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Poor And Sick: Estimating The Relationship Between Household Income And Health

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  • ATHINA ECONOMOU
  • IOANNIS THEODOSSIOU

Abstract

This study evaluates the effect of the individual‘s household income on their health at the later stages of working life. A structural equation model is utilised in order to derive a composite and continuous index of the latent health status from qualitative health status indicators. The endogenous relationship between health status and household income status is taken into account by using IV estimators. The findings reveal a significant effect of individual household income on health before and after endogeneity is taken into account and after a host of other factors which is known to influence health, including hereditary factors and the individual‘s locus of control. Importantly, it is also shown that the childhood socioeconomic position of the individual has long lasting effects on health as it appears to play a significant role in determining health during the later stages of working life.
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  • Athina Economou & Ioannis Theodossiou, 2011. "Poor And Sick: Estimating The Relationship Between Household Income And Health," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(3), pages 395-411, September.
    • Handle: RePEc:bla:revinw:v:57:y:2011:i:3:p:395-411
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    1. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    2. Gretchen B. Chapman & Arthur S. Elstein, 1995. "Valuing the Future," Medical Decision Making, , vol. 15(4), pages 373-386, October.
    3. Mikael Lindahl, 2005. "Estimating the Effect of Income on Health and Mortality Using Lottery Prizes as an Exogenous Source of Variation in Income," Journal of Human Resources, University of Wisconsin Press, vol. 40(1).
    4. 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.
    5. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
    6. M. Hurd & A. Kapteyn, 2005. "Health, Wealth, and the Role of Institutions," Springer Books, in: Peter Gijsel & Hans Schenk (ed.), Multidisciplinary Economics, pages 307-332, Springer.
    7. Hahn, Jinyong & Hausman, Jerry, 2002. "Notes on bias in estimators for simultaneous equation models," Economics Letters, Elsevier, vol. 75(2), pages 237-241, April.
    8. Martelin, Tuija, 1994. "Mortality by indicators of socioeconomic status among the finnish elderly," Social Science & Medicine, Elsevier, vol. 38(9), pages 1257-1278, May.
    9. 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.
    10. Goldman, Noreen & Korenman, Sanders & Weinstein, Rachel, 1995. "Marital status and health among the elderly," Social Science & Medicine, Elsevier, vol. 40(12), pages 1717-1730, June.
    11. Wagstaf, Adam & Paci, Pierella & Joshi, Heather, 2001. "Causes of inequality in health : who are you? where do you live? or who your parents were?," Policy Research Working Paper Series 2713, The World Bank.
    12. Michael Hurd & Arie Kapteyn, 2003. "Health, Wealth, and the Role of Institutions," Journal of Human Resources, University of Wisconsin Press, vol. 38(2).
    13. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
    14. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    15. Ye Luo & Linda J. Waite, 2005. "The Impact of Childhood and Adult SES on Physical, Mental, and Cognitive Well-Being in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(2), pages 93-101.
    16. Olga Kiuila & Peter Mieszkowski, 2007. "The effects of income, education and age on health," Health Economics, John Wiley & Sons, Ltd., vol. 16(8), pages 781-798, August.
    17. Martin Dooley & Lori Curtis, "undated". "Child Health and Family Socioeconomic Status in the Canadian National Longitudinal Survey of Children and Youth," Canadian International Labour Network Working Papers 38, McMaster University.
    18. Van Ourti, Tom, 2003. "Socio-economic inequality in ill-health amongst the elderly: Should one use current or permanent income?," Journal of Health Economics, Elsevier, vol. 22(2), pages 219-241, March.
    19. James Smith & Raynard Kington, 1997. "Demographic and economic correlates of health in old age," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 159-170, February.
    20. Duncan, G.J. & Daly, M.C. & McDonough, P. & Williams, D.R., 2002. "Optimal indicators of socioeconomic status for health research," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1151-1157.
    21. Ecob, Russell & Davey Smith, George, 1999. "Income and health: what is the nature of the relationship?," Social Science & Medicine, Elsevier, vol. 48(5), pages 693-705, March.
    22. Skalli, Ali & Johansson, Edvard & Theodossiou, Ioannis, . "Are the Healthier Wealtier or the Wealthier Healthier?The European Evidence," ETLA B, The Research Institute of the Finnish Economy, number 219.
    23. Goldsmith, Arthur H & Veum, Jonathan R & Darity, William, Jr, 1997. "The Impact of Psychological and Human Capital on Wages," Economic Inquiry, Western Economic Association International, vol. 35(4), pages 815-829, October.
    24. Hagen, Kåre Birger & Tambs, Kristian & Bjerkedal, Tor, 2006. "What mediates the inverse association between education and occupational disability from back pain?--A prospective cohort study from the Nord-Trøndelag health study in Norway," Social Science & Medicine, Elsevier, vol. 63(5), pages 1267-1275, September.
    25. James H. Stock & Motohiro Yogo, 2002. "Testing for Weak Instruments in Linear IV Regression," NBER Technical Working Papers 0284, National Bureau of Economic Research, Inc.
    26. Grundy, Emily & Holt, Gemma, 2000. "Adult life experiences and health in early old age in Great Britain," Social Science & Medicine, Elsevier, vol. 51(7), pages 1061-1074, October.
    27. Theodossiou, I., 1998. "The effects of low-pay and unemployment on psychological well-being: A logistic regression approach," Journal of Health Economics, Elsevier, vol. 17(1), pages 85-104, January.
    28. Buckley, Neil J. & Denton, Frank T. & Leslie Robb, A. & Spencer, Byron G., 2004. "The transition from good to poor health: an econometric study of the older population," Journal of Health Economics, Elsevier, vol. 23(5), pages 1013-1034, September.
    29. Hernández-Quevedo, Cristina & Jones, Andrew M. & Rice, Nigel, 2008. "Persistence in health limitations: A European comparative analysis," Journal of Health Economics, Elsevier, vol. 27(6), pages 1472-1488, December.
    30. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    31. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters, in: Perspectives on the Economics of Aging, pages 415-526, National Bureau of Economic Research, Inc.
    32. von dem Knesebeck, Olaf & Verde, Pablo E. & Dragano, Nico, 2006. "Education and health in 22 European countries," Social Science & Medicine, Elsevier, vol. 63(5), pages 1344-1351, September.
    33. Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
    34. Victor R. Fuchs, 2018. "Reflections on the Socio-Economic Correlates of Health," World Scientific Book Chapters, in: Health Economics and Policy Selected Writings by Victor Fuchs, chapter 10, pages 115-124, World Scientific Publishing Co. Pte. Ltd..
    35. Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-point shift and index shift in self-reported health," Journal of Health Economics, Elsevier, vol. 23(6), pages 1083-1099, November.
    36. Rahkonen, Ossi & Lahelma, Eero & Huuhka, Minna, 1997. "Past or present? Childhood living conditions and current socioeconomic status as determinants of adult health," Social Science & Medicine, Elsevier, vol. 44(3), pages 327-336, February.
    37. 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.
    38. Blakely, Tony A. & Lochner, Kimberly & Kawachi, Ichiro, 2002. "Metropolitan area income inequality and self-rated health--a multi-level study," Social Science & Medicine, Elsevier, vol. 54(1), pages 65-77, January.
    39. Liliana Winkelmann & Rainer Winkelmann, 1998. "Why Are the Unemployed So Unhappy?Evidence from Panel Data," Economica, London School of Economics and Political Science, vol. 65(257), pages 1-15, February.
    40. Duncan, G.J. & Daly, M.C. & McDonogh, P. & Williams, D.R., 2002. "Erratum: Optimal indicators of socioeconomic status for health research (American Journal of Public Health (2002) 92 (1151-1157))," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1212-1212.
    41. Demakakos, Panayotes & Nazroo, James & Breeze, Elizabeth & Marmot, Michael, 2008. "Socioeconomic status and health: The role of subjective social status," Social Science & Medicine, Elsevier, vol. 67(2), pages 330-340, July.
    42. Kuh, D. J. L. & Wadsworth, M. E. J., 1993. "Physical health status at 36 years in a British national birth cohort," Social Science & Medicine, Elsevier, vol. 37(7), pages 905-916, October.
    43. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
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    Cited by:

    1. Bárcena, Elena & Blázquez, Maite & Moro-Egido, Ana I., 2016. "The socioeconomic gradient in health: The role of intra-household resource allocation," Working Papers in Economic Theory 2016/06, Universidad Autónoma de Madrid (Spain), Department of Economic Analysis (Economic Theory and Economic History).
    2. Emmanuel Duguet & Christine Le Clainche, 2014. "The Effect of Non-Work Related Health Events on Career Outcomes: An Evaluation in the French Labor Market," Revue d'économie politique, Dalloz, vol. 124(3), pages 437-465.
    3. Kim, Hoolda & Mitra, Sophie, 2022. "Dynamics of health and labor income in Korea," The Journal of the Economics of Ageing, Elsevier, vol. 21(C).
    4. Maite Blázquez & Santiago Budría, 2018. "The Effects of Over-indebtedness on Individual Health," Hacienda Pública Española / Review of Public Economics, IEF, vol. 227(4), pages 103-131, December.
    5. Du Juan & Leigh J. Paul, 2018. "Effects of Minimum Wages on Absence from Work Due to Illness," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 18(1), pages 1-23, January.
    6. Otto Lenhart, 2019. "The effects of income on health: new evidence from the Earned Income Tax Credit," Review of Economics of the Household, Springer, vol. 17(2), pages 377-410, June.
    7. Maite Blázquez & Elena Cottini & Ainhoa Herrarte, 2014. "The socioeconomic gradient in health: how important is material deprivation?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 12(2), pages 239-264, June.
    8. Belayet Hossain & Laura Lamb, 2012. "The Impact of Human and Social Capital on Aboriginal Employment Income in Canada," Economic Papers, The Economic Society of Australia, vol. 31(4), pages 440-450, December.
    9. Dr Silvia Lui & Dr Martin Weale, 2012. "The Trade-off between Income and Smoking as Influences on Mortality: Evidence from the British Household Panel Survey for Men and Women aged Sixty-five and Over," National Institute of Economic and Social Research (NIESR) Discussion Papers 395, National Institute of Economic and Social Research.
    10. Dr Silvia Lui & Dr Martin Weale, 2012. "Education and its Effects on Survival, Income and Health of those aged Sixty-five and over in the United Kingdom," National Institute of Economic and Social Research (NIESR) Discussion Papers 393, National Institute of Economic and Social Research.
    11. Elena Bárcena-Martín & Maite Blázquez & Ana I. Moro Egido, 2017. "Intra-household allocation of resources and decision-making. How important are in terms of individual well-being?," ThE Papers 17/03, Department of Economic Theory and Economic History of the University of Granada..
    12. Dr Silvia Lui & Dr Martin Weale, 2012. "The Trade-off between Income and Smoking as Influences on Mortality: Evidence from the British Household Panel Survey for Men and Women aged Sixty-five and Over," National Institute of Economic and Social Research (NIESR) Discussion Papers 395, National Institute of Economic and Social Research.
    13. Maite Blázquez Cuesta & Santiago Budría, 2013. "Does income deprivation affect people’s mental well-being?," Working Papers 1312, Banco de España.
    14. Dr Silvia Lui & Dr Martin Weale, 2012. "Education and its Effects on Survival, Income and Health of those aged Sixty-five and over in the United Kingdom," National Institute of Economic and Social Research (NIESR) Discussion Papers 393, National Institute of Economic and Social Research.
    15. Dorsett, Richard & Lui, Silvia & Weale, Martin, 2014. "Education and its effects on income and mortality of men aged sixty-five and over in Great Britain," Labour Economics, Elsevier, vol. 27(C), pages 71-82.
    16. Bárcena-Martín, Elena & Blázquez, Maite & Moro-Egido, Ana I., 2020. "Intra-household arrangements: How important are they in terms of male-female subjective well-being?," Journal of Economic Psychology, Elsevier, vol. 80(C).
    17. Dr Silvia Lui & Dr Martin Weale, 2011. "Education and its Effects on the Income, Health and Survival of those aged Sixty-five and Over (This paper has been revised and is replaced by DP 393)," National Institute of Economic and Social Research (NIESR) Discussion Papers 383, National Institute of Economic and Social Research.
    18. Blázquez, Maite & Budría, Santiago & Moro-Egido, Ana I., 2020. "Over-indebtedness and age: The effects on individual health," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 87(C).
    19. Stefan Angel, 2016. "The Effect of Over-Indebtedness on Health: Comparative Analyses for Europe," Kyklos, Wiley Blackwell, vol. 69(2), pages 208-227, May.
    20. Hoolda Kim & Sophie Mitra, 2023. "Dynamics of Health and Labor Incomes in Korea," Fordham Economics Discussion Paper Series dp2023-01er:dp2023-01, Fordham University, Department of Economics.

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