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Examining the Structure of Spatial Health Effects using Hierarchical Bayes Models

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  • Eibich, Peter
  • Ziebarth, Nicolas

Abstract

This paper makes use of Hierarchical Bayes Models to model and estimate spatial health effects. We focus on Germany, combining rich individual-level household panel data with administrative county level information to estimate spatial county-level health dependencies. As dependent variable, we use the generic, continuous, and quasi-objective SF12 health measure. Our findings reveal strong and highly significant spatial dependencies and clusters. The strong and systematic county-level impact is comparable to an age effect on health of up to 31 years. Even 20 years after the peaceful German reunification, we detect a clear spatial East-West health pattern that equals an age impact on health of up to 9 life years.

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  • Eibich, Peter & Ziebarth, Nicolas, 2013. "Examining the Structure of Spatial Health Effects using Hierarchical Bayes Models," VfS Annual Conference 2013 (Duesseldorf): Competition Policy and Regulation in a Global Economic Order 79844, Verein für Socialpolitik / German Economic Association.
    • Handle: RePEc:zbw:vfsc13:79844
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    1. Heineck, Guido & Süssmuth, Bernd, 2013. "A different look at Lenin’s legacy: Social capital and risk taking in the Two Germanies," Journal of Comparative Economics, Elsevier, vol. 41(3), pages 789-803.
    2. repec:rre:publsh:v:38:y:2008:i:1:p:89-103 is not listed on IDEAS
    3. Gindo Tampubolon & S. V. Subramanian & Ichiro Kawachi, 2013. "Neighbourhood Social Capital And Individual Self‐Rated Health In Wales," Health Economics, John Wiley & Sons, Ltd., vol. 22(1), pages 14-21, January.
    4. Nolte, Ellen & Britton, Annie & McKee, Martin, 2003. "Trends in mortality attributable to current alcohol consumption in east and west Germany," Social Science & Medicine, Elsevier, vol. 56(7), pages 1385-1395, April.
    5. repec:dau:papers:123456789/11069 is not listed on IDEAS
    6. Rainer, Helmut & Siedler, Thomas, 2009. "Does democracy foster trust?," Journal of Comparative Economics, Elsevier, vol. 37(2), pages 251-269, June.
    7. Gundi Knies & C. Katharina Spieß, 2007. "Regional Data in the German Socio-Economic Panel Study (SOEP)," Data Documentation 17, DIW Berlin, German Institute for Economic Research.
    8. Nicolas Ziebarth & Markus Grabka, 2009. "In Vino Pecunia? The Association Between Beverage-Specific Drinking Behavior and Wages," Journal of Labor Research, Springer, vol. 30(3), pages 219-244, September.
    9. Sonja C. Kassenboehmer & John P. Haisken‐DeNew, 2009. "You're Fired! The Causal Negative Effect of Entry Unemployment on Life Satisfaction," Economic Journal, Royal Economic Society, vol. 119(536), pages 448-462, March.
    10. Konrad B. Burchardi & Tarek A. Hassan, 2013. "The Economic Impact of Social Ties: Evidence from German Reunification," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 128(3), pages 1219-1271.
    11. Andersen, Lotte Bøgh & Bech, Mickael & Lauridsen, Jørgen, 2012. "Political or dental power in private and public service provision: a study of municipal expenditures for child dental care," Health Economics, Policy and Law, Cambridge University Press, vol. 7(3), pages 327-342, July.
    12. Alberto Alesina & Nicola Fuchs-Schundeln, 2005. "Good bye Lenin (or not?): The effect of Communism on people's preferences," Harvard Institute of Economic Research Working Papers 2076, Harvard - Institute of Economic Research.
    13. Eibich, Peter & Ziebarth, Nicolas R., 2014. "Analyzing regional variation in health care utilization using (rich) household microdata," Health Policy, Elsevier, vol. 114(1), pages 41-53.
    14. Nicolas R. Ziebarth, 2009. "Measurement of Health, the Sensitivity of the Concentration Index, and Reporting Heterogeneity," SOEPpapers on Multidisciplinary Panel Data Research 211, DIW Berlin, The German Socio-Economic Panel (SOEP).
    15. Sara Ayllón & Cristina Blanco-Perez, 2012. "State Dependence in Self-Assessed Health in Spain," Hacienda Pública Española / Review of Public Economics, IEF, vol. 202(3), pages 9-30, Spetember.
    16. Baltagi, Badi H. & Moscone, Francesco, 2010. "Health care expenditure and income in the OECD reconsidered: Evidence from panel data," Economic Modelling, Elsevier, vol. 27(4), pages 804-811, July.
    17. F. Moscone & E. Tosetti, 2010. "Health expenditure and income in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 19(12), pages 1385-1403, December.
    18. Daniel Sullivan & Till von Wachter, 2009. "Job Displacement and Mortality: An Analysis Using Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(3), pages 1265-1306.
    19. Riphahn, Regina T. & Zimmermann, Klaus F., 1998. "The Mortality Crisis in East Germany," IZA Discussion Papers 6, Institute of Labor Economics (IZA).
    20. Lagravinese, R. & Moscone, F. & Tosetti, E. & Lee, H., 2014. "The impact of air pollution on hospital admissions: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 49(C), pages 278-285.
    21. Joachim Frick & Nicolas Ziebarth, 2013. "Welfare-related health inequality: does the choice of measure matter?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(3), pages 431-442, June.
    22. Brosig-Koch, Jeannette & Helbach, Christoph & Ockenfels, Axel & Weimann, Joachim, 2011. "Still different after all these years: Solidarity behavior in East and West Germany," Journal of Public Economics, Elsevier, vol. 95(11), pages 1373-1376.
    23. M. Hashem Pesaran, 2006. "Estimation and Inference in Large Heterogeneous Panels with a Multifactor Error Structure," Econometrica, Econometric Society, vol. 74(4), pages 967-1012, July.
    24. Matthias Nübling & Hanfried H. Andersen & Axel Mühlbacher & Jürgen Schupp & Gert G. Wagner, 2007. "Computation of Standard Values for Physical and Mental Health Scale Scores Using the SOEP Version of SF12v2," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 171-182.
    25. Sundmacher, Leonie & Busse, Reinhard, 2011. "The impact of physician supply on avoidable cancer deaths in Germany. A spatial analysis," Health Policy, Elsevier, vol. 103(1), pages 53-62.
    26. Filippini, M. & Masiero, G. & Moschetti, K., 2009. "Regional consumption of antibiotics: A demand system approach," Economic Modelling, Elsevier, vol. 26(6), pages 1389-1397, November.
    27. Bech, Mickael & Lauridsen, Jørgen, 2008. "Exploring the spatial pattern in hospital admissions," Health Policy, Elsevier, vol. 87(1), pages 50-62, July.
    28. Thomas Kopetsch & Hendrik Schmitz, 2014. "Regional Variation In The Utilisation Of Ambulatory Services In Germany," Health Economics, John Wiley & Sons, Ltd., vol. 23(12), pages 1481-1492, December.
    29. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    30. Badi Baltagi & Francesco Moscone & Elisa Tosetti, 2012. "Medical technology and the production of health care," Empirical Economics, Springer, vol. 42(2), pages 395-411, April.
    31. Arnab Bhattacharjee & Taps Maiti & Dennis Petrie, 2014. "Spatial structures of health outcomes and health behaviours in Scotland: Evidence from the Scottish Health Survey," SEEC Discussion Papers 1401, Spatial Economics and Econometrics Centre, Heriot Watt University.
    32. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    33. Gundi Knies & Simon Burgess & Carol Propper, 2008. "Keeping up with the Schmidt`s – An Empirical Test of Relative Deprivation Theory in the Neighbourhood Context," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 128(1), pages 75-108.
    34. Coneus, Katja & Spiess, C. Katharina, 2012. "Pollution exposure and child health: Evidence for infants and toddlers in Germany," Journal of Health Economics, Elsevier, vol. 31(1), pages 180-196.
    35. Boris Augurzky & Thomas Kopetsch & Hendrik Schmitz, 2013. "What accounts for the regional differences in the utilisation of hospitals in Germany?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(4), pages 615-627, August.
    36. Gert G. Wagner & Joachim R. Frick & Jürgen Schupp, 2007. "The German Socio-Economic Panel Study (SOEP) – Scope, Evolution and Enhancements," Schmollers Jahrbuch : Journal of Applied Social Science Studies / Zeitschrift für Wirtschafts- und Sozialwissenschaften, Duncker & Humblot, Berlin, vol. 127(1), pages 139-169.
    37. Felder, Stefan & Tauchmann, Harald, 2013. "Federal state differentials in the efficiency of health production in Germany: an artifact of spatial dependence?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 14(1), pages 21-39.
    38. M. Filippini & L. Ortiz & G. Masiero, 2013. "Assessing the impact of national antibiotic campaigns in Europe," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(4), pages 587-599, August.
    39. Michael Frakes, 2013. "The Impact of Medical Liability Standards on Regional Variations in Physician Behavior: Evidence from the Adoption of National-Standard Rules," American Economic Review, American Economic Association, vol. 103(1), pages 257-276, February.
    40. Mickael Bech & Jørgen Lauridsen, 2009. "Exploring spatial patterns in general practice expenditure," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(3), pages 243-254, July.
    41. L. G. González Ortiz & G. Masiero, 2013. "Disentangling spillover effects of antibiotic consumption: a spatial panel approach," Applied Economics, Taylor & Francis Journals, vol. 45(8), pages 1041-1054, March.
    42. Julian Besag & Jeremy York & Annie Mollié, 1991. "Bayesian image restoration, with two applications in spatial statistics," Annals of the Institute of Statistical Mathematics, Springer;The Institute of Statistical Mathematics, vol. 43(1), pages 1-20, March.
    43. Moscone, Francesco & Knapp, Martin & Tosetti, Elisa, 2007. "Mental health expenditure in England: A spatial panel approach," Journal of Health Economics, Elsevier, vol. 26(4), pages 842-864, July.
    44. Andrew Gelman & Christian P. Robert, 2013. ""Not Only Defended But Also Applied": The Perceived Absurdity of Bayesian Inference," The American Statistician, Taylor & Francis Journals, vol. 67(1), pages 1-5, February.
    45. Di Matteo, Livio, 2005. "The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time," Health Policy, Elsevier, vol. 71(1), pages 23-42, January.
    46. Jorgen Lauridsen & Mariluz Sánchez & Mickael Bech, 2010. "Public pharmaceutical expenditure: identification of spatial effects," Journal of Geographical Systems, Springer, vol. 12(2), pages 175-188, June.
    47. Paul Frijters & John P. Haisken-DeNew & Michael A. Shields, 2004. "Money Does Matter! Evidence from Increasing Real Income and Life Satisfaction in East Germany Following Reunification," American Economic Review, American Economic Association, vol. 94(3), pages 730-740, June.
    48. Browning, Christopher R. & Cagney, Kathleen A. & Wen, Ming, 2003. "Explaining variation in health status across space and time: implications for racial and ethnic disparities in self-rated health," Social Science & Medicine, Elsevier, vol. 57(7), pages 1221-1235, October.
    49. David J. Spiegelhalter & Nicola G. Best & Bradley P. Carlin & Angelika Van Der Linde, 2002. "Bayesian measures of model complexity and fit," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 64(4), pages 583-639, October.
    50. Jennifer Hunt, 2006. "Staunching Emigration from East Germany: Age and the Determinants of Migration," Journal of the European Economic Association, MIT Press, vol. 4(5), pages 1014-1037, September.
    51. Hendrik Jürges, 2007. "True health vs response styles: exploring cross‐country differences in self‐reported health," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 163-178, February.
    52. Ziebarth, Nicolas, 2010. "Measurement of health, health inequality, and reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 71(1), pages 116-124, July.
    53. Diehl, Katharina & Schneider, Sven, 2011. "How relevant are district characteristics in explaining subjective health in Germany? - A multilevel analysis," Social Science & Medicine, Elsevier, vol. 72(7), pages 1205-1210, April.
    54. Di Matteo, Livio & Di Matteo, Rosanna, 1998. "Evidence on the determinants of Canadian provincial government health expenditures: 1965-1991," Journal of Health Economics, Elsevier, vol. 17(2), pages 211-228, April.
    55. Drewnowski, Adam & D. Rehm, Colin & Solet, David, 2007. "Disparities in obesity rates: Analysis by ZIP code area," Social Science & Medicine, Elsevier, vol. 65(12), pages 2458-2463, December.
    56. Jorgen Lauridsen & Mickael Bech & Fernando López & Mariluz Sánchez, 2010. "A spatiotemporal analysis of public pharmaceutical expenditure," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 44(2), pages 299-314, April.
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    Cited by:

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    2. Mine Kühn & Christian Dudel & Tobias C. Vogt & Anna Oksuzyan, 2017. "Trends in gender differences in health and mortality at working ages among West and East Germans," MPIDR Working Papers WP-2017-009, Max Planck Institute for Demographic Research, Rostock, Germany.

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    JEL classification:

    • C11 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Bayesian Analysis: General
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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