Advanced Search
MyIDEAS: Login to save this paper or follow this series

Socioeconomic Differences in Health over the Life Cycle in an Egalitarian Country

Contents:

Author Info

  • Hans van Kippersluis

    (Erasmus University Rotterdam)

  • Owen O'Donnell

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

  • Eddy van Doorslaer

    (Erasmus University Rotterdam)

  • Tom Van Ourti

    (Erasmus University Rotterdam)

Abstract

A strong relationship between health and socioeconomic status is firmly established. Yet, partly due to the multidimensional and dynamic nature of the variables, the causal mechanisms connecting them are poorly understood. This paper argues that adoption of a life-cycle perspective is essential to uncover these causal pathways. A life-cycle perspective also allows investigation of whether the socioeconomically disadvantaged, on top of a lower health level, experience a sharper deterioration of their health over the life cycle. We show that in the Netherlands, as in the US, the socioeconomic gradient in health widens until late-middle age and narrows thereafter. The analysis and the available evidence suggests that the widening gradient is attributable both to health-related withdrawal from the labor force, resulting in lower incomes, and the cumulative protective effect of education on health outcomes. The less educated suffer a double health penalty in that they begin adult life with a slightly lower health level, which subsequently declines at a faster rate. The observed narrowing of the gradient in old age is partly an artefact stemming from the fact that only the most healthy of the disadvantaged survive into old age. It also reflects that after middle age, withdrawal from the labor force increasingly occurs for non health-related reasons.

Download Info

If 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.
File URL: http://papers.tinbergen.nl/09006.pdf
Download Restriction: no

Bibliographic Info

Paper provided by Tinbergen Institute in its series Tinbergen Institute Discussion Papers with number 09-006/3.

as in new window
Length:
Date of creation: 19 Jan 2009
Date of revision:
Handle: RePEc:dgr:uvatin:20090006

Contact details of provider:
Web page: http://www.tinbergen.nl

Related research

Keywords: Health; Socioeconomic Status; Life Cycle;

Other versions of this item:

Find related papers by JEL classification:

This paper has been announced in the following NEP Reports:

References

References listed on IDEAS
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.:
as in new window
  1. Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, Elsevier, vol. 26(2), pages 213-232, March.
  2. Anne Case & Angus S. Deaton, 2005. "Broken Down by Work and Sex: How Our Health Declines," NBER Chapters, National Bureau of Economic Research, Inc, in: Analyses in the Economics of Aging, pages 185-212 National Bureau of Economic Research, Inc.
  3. James P. Smith, 2005. "Unraveling the SES-Health Connection," Labor and Demography, EconWPA 0505018, EconWPA.
  4. James P. Smith, 2007. "The Impact of Socioeconomic Status on Health over the Life-Course," Journal of Human Resources, University of Wisconsin Press, vol. 42(4).
  5. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, American Economic Association, vol. 92(5), pages 1308-1334, December.
  6. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, Elsevier, vol. 16(1), pages 93-112, February.
  7. Paul Frijters, 2005. "The causal effect of income on health: Evidence from German reunification," Paul Frijters Discussion Papers, School of Economics and Finance, Queensland University of Technology 2005-2, School of Economics and Finance, Queensland University of Technology.
  8. 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, Tinbergen Institute 08-009/3, Tinbergen Institute.
  9. James P. Smith, 2005. "The Impact Of Ses On Health Over The Life-Course," Labor and Demography, EconWPA 0511002, EconWPA.
  10. Kapteyn, A. & Smith, J.P. & Soest, A.H.O. van, 2007. "Vignettes and self-reports of work disability in the United States and the Netherlands," Open Access publications from Tilburg University urn:nbn:nl:ui:12-210598, Tilburg University.
  11. Vicki Freedman & Robert Schoeni & Linda Martin & Jennifer Cornman, 2007. "Chronic conditions and the decline in late-life disability," Demography, Springer, Springer, vol. 44(3), pages 459-477, August.
  12. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, American Economic Association, vol. 93(5), pages 1813-1823, December.
  13. Adams, Peter & Hurd, Michael D. & McFadden, Daniel & Merrill, Angela & Ribeiro, Tiago, 2003. "Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status," Journal of Econometrics, Elsevier, Elsevier, vol. 112(1), pages 3-56, January.
  14. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, Elsevier, vol. 24(2), pages 365-389, March.
  15. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
  16. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer, Springer, vol. 40(2), pages 309-331, May.
  17. Murasko, Jason E., 2008. "An evaluation of the age-profile in the relationship between household income and the health of children in the United States," Journal of Health Economics, Elsevier, Elsevier, vol. 27(6), pages 1489-1502, December.
  18. Philip Oreopoulos, 2006. "Estimating Average and Local Average Treatment Effects of Education when Compulsory Schooling Laws Really Matter," American Economic Review, American Economic Association, American Economic Association, vol. 96(1), pages 152-175, March.
  19. Silles, Mary A., 2009. "The causal effect of education on health: Evidence from the United Kingdom," Economics of Education Review, Elsevier, Elsevier, vol. 28(1), pages 122-128, February.
  20. Claire Gudex & Gaetan Lafortune, 2000. "An Inventory of Health and Disability-Related Surveys in OECD Countries," OECD Labour Market and Social Policy Occasional Papers, OECD Publishing 44, OECD Publishing.
  21. Kim, Jinyoung & Durden, Emily, 2007. "Socioeconomic status and age trajectories of health," Social Science & Medicine, Elsevier, Elsevier, vol. 65(12), pages 2489-2502, December.
  22. Michael Grossman, 2005. "Education and Nonmarket Outcomes," NBER Working Papers 11582, National Bureau of Economic Research, Inc.
  23. Gerard J. van den Berg & Maarten Lindeboom & France Portrait, 2006. "Economic Conditions Early in Life and Individual Mortality," American Economic Review, American Economic Association, American Economic Association, vol. 96(1), pages 290-302, March.
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 in new window

Cited by:
  1. 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, Elsevier, vol. 97(C), pages 66-74.
  2. Knoef, M.G., 2011. "Essays on labor force participation, aging, income and health," Open Access publications from Tilburg University urn:nbn:nl:ui:12-4807622, Tilburg University.
  3. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, Elsevier, vol. 30(5), pages 1044-1056.
  4. Nordin , Martin & Gerdtham , Ulf-G, 2010. "Why a positive link between age and income-related health inequality?," Working Papers, Lund University, Department of Economics 2010:12, Lund University, Department of Economics.
  5. Titus J. Galama & Hans van Kippersluis, 2013. "Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions," Tinbergen Institute Discussion Papers, Tinbergen Institute 13-076/V, Tinbergen Institute.
  6. Guillem López i Casasnovas & Marina Soley Bori, 2012. "The Economic Crisis and it Effects on the Social Determinants of Health," Hacienda Pública Española, IEF, IEF, vol. 201(2), pages 113-132, June.
  7. Pilar García-Gómez & Hans-Martin Gaudecker & Maarten Lindeboom, 2011. "Health, disability and work: patterns for the working age population," International Tax and Public Finance, Springer, Springer, vol. 18(2), pages 146-165, April.
  8. Ovrum, Arnstein & Rickertsen, Kyrre, 2011. "Inequality in Health Versus Inequality in Lifestyles," 2011 International Congress, August 30-September 2, 2011, Zurich, Switzerland, European Association of Agricultural Economists 114556, European Association of Agricultural Economists.
  9. Titus J. Galama & Hans van Kippersluis, 2010. "A Theory of Socioeconomic Disparities in Health over the Life Cycle," Tinbergen Institute Discussion Papers, Tinbergen Institute 10-079/3, Tinbergen Institute.

Lists

This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

Statistics

Access and download statistics

Corrections

When requesting a correction, please mention this item's handle: RePEc:dgr:uvatin:20090006. See general information about how to correct material in RePEc.

For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Antoine Maartens (+31 626 - 160 892)).

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.