IDEAS home Printed from https://ideas.repec.org/a/spr/jahrfr/v45y2025i2d10.1007_s10037-025-00229-z.html
   My bibliography  Save this article

Does where you live affect your health? Evidence from households in Türkiye

Author

Listed:
  • Merve Çelik Keçili

    (Department of Economics-Anadolu University)

  • Başak Sezgin Kiroğlu

    (Department of Economics-Anadolu University)

  • Ethem Esen

    (Department of Economics-Anadolu University)

Abstract

This study aims to explore the significant regional disparities in health status across Türkiye, focusing on the relationship between socioeconomic, demographic and infrastructural factors that impact household health condition. Recognizing health as a critical component of regional development, the paper constructs a health index, combining subjective and objective measures, using data from the Income and Living Conditions Survey (ILCS) spanning from 2016 to 2021. The research applies a Generalized Ordered Logit (GOL) model to assess health outcomes in relation to variables such as education, income, employment, age, chronic diseases, and housing conditions. Findings reveal notable differences in health conditions across statistical regions in Türkiye. The Istanbul region, characterized by higher education levels, income and employment rates consistently exhibits better health outcomes. Conversely, South East and Middle& North East regions, marked by lower education, income and employment rates, demonstrate poorer health conditions. The paper underscores the necessity of targeted policy interventions to improve health conditions by addressing regional socioeconomic disparities. It suggests policies that enhance education, income and employment opportunities and infrastructure improvements as pathways to fostering regional development and reducing health inequalities. Ultimately, the study offers valuable insights into how improving socioeconomic factors can elevate public health and contribute to equitable regional growth across Türkiye.

Suggested Citation

  • Merve Çelik Keçili & Başak Sezgin Kiroğlu & Ethem Esen, 2025. "Does where you live affect your health? Evidence from households in Türkiye," Review of Regional Research: Jahrbuch für Regionalwissenschaft, Springer;Gesellschaft für Regionalforschung (GfR), vol. 45(2), pages 247-270, June.
  • Handle: RePEc:spr:jahrfr:v:45:y:2025:i:2:d:10.1007_s10037-025-00229-z
    DOI: 10.1007/s10037-025-00229-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10037-025-00229-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s10037-025-00229-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    2. Thomson, H. & Thomas, S. & Sellstrom, E. & Petticrew, M., 2009. "The health impacts of housing improvement: a systematic review of intervention studies from 1887 to 2007," American Journal of Public Health, American Public Health Association, vol. 99, pages 681-692.
    3. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    4. Işıl Şirin Selçuk & Egemen İpek & Altuğ Murat Köktaş, 2023. "How Housing Conditions Affect Health: Findings From the Turkish National Household Panel Survey," Housing Policy Debate, Taylor & Francis Journals, vol. 33(1), pages 290-305, January.
    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. Benzeval, Michaela & Judge, Ken, 2001. "Income and health: the time dimension," Social Science & Medicine, Elsevier, vol. 52(9), pages 1371-1390, May.
    7. Gintare Mazeikaite & Cathal O’Donoghue & Denisa M. Sologon, 2021. "What Drives Cross-Country Health Inequality in the EU? Unpacking the Role of Socio-economic Factors," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(1), pages 117-155, May.
    8. Richard Williams, 2006. "Generalized ordered logit/partial proportional odds models for ordinal dependent variables," Stata Journal, StataCorp LLC, vol. 6(1), pages 58-82, March.
    9. Frank J. Elgar & Britt McKinnon & Torbjørn Torsheim & Christina Warrer Schnohr & Joanna Mazur & Franco Cavallo & Candace Currie, 2016. "Patterns of Socioeconomic Inequality in Adolescent Health Differ According to the Measure of Socioeconomic Position," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1169-1180, July.
    10. Fang, Pengqian & Dong, Siping & Xiao, Jingjing & Liu, Chaojie & Feng, Xianwei & Wang, Yiping, 2010. "Regional inequality in health and its determinants: Evidence from China," Health Policy, Elsevier, vol. 94(1), pages 14-25, January.
    11. Chen, Duan-Rung & Chang, Ly-Yun & Yang, Meng-Li, 2008. "Gender-specific responses to social determinants associated with self-perceived health in Taiwan: A multilevel approach," Social Science & Medicine, Elsevier, vol. 67(10), pages 1630-1640, November.
    12. Leogrande, Angelo, 2022. "The Mental Health Index in the Italian Regions," MPRA Paper 112954, University Library of Munich, Germany.
    13. repec:dau:papers:123456789/10510 is not listed on IDEAS
    14. Phuong Thu Nguyen & Preety Srivastava & Longfeng Ye & Jonathan Boymal, 2022. "Housing and occupant health: Findings from Vietnam," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 164(3), pages 1297-1321, December.
    15. Berman, Peter & Kendall, Carl & Bhattacharyya, Karabi, 1994. "The household production of health: Integrating social science perspectives on micro-level health determinants," Social Science & Medicine, Elsevier, vol. 38(2), pages 205-215, January.
    16. Vincent Kang Fu, 1999. "Estimating generalized ordered logit models," Stata Technical Bulletin, StataCorp LLC, vol. 8(44).
    17. 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.
    18. Uğur Ursavaş & Carlos Mendez, 2023. "Regional income convergence and conditioning factors in Turkey: revisiting the role of spatial dependence and neighbor effects," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 71(2), pages 363-389, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Jia Yue & Siyao Chen & Zhixiong Weng, 2025. "Rural Household Garbage Sorting for Sustainable Development: Contributing to Substantial Health Improvements in China," Sustainability, MDPI, vol. 17(10), pages 1-17, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hania Wu & Tony Tam, 2015. "Economic Development and Socioeconomic Inequality of Well-Being: A Cross-Sectional Time-Series Analysis of Urban China, 2003–2011," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 124(2), pages 401-425, November.
    2. Peng Nie & Qing Li & Alan A. Cohen & Alfonso Sousa-Poza, 2021. "In search of China’s income-health gradient: a biomarker-based analysis," Applied Economics, Taylor & Francis Journals, vol. 53(48), pages 5599-5618, October.
    3. John Gibson & Steven Stillman & David McKenzie & Halahingano Rohorua, 2013. "Natural Experiment Evidence On The Effect Of Migration On Blood Pressure And Hypertension," Health Economics, John Wiley & Sons, Ltd., vol. 22(6), pages 655-672, June.
    4. Odeyemi Gbenga A., 2015. "Understanding the Dynamics between Income and Health: Evidence Form African’s Richest and Poorest Countries," Journal of Public Policy & Governance, Research Academy of Social Sciences, vol. 2(2), pages 56-67.
    5. 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.
    6. Yongqing Dong & Quheng Deng & Shaoping Li, 2022. "The Health Inequality of Children in China: A Regression-Based Decomposition Analysis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 137-159, February.
    7. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
    8. Dusanee Kesavayuth & Robert Rosenman & Vasileios Zikos, 2013. "Does Personality Affect how People Perceive their Health?," Working Papers 2013-13, School of Economic Sciences, Washington State University.
    9. Fuks, Mauricio & Salazar, Esther, 2008. "Applying models for ordinal logistic regression to the analysis of household electricity consumption classes in Rio de Janeiro, Brazil," Energy Economics, Elsevier, vol. 30(4), pages 1672-1692, July.
    10. Davillas, Apostolos & de Oliveira, Victor Hugo & Jones, Andrew M., 2023. "Is inconsistent reporting of self-assessed health persistent and systematic? Evidence from the UKHLS," Economics & Human Biology, Elsevier, vol. 49(C).
    11. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    12. Oscar Erixson, 2017. "Health responses to a wealth shock: evidence from a Swedish tax reform," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(4), pages 1281-1336, October.
    13. Roberto Casarin & Niccolò Casnici & Pierpaolo Dondio & Flaminio Squazzoni, 2015. "Back to Basics! The Educational Gap of Online Investors and the Conundrum of Virtual Communities," Journal of Financial Management, Markets and Institutions, Società editrice il Mulino, issue 1, pages 51-69, June.
    14. Ying Yao & Guanghua Wan & Dongfang Meng, 2019. "Income distribution and health: can polarization explain health outcomes better than inequality?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(4), pages 543-557, June.
    15. Johan Graafland, 2020. "When Does Economic Freedom Promote Well Being? On the Moderating Role of Long-Term Orientation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(1), pages 127-153, May.
    16. Aparajita Dasgupta, 2018. "Systematic measurement error in self-reported health: is anchoring vignettes the way out?," IZA Journal of Migration and Development, Springer;Forschungsinstitut zur Zukunft der Arbeit GmbH (IZA), vol. 8(1), pages 1-30, December.
    17. Juan Palacios & Piet Eichholtz & Nils Kok & Erdal Aydin, 2021. "The impact of housing conditions on health outcomes," Real Estate Economics, American Real Estate and Urban Economics Association, vol. 49(4), pages 1172-1200, December.
    18. Chris Muris & Pedro Raposo & Sotiris Vandoros, 2020. "A dynamic ordered logit model with fixed effects," Papers 2008.05517, arXiv.org.
    19. Benzeval, Michaela & Davillas, Apostolos & M. Jones, Andrew, 2017. "The income-health gradient: evidence from self-reported health and biomarkers using longitudinal data on income," ISER Working Paper Series 2017-03, Institute for Social and Economic Research.
    20. Philippe Cyrenne & Alan Chan, 2019. "The Determinants of Student Success in University: A Generalized Ordered Logit Approach," Departmental Working Papers 2019-03, The University of Winnipeg, Department of Economics.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:jahrfr:v:45:y:2025:i:2:d:10.1007_s10037-025-00229-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.