation?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 12(2), pages 239-264, June.
    15. Stark, Oded, 2021. "Why reducing relative deprivation but not reducing income inequality might bring down COVID-19 infections," Journal of Government and Economics, Elsevier, vol. 4(C).
    16. Davillas, Apostolos & M. Jones, Andrew & Sinha, Kompal & Sharma, Anurag, 2018. "Distributional analysis of the role of breadth and persistence of multiple deprivation in the health gradient measured by biomarkers," ISER Working Paper Series 2018-14, Institute for Social and Economic Research.
    17. Sakketa, T.G., 2018. "Relative Deprivation in Income, Assets, and Social Capital: Motivational and Deterrent Impacts on the Well-Being of Rural Youth," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277116, International Association of Agricultural Economists.
    18. Shi, Songyun & Chen, Yu-Chih & Yip, Paul S.F., 2023. "Relative deprivation patterns in social and geographical references for health trajectories in China: Investigations of gender and urban-rural disparities," Social Science & Medicine, Elsevier, vol. 317(C).
    19. Heinz Welsch & Udo Ebert, 2004. "The Social Evaluation of Income Distribution: An Assessment Based on Happiness Surveys," LIS Working papers 381, LIS Cross-National Data Center in Luxembourg.
    20. Beshai, Shadi & Mishra, Sandeep & Meadows, Tyler J.S. & Parmar, Priya & Huang, Vivian, 2017. "Minding the gap: Subjective relative deprivation and depressive symptoms," Social Science & Medicine, Elsevier, vol. 173(C), pages 18-25.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:62:y:2017:i:6:d:10.1007_s00038-017-0953-x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.