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“Mirror, mirror, on the wall, who in this land is fairest of all?”—Distributional sensitivity in the measurement of socioeconomic inequality of health

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  • Erreygers, Guido
  • Clarke, Philip
  • Van Ourti, Tom

Abstract

This paper explores four alternative indices for measuring health inequalities in a way that takes into account attitudes towards inequality. First, we revisit the extended concentration index which has been proposed to make it possible to introduce changes into the distributional value judgements implicit in the standard concentration index. Next, we suggest an alternative index based on a different weighting scheme. In contrast to the extended concentration index, this new index has the ‘symmetry’ property. We also show how these indices can be generalized so that they satisfy the ‘mirror’ property, which may be seen as a desirable property when dealing with bounded variables. We compare the different indices empirically for under-five mortality rates and the number of antenatal visits in developing countries.

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  • Erreygers, Guido & Clarke, Philip & Van Ourti, Tom, 2012. "“Mirror, mirror, on the wall, who in this land is fairest of all?”—Distributional sensitivity in the measurement of socioeconomic inequality of health," Journal of Health Economics, Elsevier, vol. 31(1), pages 257-270.
  • Handle: RePEc:eee:jhecon:v:31:y:2012:i:1:p:257-270
    DOI: 10.1016/j.jhealeco.2011.10.009
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    Cited by:

    1. Heckley, Gawain A. & Gerdtham, Ulf-G. & Kjellsson, Gustav, 2014. "A New Approach to Decomposition of a Bivariate Rank Dependent Index Using Recentered Influence Function Regression," Working Papers 2014:36, Lund University, Department of Economics, revised 01 Apr 2015.
    2. MUSSARD Stéphane & PI ALPERIN Maria Noel, 2016. "A Two-parameter Family of Socio-economic Health Inequality Indices: Accounting for Risk and Inequality Aversions," LISER Working Paper Series 2016-15, Luxembourg Institute of Socio-Economic Research (LISER).
    3. Hernández-Quevedo, Cristina & Masseria, Cristina, 2013. "Measuring income-related inequalities in health in multi-country analysis," LSE Research Online Documents on Economics 53576, London School of Economics and Political Science, LSE Library.
    4. Hernández-Quevedo, Cristina & Masseria, Cristina, 2013. "Measuring Income-Related Inequalities in Health in Multi-Country Analysis/Midiendo las desigualdades en salud relacionadas con la renta entre países," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 31, pages 455-476, Septiembr.
    5. Laia Maynou & Marc Saez & Jordi Bacaria & Guillem Lopez-Casasnovas, 2015. "Health inequalities in the European Union: an empirical analysis of the dynamics of regional differences," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(5), pages 543-559, June.
    6. Paul Makdissi & Myra Yazbeck, 2014. "Robust Wagstaff Orderings of Distributions of Self-Reported Health Status," Discussion Papers Series 533, School of Economics, University of Queensland, Australia.
    7. 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.
    8. MUSSARD Stéphane & PI ALPERIN Maria Noel & THIREAU Véronique, 2016. "Aggregable Health Inequality Indices," LISER Working Paper Series 2016-11, Luxembourg Institute of Socio-Economic Research (LISER).
    9. Mohamad Khaled & Paul Makdissi & Myra Yazbeck, 2018. "On the importance of the upside down test in absolute socioeconomic health inequality comparisons," Working Papers 180003, Canadian Centre for Health Economics.
    10. John E. Ataguba, 2022. "A short note revisiting the concentration index: Does the normalization of the concentration index matter?," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1506-1512, July.
    11. Guido Erreygers & Roselinde Kessels, 2017. "Socioeconomic Status and Health: A New Approach to the Measurement of Bivariate Inequality," IJERPH, MDPI, vol. 14(7), pages 1-23, June.
    12. Khaled, Mohamad A. & Makdissi, Paul & Yazbeck, Myra, 2018. "Income-related health transfers principles and orderings of joint distributions of income and health," Journal of Health Economics, Elsevier, vol. 57(C), pages 315-331.
    13. Roselinde Kessels & Guido Erreygers, 2019. "A direct regression approach to decomposing socioeconomic inequality of health," Health Economics, John Wiley & Sons, Ltd., vol. 28(7), pages 884-905, July.
    14. Mohamad A. Khaled & Paul Makdissi & Rami V. Tabri & Myra Yazbeck, 2018. "A framework for testing the equality between the health concentration curve and the 45‐degree line," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 887-896, May.
    15. Di Novi, C. & Piacenza, M. & Robone, S. & Turati, G., 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Health, Econometrics and Data Group (HEDG) Working Papers 15/23, HEDG, c/o Department of Economics, University of York.
    16. Di Novi, Cinzia & Piacenza, Massimiliano & Robone, Silvana & Turati, Gilberto, 2019. "Does fiscal decentralization affect regional disparities in health? Quasi-experimental evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 78(C).
    17. Hardardottir, Hjördis & Gerdtham, Ulf-G. & Wengström, Erik, 2019. "What Kind of Inequality Do You Prefer? Evaluating Measures of Income and Health Inequality Using Choice Experiments," Working Papers 2019:7, Lund University, Department of Economics, revised 31 May 2019.
    18. Kristof Bosmans, 2016. "Consistent Comparisons of Attainment and Shortfall Inequality: A Critical Examination," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1425-1432, November.
    19. Guido Erreygers & Roselinde Kessels & Linkun Chen & Philip Clarke, 2016. "Decomposing Socioeconomic Inequality of Health," EcoMod2016 9574, EcoMod.
    20. Glenn Sheriff & Kelly B. Maguire, 2020. "Health Risk, Inequality Indexes, and Environmental Justice," Risk Analysis, John Wiley & Sons, vol. 40(12), pages 2661-2674, December.
    21. Hjördis Hardardottir & Ulf‐G Gerdtham & Erik Wengström, 2021. "Parameterizing standard measures of income and health inequality using choice experiments," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2531-2546, September.
    22. Tzu-Ying Chen & Yi-Hsin Elsa Hsu & Rachel J. Huang & Larry Y. Tzeng, 2021. "Making socioeconomic health inequality comparisons when health concentration curves intersect," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 57(4), pages 875-899, November.
    23. 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.

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    More about this item

    Keywords

    Health inequality; Socioeconomic inequality; Extended concentration index; Distributional sensitivity; Small-sample bias;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other
    • I32 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Measurement and Analysis of Poverty
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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