Socio-Economic Inequalities in Reported Depression in Spain : A Decomposition Approach
AbstractRecent evidence questions some conventional view on the existence of income-related inequalities in depression suggesting in turn that other determinants might be in place, such as activity status and educational attainment. Evidence of socio-economic inequalities is especially relevant in countries such as Spain that have a limited coverage of mental health care and are regionally heterogeneous. This paper aims at measuring and explaining the degree of socio-economic inequality in reported depression in Spain. We employ linear probability models to estimate the concentration index and its decomposition drawing from 2003 edition of the Spanish National Health Survey, the most recent representative health survey in Spain. Our findings point towards the existence of avoidable inequalities in the prevalence of reported depression. However, besides pure income effects explaining 37% of inequality, economic activity status (28%), education (15%) and demographics (15%) play also a key encompassing role. Although high income implies higher resources to invest and cure (mental) illness, environmental factors influencing in peoples perceived social status act as indirect path as explaining the prevalence of depression. Finally, we find evidence of a gender effect, gender social-economic inequality in income is mainly avoidable.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Universitat de Barcelona. Espai de Recerca en Economia in its series Working Papers in Economics with number 152.
Length: 24 pages
Date of creation: 2006
Date of revision:
Contact details of provider:
Postal: Espai de Recerca en Economia, Facultat de CiÃ¨ncies EconÃ²miques. Tinent Coronel Valenzuela, Num 1-11 08034 Barcelona. Spain.
Web page: http://www.ere.ub.es
More information through EDIRC
Find related papers by JEL classification:
- J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy
- I12 - Health, Education, and Welfare - - Health - - - Health Production
This paper has been announced in the following NEP Reports:
- NEP-ALL-2006-11-25 (All new papers)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Wagstaff, Adam & Van Doorslaer, Eddy & Watanabe, Naoko, 2001.
"On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam,"
Policy Research Working Paper Series
2714, The World Bank.
- Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
- World Bank, 2003. "Mental Health," World Bank Other Operational Studies 9719, The World Bank.
- Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income-related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628.
- Pilar García Gómez & Ángel López, 2004.
"Regional differences in socio-economic health inequalities in Spain,"
Economics Working Papers
757, Department of Economics and Business, Universitat Pompeu Fabra, revised Oct 2004.
- García Gómez Pilar & López Nicolás Ángel, 2007. "Regional Differences in Socioeconomic Health Inequalities in Spain," Working Papers 201072, Fundacion BBVA / BBVA Foundation.
- Pilar García Gómez & Ángel López, 2004. "Regional differences in socio-economic health inequalities in Spain," Working Papers, Research Center on Health and Economics 757, Department of Economics and Business, Universitat Pompeu Fabra, revised Oct 2004.
- GARCIA-GOMEZ, Pilar & SCHOKKAERT, Erik & VAN OURTI, Tom & BAGO D’UVA, Teresa, 2012.
"Inequity in the face of death,"
CORE Discussion Papers
2012024, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & De Graeve, Diana & Duchesne, Inge & Gerdtham, Ulf-G & Gerfin, Michael & Geurts, Jose & Gross, Lorna, 2000. "Equity in the delivery of health care in Europe and the US," Journal of Health Economics, Elsevier, vol. 19(5), pages 553-583, September.
- Frank, Richard G. & McGuire, Thomas G., 2000. "Economics and mental health," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 16, pages 893-954 Elsevier.
- 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.
- Natalia Melgar & Máximo Rossi, 2009.
"A cross-country analysis of the risk factors for depression at the micro and macro level,"
Documentos de Trabajo (working papers)
1909, Department of Economics - dECON.
- Natalia Melgar & Máximo Rossi, 2012. "A Cross‐Country Analysis of the Risk Factors for Depression at the Micro and Macro Levels," American Journal of Economics and Sociology, Wiley Blackwell, vol. 71(2), pages 354-376, 04.
- Natalia Melgar & Maximo Rossi, 2010. "A Cross-Country Analysis of the Risk Factors for Depression at the Micro and Macro Level," Research Department Publications 4684, Inter-American Development Bank, Research Department.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Espai de Recerca en Economia).
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.