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Health and Income across the Life Cycle and Generations in Europe

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Author Info

  • Hans van Kippersluis

    ()
    (Erasmus University Rotterdam)

  • Tom van Ourti

    ()
    (Erasmus University Rotterdam)

  • Owen O'Donnell

    ()
    (Erasmus University Rotterdam, University of Macedonia, Thessaloniki, Greece)

  • Eddy van Doorslaer

    ()
    (Erasmus University Rotterdam)

Abstract

An age-cohort decomposition applied to panel data identifies how the mean, overall inequality and income-related inequality of self-assessed health evolve over the life cycle and differ across generations in 11 EU countries. There is a moderate and steady decline in mean health until the age of 70 or so and a steep acceleration in the rate of health deterioration beyond that age. In southern European countries and in Ireland, which have experienced the greatest changes in economic and social development, the average health of younger generations is significantly better than that of older generations. This is not observed in the northern European countries. In almost all countries, health is more dispersed among older generations indicating that Europe has experienced a reduction in overall health inequality over time. Although there is no consistent evidence that health inequality increases as a given cohort ages, this is true in the three largest countries – Britain, France and Germany. In the former two countries and the Netherlands, at least for males, the income gradient in health peaks around retirement age, as has been found for the US, but this pattern is not observed in the other countries. In most European countries, unlike the US, there is no evidence that income-related health inequality is greater among younger than older generations. This discussion paper has resulted in a publication in the Journal of Health Economics , 28(4), 818-30.

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Bibliographic Info

Paper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 08-009/3.

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Date of creation: 18 Jan 2008
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Handle: RePEc:dgr:uvatin:20080009

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Web page: http://www.tinbergen.nl

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Keywords: Health; Health inequality; Life cycle; Cohort;

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Cited by:
  1. Guillem López i Casasnovas & Marina Soley Bori, 2012. "The Economic Crisis and it Effects on the Social Determinants of Health," Hacienda Pública Española, IEF, vol. 201(2), pages 113-132, June.
  2. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, vol. 30(5), pages 1044-1056.
  3. repec:hal:wpaper:halshs-00908932 is not listed on IDEAS
  4. Pedro Gomis Porqueras & Solmaz Moslehi & Richard M. H. Suen, 2013. "Endogenous Health in a Model of Calories, Medical Services and Health Shocks," Economics Series 2013_4, Deakin University, Faculty of Business and Law, School of Accounting, Economics and Finance.
  5. Lundborg, Petter & Nilsson, Martin & Vikström, Johan, 2011. "Socioeconomic Heterogeneity in the Effect of Health Shocks on Earnings: Evidence from Population-Wide Data on Swedish Workers," IZA Discussion Papers 6121, Institute for the Study of Labor (IZA).
  6. Petrie, Dennis & Allanson, Paul & Gerdtham, Ulf-G, 2011. "Accounting for the dead in the longitudinal analysis of income-related health inequalities," Working Papers 2011:9, Lund University, Department of Economics.
  7. Hans van Kippersluis & Tom van Ourti & Owen O'Donnell & Eddy van Doorslaer, 2008. "Health and Income across the Life Cycle and Generations in Europe," Tinbergen Institute Discussion Papers 08-009/3, Tinbergen Institute.
  8. van Kippersluis, Hans & O'Donnell, Owen & van Doorslaer, Eddy & Van Ourti, Tom, 2010. "Socioeconomic differences in health over the life cycle in an Egalitarian country," Social Science & Medicine, Elsevier, vol. 70(3), pages 428-438, February.
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  10. Grimm, M., 2010. "Does inequality in health impede growth?," ISS Working Papers - General Series 501, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
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  12. Bénédicte H. Apouey & Pierre-Yves Geoffard, 2013. "Child health and use of health care services in France: Evidence on the role of family income," PSE Working Papers halshs-00908932, HAL.
  13. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "The socioeconomic health gradient across the life cycle: What role for selective mortality and institutionalization?," Social Science & Medicine, Elsevier, vol. 97(C), pages 66-74.

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