Sex Differences in Morbidity and Mortality
AbstractWomen have worse self-rated health and more hospitalization episodes than men from early adolescence to late middle age, but are less likely to die at each age. We use 14 years of data from the U.S. National Health Interview Survey to examine this paradox. Our results indicate that the difference in self-assessed health between women and men can be entirely explained by differences in the distribution of the chronic conditions they face. Although on average women have worse self-rated health than men, women and men with the same chronic conditions have the same self-rated health. The results for hospital episodes are somewhat different. While the effect of poor health on hospital episodes is the same for men and women, men with respiratory cancer, cardiovascular disease, and bronchitis are more likely to experience hospital episodes than women who suffer from the same chronic conditions, implying that men may experience more severe forms of these conditions. The same is true for mortality. Although the effects of many chronic conditions on the probability of death are the same for women and men, men who report having cardiovascular disease and certain lung disorders are significantly more likely to die than women with these conditions. While some of the gender difference in mortality can be explained by differences in the distribution of chronic conditions, an equally large share can be attributed to the larger adverse effects of these conditions on male mortality. Is smoking the smoking gun? Conditions for which we find excess male hospitalizations and mortality are generally smoking-related.
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Bibliographic InfoPaper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 10653.
Date of creation: Jul 2004
Date of revision:
Publication status: published as Case, Anne C. and Christina Paxson. “Sex Differences in Morbidity and Mortality.” Demography 42, 2 (2005): 189-214.
Note: AG HC
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Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.
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Other versions of this item:
- Anne Case & Christina Paxson, 2004. "Sex Differences in Morbidity and Mortality," Working Papers 244, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Anne Case & Christina Paxson, 2004. "Sex Differences in Morbidity and Mortality," Working Papers 171, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- I0 - Health, Education, and Welfare - - General
- J1 - Labor and Demographic Economics - - Demographic Economics
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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.:
- Fred C. Pampel, 2002. "Cigarette Use and the Narrowing Sex Differential in Mortality," Population and Development Review, The Population Council, Inc., vol. 28(1), pages 77-104.
- Anne Case & Angus S. Deaton, 2005.
"Broken Down by Work and Sex: How Our Health Declines,"
in: Analyses in the Economics of Aging, pages 185-212
National Bureau of Economic Research, Inc.
- Anne Case & Angus Deaton, 2004. "Broken down by work and sex: how our health declines," Working Papers 257, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Anne C. Case & Angus Deaton, 2003. "Broken Down by Work and Sex: How Our Health Declines," NBER Working Papers 9821, National Bureau of Economic Research, Inc.
- Michael Baker & Mark Stabile & Catherine Deri, 2001.
"What do Self-Reported, Objective, Measures of Health Measure?,"
NBER Working Papers
8419, National Bureau of Economic Research, Inc.
- Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
- Macintyre, Sally & Hunt, Kate & Sweeting, Helen, 1996. "Gender differences in health: Are things really as simple as they seem?," Social Science & Medicine, Elsevier, vol. 42(4), pages 617-624, February.
- Arber, Sara & Cooper, Helen, 1999. "Gender differences in health in later life: the new paradox?," Social Science & Medicine, Elsevier, vol. 48(1), pages 61-76, January.
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