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Refining Population Health Comparisons: A Multidimensional First Order Dominance Approach

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Author Info

  • Hussain, M. Azhar

    ()
    (Department of Society and Globalisation, Roskilde University)

  • Jørgensen, Mette Møller

    ()
    (John F. Kennedy School of Government)

  • Østerdal, Lars Peter

    ()
    (COHERE, Department of Business and Economics)

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    Abstract

    How to determine if a population group has better overall (multidimensional) health status than another is a central question in the health and social sciences. We apply a multidimensional first order dominance concept that does not rely on assumptions about the relative importance of each dimension or the complementarity/substitutability across dimensions. In particular, we suggest that one can explore the “depth” of dominances by sequentially refining the health dimensions to see which dominances persist. Using The Danish National Health Interview Survey, we conduct dominance comparisons between population groups based on education, gender, marital status, and ethnicity for given age intervals. Our empirical illustration shows that it is possible to operationalize and meaningfully apply the multidimensional first order dominance concept with sequential refinements of health status to as much as ten health dimensions.

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    File URL: http://static.sdu.dk/mediafiles//F/2/D/%7BF2DD2423-C62C-43DC-B0E4-23AA7AE44FB5%7D20145.pdf
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    Bibliographic Info

    Paper provided by COHERE - Centre of Health Economics Research, University of Southern Denmark in its series COHERE Working Paper with number 2014:5.

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    Length: 28 pages
    Date of creation: 01 Apr 2014
    Date of revision:
    Handle: RePEc:hhs:sduhec:2014_005

    Contact details of provider:
    Postal: COHERE - Center for Sundhedsøkonomisk Forskning, Institut for Virksomhedsledelse og Økonomi, Syddansk Universitet, Campusvej 55, DK-5230 Odense M, Denmark
    Phone: (+45) 6550 3081
    Fax: (+45) 6550 3880
    Email:
    Web page: http://www.sdu.dk/Om_SDU/Institutter_centre/cCohere
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    Related research

    Keywords: Multidimensional first order dominance; population health comparisons; refinement; inequalities in health; The Danish National Health Survey;

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    References

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    1. Jean-Yves Duclos & Paul Makdissi, 2005. "Sequential Stochastic Dominance And The Robustness Of Poverty Orderings," Review of Income and Wealth, International Association for Research in Income and Wealth, International Association for Research in Income and Wealth, vol. 51(1), pages 63-87, 03.
    2. Levhari, David & Paroush, Jacob & Peleg, Bezalel, 1975. "Efficiency Analysis for Multivariate Distributions," Review of Economic Studies, Wiley Blackwell, Wiley Blackwell, vol. 42(1), pages 87-91, January.
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    4. Range, Troels Martin & Østerdal, Lars Peter, 2013. "Checking bivariate first order dominance," Discussion Papers of Business and Economics, Department of Business and Economics, University of Southern Denmark 9/2013, Department of Business and Economics, University of Southern Denmark.
    5. Frank Cowell & Maria-Pia Victoria-Feser, 2007. "Robust stochastic dominance: A semi-parametric approach," Journal of Economic Inequality, Springer, Springer, vol. 5(1), pages 21-37, April.
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    15. Arndt, Channing & Distante, Roberta & Hussain, M. Azhar & Østerdal, Lars Peter & Huong, Pham Lan & Ibraimo, Maimuna, 2012. "Ordinal Welfare Comparisons with Multiple Discrete Indicators: A First Order Dominance Approach and Application to Child Poverty," World Development, Elsevier, Elsevier, vol. 40(11), pages 2290-2301.
    16. Nicolas Gravel & Patrick Moyes & Beno�T Tarroux, 2009. "Robust International Comparisons of Distributions of Disposable Income and Regional Public Goods," Economica, London School of Economics and Political Science, London School of Economics and Political Science, vol. 76(303), pages 432-461, 07.
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