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More equal but heavier: A longitudinal analysis of income-related obesity inequalities in an adult Swedish cohort

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Author Info
Ljungvall , Åsa () (Department of Economics, Lund University)
Gerdtham , Ulf-G () (Department of Economics, Lund University)
Abstract

Using longitudinal data over a 17 year period for a Swedish cohort aged 20-68 in 1980/81, this study analyses income-related inequalities in obesity. By use of the concentration index and decomposition techniques we answer the following questions: 1) Does obesity inequality favour or disfavour the poor? 2) What factors explain this inequality at different points in time? 3) How can the pattern of inequality over time be explained? We find that among females, inequalities in obesity favour the rich, but the estimated inequality declines over time. Income and marital status are the main driving forces behind obesity inequality, and income explains the majority of the declined obesity inequality over time. The results indicate that the main reason for the reduced obesity inequality is increased obesity prevalence, because in absolute terms obesity has increased uniformly across income groups. Thus we conclude that the reduced inequality is not due to any health policy success. Since the income elasticity of obesity is the individual most important contributor to the observed inequality, policies directed towards this factor might be the most effective. Similar trends are found for males, although less pronounced. This should be taken into account when evaluating obesity reducing policies.

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Publisher Info
Paper provided by Lund University, Department of Economics in its series Working Papers with number 2009:3.

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Length: 36 pages
Date of creation: 09 Mar 2009
Date of revision:
Handle: RePEc:hhs:lunewp:2009_003

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Postal: Department of Economics, School of Economics and Management, Lund University, Box 7082, S-220 07 Lund,Sweden
Phone: +46 +46 222 0000
Fax: +46 +46 2224613
Web page: http://www.nek.lu.se/
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Related research
Keywords: obesity; income; inequality; ageing; women; concentration index; decomposition; Oaxaca; panel data;

Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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References listed on IDEAS
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  1. Timothy J. Richards & Paul M. Patterson & Abebayehu Tegene, 2007. "Obesity And Nutrient Consumption: A Rational Addiction?," Contemporary Economic Policy, Western Economic Association International, vol. 25(3), pages 309-324, 07. [Downloadable!] (restricted)
  2. Islam, M. Kamrul & Merlo, Juan & Kawachi, Ichiro & Lindstr m, Martin & Burstr m, Kristina & Gerdtham, Ulf-G., 2006. "Does it really matter where you live? A panel data multilevel analysis of Swedish municipality-level social capital on individual health-related quality of life," Health Economics, Policy and Law, Cambridge University Press, vol. 1(03), pages 209-235, July. [Downloadable!]
  3. Smith, Patricia K. & Bogin, Barry & Bishai, David, 2005. "Are time preference and body mass index associated?: Evidence from the National Longitudinal Survey of Youth," Economics and Human Biology, Elsevier, vol. 3(2), pages 259-270, July. [Downloadable!] (restricted)
  4. Schroeter, Christiane & Lusk, Jayson & Tyner, Wallace, 2008. "Determining the impact of food price and income changes on body weight," Journal of Health Economics, Elsevier, vol. 27(1), pages 45-68, January. [Downloadable!] (restricted)
  5. Gerdtham, Ulf-G & Johannesson, Magnus, 2002. " Do Life-Saving Regulations Save Lives?," Journal of Risk and Uncertainty, Springer, vol. 24(3), pages 231-49, May. [Downloadable!] (restricted)
  6. Kakwani, Nanak & Wagstaff, Adam & van Doorslaer, Eddy, 1997. "Socioeconomic inequalities in health: Measurement, computation, and statistical inference," Journal of Econometrics, Elsevier, vol. 77(1), pages 87-103, March. [Downloadable!] (restricted)
  7. 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. [Downloadable!] (restricted)
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  8. Darius Lakdawalla & Tomas Philipson & Jay Bhattacharya, 2005. "Welfare-Enhancing Technological Change and the Growth of Obesity," American Economic Review, American Economic Association, vol. 95(2), pages 253-257, May. [Downloadable!]
  9. Adam Wagstaff, 2005. "The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality," Health Economics, John Wiley & Sons, Ltd., vol. 14(4), pages 429-432. [Downloadable!]
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