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Measuring inequalities in health: What do we know? What do we need to know?

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  • Costa-Font, Joan
  • Hernández-Quevedo, Cristina

Abstract

We argue that policy analysis aiming at curving inequalities in health calls for a better understanding of what we know about its measurement pathways. Assuming that health is a good that individuals trade off against other goods, unavoidable health inequalities result when after controlling for unavoidable factors (e.g., age and gender), differences in socioeconomic status of an individual systemically engender differences in health outcomes. However, the measurement of such inequality and underpinning reasons behind are not suggestive of a clear picture. In reviewing the literature, we conclude that it is unclear what the evidence suggests about the reasons for health inequalities as well as the best possible instruments to measure both inequality and socioeconomic health gradients. We provide an evaluation of the different sources of health inequity and we draw upon measurement issues and their policy significance.

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  • Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    • Handle: RePEc:eee:hepoli:v:106:y:2012:i:2:p:195-206
    DOI: 10.1016/j.healthpol.2012.04.007
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    Cited by:

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    4. Cheng, Terence C. & Kim, Seonghoon & Petrie, Dennis, 2024. "Health shocks, health and labor market dynamics, and the socioeconomic-health gradient in older Singaporeans," Social Science & Medicine, Elsevier, vol. 348(C).
    5. Joan Costa-i-Font & Frank Cowell, 2019. "Incorporating Inequality Aversion in Health-Care Priority Setting," CESifo Working Paper Series 7503, CESifo.
    6. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    7. Sharon Merkin & Hadar Arditi-Babchuk & Tamy Shohat, 2015. "Neighborhood socioeconomic status and self-rated health in Israel: the Israel National Health Interview Survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 651-658, September.
    8. Joan Costa Font & Frank Cowell, 2013. "Measuring Health Inequality with Categorical Data: Some Regional Patterns," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 53-76, Emerald Group Publishing Limited.
    9. Joan Costa-Font & Cristina Hernandez-Quevedo & Azusa Sato, 2018. "A Health ‘Kuznets’ Curve’? Cross-Sectional and Longitudinal Evidence on Concentration Indices’," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(2), pages 439-452, April.
    10. Lauri Peterson, 2014. "The Measurement of Non-economic Inequality in Well-Being Indices," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 119(2), pages 581-598, November.
    11. Riumallo-Herl, Carlos & Canning, David & Kabudula, Chodziwadziwa, 2019. "Health inequalities in the South African elderly: The importance of the measure of social-economic status," The Journal of the Economics of Ageing, Elsevier, vol. 14(C).
    12. Hajizadeh, Mohammad & Nandi, Arijit & Heymann, Jody, 2014. "Social inequality in infant mortality: What explains variation across low and middle income countries?," Social Science & Medicine, Elsevier, vol. 101(C), pages 36-46.
    13. Costa-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2014. "Income inequalities in unhealthy life styles in England and Spain," Economics & Human Biology, Elsevier, vol. 13(C), pages 66-75.
    14. Embrett, Mark G. & Randall, G.E., 2014. "Social determinants of health and health equity policy research: Exploring the use, misuse, and nonuse of policy analysis theory," Social Science & Medicine, Elsevier, vol. 108(C), pages 147-155.
    15. Javier Alvarez-Galvez & Maria Luisa Rodero-Cosano & Emma Motrico & Jose A. Salinas-Perez & Carlos Garcia-Alonso & Luis Salvador-Carulla, 2013. "The Impact of Socio-Economic Status on Self-Rated Health: Study of 29 Countries Using European Social Surveys (2002–2008)," IJERPH, MDPI, vol. 10(3), pages 1-15, February.
    16. Javier Alvarez-Galvez, 2018. "Multidimensionality of Health Inequalities: A Cross-Country Identification of Health Clusters through Multivariate Classification Techniques," IJERPH, MDPI, vol. 15(9), pages 1-12, September.
    17. Hajizadeh, Mohammad & Mitnitski, Arnold & Rockwood, Kenneth, 2016. "Socioeconomic gradient in health in Canada: Is the gap widening or narrowing?," Health Policy, Elsevier, vol. 120(9), pages 1040-1050.
    18. Pablo Villalobos Dintrans, 2020. "Health Systems, Aging, and Inequity: An Example from Chile," IJERPH, MDPI, vol. 17(18), pages 1-9, September.

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    Socioeconomic status; Health inequalities; Income; Education; Health;
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    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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