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Cut-Point Shift and Index Shift in Self-Reported Health Author info | Abstract | Publisher info | Download info | Related research | Statistics Lindeboom, Maarten () (Free University of Amsterdam, Tinbergen Institute and IZA Bonn)
van Doorslaer, Eddy (Erasmus University Rotterdam)
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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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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 2004Date of revision:
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Keywords: hierarchical ordered probit health measurement cut-point shift index shift Canada Other versions of this item:
Find related papers by JEL classification: D30 - Microeconomics - - Distribution - - - General D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution I10 - Health, Education, and Welfare - - Health - - - General I12 - Health, Education, and Welfare - - Health - - - Health Production
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