Monitoring Health Inequalities in France: A Short Tool for Routine Health SUrvey to Account for LifeLong Adverse Experiences
AbstractConventional health surveys focus on current health and social context but rarely address past experiences of hardship or exclusion. However, recent research shows how such experiences contribute to health status and social inequalities. In order to analyse in routine statistics the impact of lifelong adverse experiences (LAE) on various health indicators, a new set of questions on financial difficulties, housing difficulties due to financial hardship and isolation was introduced in the 2004 French National health, health care and insurance survey (ESPS 2004). Logistic regressions were used to analyze associations between LAE, current socioeconomic status (SES) (education, occupation, income) and health (self-perceived health, activity limitation, chronic morbidity), on a sample of 4308 men and women aged 35 years and older. In our population, LAE were reported by 1 person out of 5. Although more frequent in low SES groups, they concerned above 10% of the highest incomes. For both sexes, LAE are significantly linked to poor self-perceived health, diseases and activity limitations, even controlling for SES (OR>2) and even in the highest income group. This pattern remains significant for LAE experienced only during childhood. The questions successfully identified in a conventional survey people exposed to health problems in relation to past experiences. LAE contribute to the social health gradient and explain variability within social groups. These questions will be useful to monitor health inequalities, for instance by further analyzing LAE related health determinants such as risk factors, exposition and care use.
Download InfoIf 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.
Bibliographic InfoPaper provided by IRDES institut for research and information in health economics in its series Working Papers with number DT30.
Length: 20 pages
Date of creation: Mar 2010
Date of revision: Mar 2010
Health inequalities; Lifelong adverse experiences; Health surveys;
Other versions of this item:
- Cambois, Emmanuelle & Jusot, Florence, 2010. "Monitoring Health Inequalities in France. A Short Tool for Routine Health Survey to Account for Lifelong Adverse Experiences," Economics Papers from University Paris Dauphine 123456789/7002, Paris Dauphine University.
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
This paper has been announced in the following NEP Reports:
- NEP-AGE-2010-07-31 (Economics of Ageing)
- NEP-ALL-2010-07-31 (All new papers)
- NEP-HAP-2010-07-31 (Economics of Happiness)
- NEP-HEA-2010-07-31 (Health Economics)
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.:
- Trannoy, A & Tubeuf, S & Jusot, F & Devaux, M, 2008.
"Inequality in Opportunities in Health in France: A first pass,"
Health, Econometrics and Data Group (HEDG) Working Papers
08/24, HEDG, c/o Department of Economics, University of York.
- Alain Trannoy & Sandy Tubeuf & Florence Jusot & Marion Devaux, 2010. "Inequality of opportunities in health in France: a first pass," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 921-938, August.
- Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence & Devaux, Marion, 2010. "Inequality of Opportunities in Health in France: A First Pass," Economics Papers from University Paris Dauphine 123456789/268, Paris Dauphine University.
- Caroline Berchet & Nicolas Sirven, 2012. "Cross-Country Performance in Social Integration of Older Migrants. A European Perspective," Working Papers DT46, IRDES institut for research and information in health economics, revised Mar 2012.
- Catherine Pollak, 2012. "Employed and Happy despite Weak Health? Labour Market Participation and Job Quality of Older Workers with Disabilities," Working Papers DT45, IRDES institut for research and information in health economics, revised Mar 2012.
- Thierry Debrand & Christine Sorasith, 2010. "Out-of-Pocket Maximum Rules under a Compulsatory Health Care Insurance Scheme: A Choice between Equality and Equity," Working Papers DT34, IRDES institut for research and information in health economics, revised Nov 2010.
- Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence, 2010. "Effort or Circumstances : Which one matters in health inequality ?," Economics Papers from University Paris Dauphine 123456789/9524, Paris Dauphine University.
- Thierry Debrand & Christine Sorasith, 2010. "Bouclier sanitaire : choisir entre égalité et équité ? Une analyse à partir du modèle ARAMMIS," Working Papers DT32, IRDES institut for research and information in health economics, revised Jun 2010.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jacques Harrouin).
If references are entirely missing, you can add them using this form.