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Mortality, lifestyle and socio-economic status

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Author Info
Silvia Balia
Andrew M Jones

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Abstract

This paper uses the British Health and Lifestyle Survey (1984-1985) data and the longitudinal follow-up of May 2003 to investigate the de- terminants of premature mortality risk in Great Britain and the con- tribution of lifestyle choices to socio-economic inequality in health. A behavioural model, which relates premature mortality to a set of observ- able and unobservable factors, is considered. We focus on unobservable individual heterogeneity and endogeneity a®ecting the mortality equa- tion. A maximum simulated likelihood (MSL) approach for a multivari- ate probit (MVP) is used to estimate a recursive system of equations for mortality, morbidity and lifestyles. In order to detect inequality in the distribution of health within the population and to calculate the con- tribution of socio-economic factors, we compute the Gini coe±cient for overall health inequality. A decomposition analysis for predicted mor- tality shows that, after allowing for endogeneity, lifestyles contribute strongly to inequality in mortality, reducing the direct role of socio- economic status. This contradicts the view, which is widely held in epidemiology, that lifestyles make a relatively minor contribution to ob- served socio-economic gradients in health.

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Publisher Info
Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 05/02.

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Date of creation: Jun 2005
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Handle: RePEc:yor:hectdg:05/02

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Related research
Keywords: Mortality; Lifestyle; Socio-economic status; Multivariate Probit; Simulation-based inference; Health Inequality.;

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Find related papers by JEL classification:
I1 - Health, Education, and Welfare - - Health
C0 - Mathematical and Quantitative Methods - - General

References listed on IDEAS
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  1. Gardner, Jonathan & Oswald, Andrew, 2004. "How is mortality affected by money, marriage, and stress?," Journal of Health Economics, Elsevier, vol. 23(6), pages 1181-1207, November. [Downloadable!] (restricted)
  2. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr. [Downloadable!] (restricted)
  3. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September. [Downloadable!] (restricted)
    Other versions:
  4. Knapp, Laura Greene & Seaks, Terry G, 1998. "A Hausman Test for a Dummy Variable in Probit," Applied Economics Letters, Taylor and Francis Journals, vol. 5(5), pages 321-23, May. [Downloadable!] (restricted)
  5. Valerie Lechene & Jerome Adda, 2004. "On the Identification of the Effect of Smoking on Mortality," Economics Series Working Papers 184, University of Oxford, Department of Economics. [Downloadable!]
    Other versions:
  6. 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)
  7. Lorenzo Cappellari & Stephen P. Jenkins, 2003. "Multivariate probit regression using simulated maximum likelihood," United Kingdom Stata Users' Group Meetings 2003 10, Stata Users Group. [Downloadable!]
    Other versions:
  8. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    Other versions:
  9. Hurley, Jeremiah, 2000. "An overview of the normative economics of the health sector," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 2, pages 55-118 Elsevier. [Downloadable!] (restricted)
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Cited by:
(explanations, 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.)

  1. Anthony Scott & Stefanie Schurer & Paul H. Jensen & Peter Sivey, 2008. "The Effect of Financial Incentives on Quality of Care: The Case of Diabetes," Melbourne Institute Working Paper Series wp2008n12, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne. [Downloadable!]
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  2. Mariana Conte Grand & Vanesa D´Elia, 2008. "Self-assessed health as a key determinant of lifestyles: An application to tobacco consumption in Argentina," CEMA Working Papers: Serie Documentos de Trabajo. 375, Universidad del CEMA. [Downloadable!]
  3. Udo Schneider & Volker Ulrich, 2008. "The physician-patient relationship revisited: the patient’s view," International Journal of Health Care Finance and Economics, Springer, vol. 8(4), pages 279-300, December. [Downloadable!] (restricted)
    Other versions:
  4. Silvia Balia, 2007. "Reporting expected longevity and smoking: evidence from the SHARE," Working Paper CRENoS 200705, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia. [Downloadable!]
    Other versions:
  5. Cinzia Di Novi, 2007. "An Economic Evaluation of Life-Style and Air-pollution-related Damages: Results from the BRFSS," JEPS Working Papers 07-001, JEPS. [Downloadable!]
  6. Granlund , David & Chuc , NT & Phuc , HD & Lindholm, Lars, 2008. "Inequality in mortality in Vietnam: unravel the causes," UmeÃ¥ Economic Studies 751, Umeå University, Department of Economics. [Downloadable!]
  7. Stanciole, Anderson, 2007. "Health Insurance and Life Style Choices: Identifying the Ex Ante Moral Hazard," IRISS Working Paper Series 2007-10, IRISS at CEPS/INSTEAD. [Downloadable!]
  8. Gerardo Marletto, 2006. "La politica dei trasporti come politica per l’innovazione: spunti da un approccio evolutivo," Working Paper CRENoS 200605, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia. [Downloadable!]
  9. OA. Carboni & G. Medda, 2007. "Government Size and the Composition of Public Spending in a Neoclassical Growth Model," Working Paper CRENoS 200701, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia. [Downloadable!]
  10. Pascual Sáez, Marta & Cantarero Prieto, David, 2007. "Características socio-económicas de las personas con discapacidad en España: un estudio empírico/Socio-Economic Characteristics of People with Disabilities in Spain: an Empirical Study," Estudios de Economía Aplicada, Estudios de Economía Aplicada, vol. 25, pages 817 - 23 , Diciembre. [Downloadable!] (restricted)
  11. Tampubolon, Gindo, 2009. "Neighbourhood social capital and individual mental health," MPRA Paper 16778, University Library of Munich, Germany. [Downloadable!]
  12. Silvia Balia, 2005. "Health and Economic Behaviour: a Critical Survey of the Literature," Working Paper CRENoS 200505, Centre for North South Economic Research, University of Cagliari and Sassari, Sardinia. [Downloadable!]
  13. Silvia Balia & Andrew M. Jones, 2007. "Unravelling the influence of smoking initiation and cessation on premature mortality using a common latent factor model," Health, Econometrics and Data Group (HEDG) Working Papers 07/06, HEDG, c/o Department of Economics, University of York. [Downloadable!]
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