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Inequality in Opportunities in Health in France: A first pass

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Author Info
Trannoy, A
Tubeuf, S
Jusot, F
Devaux, M

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Abstract

This article analyses the role played by childhood circumstances, especially social and family background in explaining health status among older adults. We also explore the hypothesis of an intergenerational transmission of health inequalities using the French part of SHARE. As the impact of both social background and parents’ health on health status in adulthood represent circumstances independent of individual responsibility, this study allows us to test for the existence in France of inequalities of opportunity in health related to family and social background. Empirically, our study relies both on tests of stochastic dominance at first order and multivariate regressions, supplemented by a counterfactual analysis to evaluate the longlasting impact of childhood conditions on inequality in health. Allocating the best circumstances in both parents’ SES and parents’ health reduces inequality in health by an impressive 57% using the Gini coefficient. The mother’s social status has a direct effect on the health of her offspring. By contrast, the effect on the descendant’s health from the father’s social status is indirect only, going through the descendant’s social status as an adult. There is also a direct effect of each parent’s health on health in adulthood.

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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 08/24.

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Date of creation: Oct 2008
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Handle: RePEc:yor:hectdg:08/24

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Keywords: Stochastic dominance - equality of opportunity – inequality in health – intergenerational transmission – older adults – Gini index;

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  1. Francois Bourguignon & Francisco H.B. Ferreira & Marta Menéndez, 2005. "Inequality of Opportunity in Brazil," Ibero America Institute for Econ. Research (IAI) Discussion Papers 133, Ibero-America Institute for Economic Research. [Downloadable!]
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  2. Ahlburg, Dennis, 1998. "Intergenerational Transmission of Health," American Economic Review, American Economic Association, vol. 88(2), pages 265-70, May. [Downloadable!] (restricted)
  3. Ferreira , Francisco H. G. & Gignoux, Jeremie, 2008. "The measurement of inequality of opportunity : theory and an application to Latin America," Policy Research Working Paper Series 4659, The World Bank. [Downloadable!]
  4. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income-related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628. [Downloadable!]
  5. Gourieroux, Christian & Monfort, Alain & Renault, Eric & Trognon, Alain, 1987. "Generalised residuals," Journal of Econometrics, Elsevier, vol. 34(1-2), pages 5-32. [Downloadable!] (restricted)
  6. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March. [Downloadable!] (restricted)
  7. Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December. [Downloadable!]
  8. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic status and health in childhood: the origins of the gradient," Working Papers 262, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing.. [Downloadable!]
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  9. Pedro Rosa Dias & Andrew M. Jones, 2007. "Giving equality of opportunity a fair innings," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 109-112. [Downloadable!]
  10. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring. [Downloadable!] (restricted)
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