Robustness in health research: Do differences in health measures, techniques, and time frame matter?
Survey-based health research is in a boom phase following an increased amount of health spending in OECD countries and the interest in ageing. A general characteristic of survey-based health research is its diversity. Different studies are based on different health questions in different datasets; they use different statistical techniques; they differ in whether they approach health from an ordinal or cardinal perspective; and they differ in whether they measure short-term or long-term effects. The question in this paper is simple: do these differences matter for the findings? We investigate the effects of life-style choices (drinking, smoking, exercise) and income on six measures of health in the US Health and Retirement Study (HRS) between 1992 and 2002: (1) self-assessed general health status, (2) problems with undertaking daily tasks and chores, (3) mental health indicators, (4) BMI, (5) the presence of serious long-term health conditions, and (6) mortality. We compare ordinal models with cardinal models; we compare models with fixed effects to models without fixed-effects; and we compare short-term effects to long-term effects. We find considerable variation in the impact of different determinants on our chosen health outcome measures; we find that it matters whether ordinality or cardinality is assumed; we find substantial differences between estimates that account for fixed effects versus those that do not; and we find that short-run and long-run effects differ greatly. All this implies that health is an even more complicated notion than hitherto thought, defying generalizations from one measure to the others or one methodology to another.
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- Christopher J. Ruhm, 2000.
"Are Recessions Good For Your Health?,"
The Quarterly Journal of Economics,
MIT Press, vol. 115(2), pages 617-650, May.
- Chamberlain, Gary, 1980. "Analysis of Covariance with Qualitative Data," Review of Economic Studies, Wiley Blackwell, vol. 47(1), pages 225-38, January.
- Michaud, P.C. & van Soest, A.H.O., 2004.
"Health and Wealth of Elderly Couples : Causality Tests Using Dynamic Panel Data Models,"
2004-81, Tilburg University, Center for Economic Research.
- Michaud, Pierre-Carl & van Soest, Arthur, 2008. "Health and wealth of elderly couples: Causality tests using dynamic panel data models," Journal of Health Economics, Elsevier, vol. 27(5), pages 1312-1325, September.
- Pierre-Carl Michaud & Arthur van Soest, 2004. "Health and Wealth of Elderly Couples: Causality Tests Using Dynamic Panel Data Models," Working Papers 191, RAND Corporation Publications Department.
- Michaud, P.C. & van Soest, A.H.O., 2008. "Health and wealth of elderly couples : Causality tests using dynamic panel data models," Other publications TiSEM fdba31e1-0443-4f73-b4cc-b, School of Economics and Management.
- Michaud, Pierre-Carl & van Soest, Arthur, 2004. "Health and Wealth of Elderly Couples: Causality Tests Using Dynamic Panel Data Models," IZA Discussion Papers 1312, Institute for the Study of Labor (IZA).
- Michael Hurd & Arie Kapteyn, 2003.
"Health, Wealth, and the Role of Institutions,"
Journal of Human Resources,
University of Wisconsin Press, vol. 38(2).
- Orazio P. Attanasio & Hilary Williamson Hoynes, 2000.
"Differential Mortality and Wealth Accumulation,"
Journal of Human Resources,
University of Wisconsin Press, vol. 35(1), pages 1-29.
- Orazio P. Attanasio & Hilary W. Hoynes, 1995. "Differential Mortality and Wealth Accumulation," NBER Working Papers 5126, National Bureau of Economic Research, Inc.
- O. Attanasio & H. W. Hoynes, . "Differential mortality and wealth accumulation," Institute for Research on Poverty Discussion Papers 1079-96, University of Wisconsin Institute for Research on Poverty.
- Deaton, A., 1998.
"Aging and Inequality in Income and Health,"
181, Princeton, Woodrow Wilson School - Development Studies.
- repec:dgr:kubcen:200481 is not listed on IDEAS
- James P. Smith, 2003.
"Consequences and Predictors of New Health Events,"
NBER Working Papers
10063, National Bureau of Economic Research, Inc.
- Ulf-G. Gerdtham & Magnus Johannesson, 2004. "Absolute Income, Relative Income, Income Inequality, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
- Andrew M. Jones & Stefanie Schurer, 2007.
"How Does Heterogeneity Shape the Socioeconomic Gradient in Health Satisfaction?,"
Ruhr Economic Papers
0008, Rheinisch-Westfälisches Institut für Wirtschaftsforschung, Ruhr-Universität Bochum, Universität Dortmund, Universität Duisburg-Essen.
- Andrew M. Jones & Stefanie Schurer, 2011. "How does heterogeneity shape the socioeconomic gradient in health satisfaction?," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 26(4), pages 549-579, 06.
- Andrew M. Jones & Stefanie Schurer, 2007. "How does heterogeneity shape the socioeconomic gradient in health satisfaction?," Health, Econometrics and Data Group (HEDG) Working Papers 07/05, HEDG, c/o Department of Economics, University of York.
- David M. Cutler & Edward Glaeser, 2005.
"What Explains Differences in Smoking, Drinking, and Other Health-Related Behaviors?,"
American Economic Review,
American Economic Association, vol. 95(2), pages 238-242, May.
- David Cutler & Edward Glaeser, 2005. "What Explains Differences in Smoking, Drinking and Other Health-Related Behaviors," NBER Working Papers 11100, National Bureau of Economic Research, Inc.
- David Cutler & Edward Glaeser, 2005. "What Explains Differences in Smoking, Drinking and Other Health-Related Behaviors?," Harvard Institute of Economic Research Working Papers 2060, Harvard - Institute of Economic Research.
- Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005.
"Socio-Economic Status, Health Shocks, Life Satisfaction and Mortality: Evidence from an Increasing Mixed Proportional Hazard Model,"
IZA Discussion Papers
1488, Institute for the Study of Labor (IZA).
- Paul Frijters & John Haisken-DeNew & Michael Shields, 2005. "Socio-Economic Status, Health Shocks, Life Satisfaction and Mortality: Evidence from an Increasing Mixed Proportional Hazard Model," CEPR Discussion Papers 496, Centre for Economic Policy Research, Research School of Economics, Australian National University.
- Andrew M Jones & Xander Koolman & Nigel Rice, 2005. "Health-related non-response in the BHPS and ECHP: using inverse probability weighted estimators in nonlinear models," Health, Econometrics and Data Group (HEDG) Working Papers 05/05, HEDG, c/o Department of Economics, University of York.
- Meer, Jonathan & Miller, Douglas L. & Rosen, Harvey S., 2003.
"Exploring the health-wealth nexus,"
Journal of Health Economics,
Elsevier, vol. 22(5), pages 713-730, September.
- Ellen Meara, 2001. "Why is Health Related to Socioeconomic Status?," NBER Working Papers 8231, National Bureau of Economic Research, Inc.
- 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.
- Anne Case & Angela Fertig & Christina Paxson, 2004. "The Lasting Impact of Childhood Health and Circumstance," Working Papers 246, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- 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,"
in: Perspectives on the Economics of Aging, pages 415-526
National Bureau of Economic Research, Inc.
- Adams, Peter & Hurd, Michael D. & McFadden, Daniel & Merrill, Angela & Ribeiro, Tiago, 2003. "Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status," Journal of Econometrics, Elsevier, vol. 112(1), pages 3-56, January.
- 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.
- Clark, Andrew E & Oswald, Andrew J, 1994. "Unhappiness and Unemployment," Economic Journal, Royal Economic Society, vol. 104(424), pages 648-59, May.
- Frank A. Sloan & Jan Ostermann & Christopher Conover & Donald H. Taylor, Jr. & Gabriel Picone, 2006. "The Price of Smoking," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262693453, June.
- Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
- Benzeval, Michaela & Judge, Ken, 2001. "Income and health: the time dimension," Social Science & Medicine, Elsevier, vol. 52(9), pages 1371-1390, May.
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