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Inequality in mortality in Vietnam: unravel the causes

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Author Info
Granlund , David () (Department of Economics, Umeå University)
Chuc , NT () (Faculty of Public Health)
Phuc , HD () (Institute of Mathematics)
Lindholm, Lars () (Department of Public Health and Clinical Medicine)
Abstract

The association between socioeconomic variables and mortality for 41 000 adults Vietnamese followed from January 1999 to March 2008 are estimated using Cox's proportionally hazard models. Also, we use decomposition techniques to investigate the relative importance of socioeconomic factors for explaining total inequality in age-standardized mortality risk. The results confirm previously found negative association between mortality and income and education, for both men and women. The decomposition, however, shows that these variables together explain less than one third of the inequality, suggesting that it is important to also consider other dimensions of socioeconomic status, such as occupation and marital status. Finally, estimation results for relative education variables suggest that there exist positive spillover of education, meaning that that higher education of one's neighbors or spouse might reduce ones mortality risk.

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Publisher Info
Paper provided by Umeå University, Department of Economics in its series Umeå Economic Studies with number 751.

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Length: 23 pages
Date of creation: 10 Oct 2008
Date of revision:
Handle: RePEc:hhs:umnees:0751

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Postal: Department of Economics, Umeå University, S-901 87 Umeå, Sweden
Phone: 090 - 786 61 42
Fax: 090 - 77 23 02
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Related research
Keywords: Health inequality; Socioeconomic status; Mortality risk; Decomposition; Vietnam;

Find related papers by JEL classification:
D30 - Microeconomics - - Distribution - - - General
D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
I10 - Health, Education, and Welfare - - Health - - - General
I30 - Health, Education, and Welfare - - Welfare and Poverty - - - General

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  1. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 89-112, Spring.
  2. Silvia Balia & Andrew M Jones, 2005. "Mortality, lifestyle and socio-economic status," Health, Econometrics and Data Group (HEDG) Working Papers 05/02, HEDG, c/o Department of Economics, University of York. [Downloadable!]
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  3. James J. Heckman & Sergio Urzua & Edward J. Vytlacil, 2006. "Understanding Instrumental Variables in Models with Essential Heterogeneity," NBER Working Papers 12574, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  4. Adam Wagstaff & Eddy van Doorslaer, 2004. "Overall versus socioeconomic health inequality: a measurement framework and two empirical illustrations," Health Economics, John Wiley & Sons, Ltd., vol. 13(3), pages 297-301. [Downloadable!]
  5. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January. [Downloadable!] (restricted)
  6. 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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  7. 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, vol. 16(1), pages 93-112, February. [Downloadable!] (restricted)
  8. Lerman, Robert I. & Yitzhaki, Shlomo, 1989. "Improving the accuracy of estimates of Gini coefficients," Journal of Econometrics, Elsevier, vol. 42(1), pages 43-47, September. [Downloadable!] (restricted)
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