Cut-point Shift and Index Shift in Self-reported Health
AbstractThere is a concern that ordered responses on health questions may differ acrosspopulations or even across subgroups of a population. This reporting heterogeneity mayinvalidate group comparisons and measures of health inequality. This paper proposes a test fordifferential reporting in ordered response models which allows us to distinguish betweencut-point shift and index shift. The method is illustrated using Canadian National PopulationHealth Survey data. The McMaster Health Utility Index (HUI) is used as a more objective healthmeasure than the simple 5-point scale of self-assessed health. We find clear evidence of indexshifting and cut-point shifting for age and gender, but not for income, education or language.
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Bibliographic InfoPaper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 03-042/3.
Date of creation: 09 Jun 2003
Date of revision:
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Web page: http://www.tinbergen.nl
health measurement; ordered response models; cut point shift; index shift; Canada.;
Other versions of this item:
- Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-point shift and index shift in self-reported health," Journal of Health Economics, Elsevier, vol. 23(6), pages 1083-1099, November.
- Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-Point Shift and Index Shift in Self-Reported Health," IZA Discussion Papers 1286, Institute for the Study of Labor (IZA).
- D30 - Microeconomics - - Distribution - - - General
- D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution
- I10 - Health, Education, and Welfare - - Health - - - General
- I12 - Health, Education, and Welfare - - Health - - - Health Production
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