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Hétérogénéité sociale de déclaration de l’état de santé et mesure des inégalités de santé


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  • Sermet, Catherine
  • Tubeuf, Sandy
  • Devaux, Marion
  • Jusot, Florence


This article explores the way in which the instrument for measuring health impacts the scope of social health inequalities by using structural equations with latent variables. A synthetic indicator of latent health is created from perceived health indicators, limitations of activity, chronic illnesses and mental health. The effect of these socio-demographic variables on latent health is then separated from its direct effect on each health indicator. This method highlights social differences in declaration by presuming that the contribution of socio-demographic characteristics in the explanation of latent health reveals determinants in state of health, while with the latent health factor, the direct effects of these characteristics on health indicators relect a heterogeneity in declaration. Thus, we show a social heterogeneity in declaration with latent health factors : women and the elderly, the highly educated and the upper classes declare chronic illnesses more often ; mental health problems appear over-declared by women and people living alone and under-declared by the elderly ; the unemployed, retirees and executives declare activity limitation more often. Finally, people with a lower level of education under-declare perceived ill health. Although the four indicators in this study can be faulted with heterogeneity in declaration, the chronic illness indicator is the one that most reduces the scope of social health inequalities.

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Bibliographic Info

Paper provided by Paris Dauphine University in its series Economics Papers from University Paris Dauphine with number 123456789/423.

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Date of creation: Jan 2008
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Publication status: Published in Revue Française des Affaires Sociales, 2008, no. 1. pp. 29-47.Length: 18 pages
Handle: RePEc:dau:papers:123456789/423

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Keywords: biais de déclaration; mesure de l'état de santé;

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  1. 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.
  2. Shmueli, Amir, 2003. "Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity," Social Science & Medicine, Elsevier, Elsevier, vol. 57(1), pages 125-134, July.
  3. Baron-Epel, Orna & Kaplan, Giora, 2001. "General subjective health status or age-related subjective health status: does it make a difference?," Social Science & Medicine, Elsevier, Elsevier, vol. 53(10), pages 1373-1381, November.
  4. Fabrice Etilé & Carine Milcent, 2006. "Income-related reporting heterogeneity in self-assessed health: evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 965-981.
  5. Didier Blanchet & Thierry Debrand, 2007. "Souhaiter prendre sa retraite le plus tôt possible : santé, satisfaction au travail et facteurs monétaires," Économie et Statistique, Programme National Persée, Programme National Persée, vol. 403(1), pages 39-62.
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Cited by:
  1. Thomas Barnay, 2014. "Health, Work and Working Conditions: A Review of the European Economic Literature," OECD Economics Department Working Papers 1148, OECD Publishing.
  2. Sandy Tubeuf & Florence Jusot & Marion Devaux & Catherine Sermet, 2008. "Social heterogeneity in self-reported health status and measurement of inequalities in health," Working Papers, IRDES institut for research and information in health economics DT12, IRDES institut for research and information in health economics, revised Jun 2008.
  3. Jusot, F; & Tubeuf, S; & Trannoy, T;, 2010. "Inequality of Opportunities in Health in Europe: Why So Much Difference Across Countries?," Health, Econometrics and Data Group (HEDG) Working Papers, HEDG, c/o Department of Economics, University of York 10/26, HEDG, c/o Department of Economics, University of York.
  4. Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence, 2010. "Effort or Circumstances : Which one matters in health inequality ?," Economics Papers from University Paris Dauphine, Paris Dauphine University 123456789/9524, Paris Dauphine University.
  5. Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence, 2013. "Circumstances and Efforts: How important is their correlation for the measurement of inequality of opportunity in health?," Economics Papers from University Paris Dauphine, Paris Dauphine University 123456789/5065, Paris Dauphine University.


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