Inequality of opportunity in health: evidence from a UK cohort study
This paper proposes an empirical implementation of the concept of inequality of opportunity in health and applies this to data from the UK National Child Development Study. Drawing on the distinction between circumstance and effort variables in John Roemer's work on equality of opportunity, circumstances are proxied by parental socio-economic status and childhood health; effort is proxied by health-related lifestyles and educational attainment. Stochastic dominance tests are used to detect inequality of opportunity in the conditional distributions of self-assessed health in adulthood. Two alternative approaches are used to measure inequality of opportunity. Econometric models are estimated to illuminate and quantify the triangular relationship between circumstances, effort and health. The results indicate the existence of a considerable and persistent inequality of opportunity in health. Circumstances affect health in adulthood both directly and through effort factors such as educational attainment. This indicates that, while the influence of some unjust circumstances can only be tackled during childhood, the implementation of complementary educational policies may be of paramount importance. Copyright © 2009 John Wiley & Sons, Ltd.
Volume (Year): 18 (2009)
Issue (Month): 9 ()
|Contact details of provider:|| Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Maarten Lindeboom & Ana Llena Nozal & Bas van der Klaauw, 2006.
"Disability and Work: the Role of Health Shocks and Childhood Circumstances,"
Tinbergen Institute Discussion Papers
06-039/3, Tinbergen Institute.
- Lindeboom, Maarten & Llena-Nozal, Ana & van der Klaauw, Bas, 2006. "Disability and Work: The Role of Health Shocks and Childhood Circumstances," CEPR Discussion Papers 5685, C.E.P.R. Discussion Papers.
- Lindeboom, Maarten & Llena-Nozal, Ana & van der Klaauw, Bas, 2006. "Disability and Work: The Role of Health Shocks and Childhood Circumstances," IZA Discussion Papers 2096, Institute for the Study of Labor (IZA).
- Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
- Simon Burgess & Carol Propper & John Rigg, 2004.
"The Impact of Low-Income on Child Health: Evidence from a Birth Cohort Study,"
The Centre for Market and Public Organisation
04/098, Department of Economics, University of Bristol, UK.
- Simon Burgess & Carol Propper & John A. Rigg, 2004. "The impact of low income on child health: evidence from a birth cohort study," LSE Research Online Documents on Economics 6305, London School of Economics and Political Science, LSE Library.
- Simon Burgess & Carol Propper & John A. Rigg, 2004. "The Impact of Low Income on Child Health: Evidence from a Birth Cohort Study," CASE Papers 085, Centre for Analysis of Social Exclusion, LSE.
- Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income-related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628.
- Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy & Louis-André Vallet, 2004. "Le revenu selon l'origine sociale ; suivi d'un commentaire de Louis-André Vallet," Économie et Statistique, Programme National Persée, vol. 371(1), pages 49-88.
- Silvia Balia & Andrew M Jones, 2005.
"Mortality, lifestyle and socio-economic status,"
Health, Econometrics and Data Group (HEDG) Working Papers
05/02, HEDG, c/o Department of Economics, University of York.
- Janet Currie & Mark Stabile, 2002. "Socioeconomic Status and Health: Why is the Relationship Stronger for Older Children?," NBER Working Papers 9098, National Bureau of Economic Research, Inc.
- 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.
- FLEURBAEY, Marc & SCHOKKAERT, Erik, "undated".
"Unfair inequalities in health and health care,"
CORE Discussion Papers RP
2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
- Mullahy, John & Portney, Paul R., 1990. "Air pollution, cigarette smoking, and the production of respiratory health," Journal of Health Economics, Elsevier, vol. 9(2), pages 193-205, September.
- Pedro Rosa Dias & Andrew M. Jones, 2007. "Giving equality of opportunity a fair innings," Health Economics, John Wiley & Sons, Ltd., vol. 16(2), pages 109-112, 02.
- Jones, Andrew M, 1989. "A Double-Hurdle Model of Cigarette Consumption," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 4(1), pages 23-39, Jan.-Mar..
- François Bourguignon & Francisco H. G. Ferreira & Marta Menéndez, 2007.
"Inequality Of Opportunity In Brazil,"
Review of Income and Wealth,
International Association for Research in Income and Wealth, vol. 53(4), pages 585-618, December.
- Francois Bourguignon & Francisco H.B. Ferreira & Marta Menéndez, 2005. "Inequality of Opportunity in Brazil," Ibero America Institute for Econ. Research (IAI) Discussion Papers 133, Ibero-America Institute for Economic Research.
- François Bourguignon & Francisco H. G. Ferreira & Marta Menéndez, 2007. "Inequality of opportunity in Brazil," Post-Print halshs-00754189, HAL.
- Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
- Hugh Gravelle, 2003. "Measuring income related inequality in health: standardisation and the partial concentration index," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 803-819.
- Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy, 2008.
"Inequality Of Opportunities Vs. Inequality Of Outcomes: Are Western Societies All Alike?,"
Review of Income and Wealth,
International Association for Research in Income and Wealth, vol. 54(4), pages 513-546, December.
- Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy, 2006. "Inequality of opportunities vs. inequality of outcomes: Are Western societies all alike?," Working Papers 54, ECINEQ, Society for the Study of Economic Inequality.
- Lefranc, A. & Pistolesi, Nicolas & Trannoy, Alain, 2005. "Inequality of opportunities vs inequality of outcomes: are western societies all alike?," ISER Working Paper Series 2005-15, Institute for Social and Economic Research.
- 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.
- Erreygers, Guido, 2009.
"Correcting the Concentration Index,"
Journal of Health Economics,
Elsevier, vol. 28(2), pages 504-515, March.
- 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..
- John E. Roemer, 2002. "Equality of opportunity: A progress report," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 19(2), pages 455-471.
- 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.
When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:18:y:2009:i:9:p:1057-1074. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wiley-Blackwell Digital Licensing)or (Christopher F. Baum)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.