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Cut-Point Shift and Index Shift in Self-Reported Health

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  • Lindeboom, Maarten

    ()
    (VU University Amsterdam)

  • van Doorslaer, Eddy

    ()
    (Erasmus University Rotterdam)

Abstract

There is a concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which allows us to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index (HUI) is used as a more objective health measure than the simple 5-point scale of self-assessed health. We find clear evidence of index shifting and cut-point shifting for age and gender, but not for income, education or language.

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Bibliographic Info

Paper provided by Institute for the Study of Labor (IZA) in its series IZA Discussion Papers with number 1286.

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Length: 25 pages
Date of creation: Sep 2004
Date of revision:
Publication status: published in: Journal of Health Economics, 2004, 23 (6), 1083-1099
Handle: RePEc:iza:izadps:dp1286

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Related research

Keywords: index shift; health measurement; hierarchical ordered probit; cut-point shift; Canada;

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  1. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
  2. 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.
  3. Shmueli, Amir, 2003. "Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 57(1), pages 125-134, July.
  4. Amir Shmueli, 2002. "Reporting Heterogeneity in the Measurement of Health and Health-Related Quality of Life," PharmacoEconomics, Springer Healthcare | Adis, vol. 20(6), pages 405-412.
  5. Klaauw, B. van der & Koning, R.H., 2000. "Testing the normality assumption in the sample selection model with an application to travel demand," Research Report 00F37, University of Groningen, Research Institute SOM (Systems, Organisations and Management).
  6. van Doorslaer, Eddy & Gerdtham, Ulf-G., 2003. "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data," Social Science & Medicine, Elsevier, vol. 57(9), pages 1621-1629, November.
  7. 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.
  8. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
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