IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v23y2014i5p529-549.html
   My bibliography  Save this article

Regional Disparities In Self‐Reported Health: Evidence From Chinese Older Adults

Author

Listed:
  • Ren Mu

Abstract

Despite the subjectivity inherent in individuals' interpretation of good health, self‐reported health is widely used in health‐related studies. With data from the pilot survey of the new China Health and Retirement Longitudinal Study, this paper applies the vignette method to control for differences in individual response scales and examines regional differences in self‐reported health among the elderly in China. The results show that people in different provinces seem to use different criteria when assessing their health conditions. Regional health disparities are underestimated if differentials in response scales are not accounted for. A substantial share of the disparities cannot be explained by the observed differences in respondents' chronic health condition, demographic characteristics, and household wealth, a finding confirmed by a test based on inpatient‐care information. Copyright © 2013 John Wiley & Sons, Ltd.

Suggested Citation

  • Ren Mu, 2014. "Regional Disparities In Self‐Reported Health: Evidence From Chinese Older Adults," Health Economics, John Wiley & Sons, Ltd., vol. 23(5), pages 529-549, May.
  • Handle: RePEc:wly:hlthec:v:23:y:2014:i:5:p:529-549
    DOI: 10.1002/hec.2929
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.2929
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.2929?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
    ---><---

    References listed on IDEAS

    as
    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June.
    3. Michael Lokshin & Martin Ravallion, 2008. "Testing for an economic gradient in health status using subjective data," Health Economics, John Wiley & Sons, Ltd., vol. 17(11), pages 1237-1259.
    4. Arie Kapteyn & James P. Smith & Arthur van Soest, 2007. "Vignettes and Self-Reports of Work Disability in the United States and the Netherlands," American Economic Review, American Economic Association, vol. 97(1), pages 461-473, March.
    5. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    6. William E. Even & David A. Macpherson, 1993. "The Decline of Private-Sector Unionism and the Gender Wage Gap," Journal of Human Resources, University of Wisconsin Press, vol. 28(2), pages 279-296.
    7. Deaton, Angus S & Paxson, Christina H, 1998. "Aging and Inequality in Income and Health," American Economic Review, American Economic Association, vol. 88(2), pages 248-253, May.
    8. repec:cup:apsrev:v:98:y:2004:i:01:p:191-207_00 is not listed on IDEAS
    9. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    10. Strauss, John, 1986. "Does Better Nutrition Raise Farm Productivity?," Journal of Political Economy, University of Chicago Press, vol. 94(2), pages 297-320, April.
    11. Datta Gupta, Nabanita & Kristensen, Nicolai & Pozzoli, Dario, 2010. "External validation of the use of vignettes in cross-country health studies," Economic Modelling, Elsevier, vol. 27(4), pages 854-865, July.
    12. Marcel Kerkhofs & Maarten Lindeboom, 1995. "Subjective health measures and state dependent reporting errors," Health Economics, John Wiley & Sons, Ltd., vol. 4(3), pages 221-235, May.
    13. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
    14. Teresa Bago d’Uva & Maarten Lindeboom & Owen O’Donnell & Eddy van Doorslaer, 2011. "Slipping Anchor?: Testing the Vignettes Approach to Identification and Correction of Reporting Heterogeneity," Journal of Human Resources, University of Wisconsin Press, vol. 46(4), pages 875-906.
    15. Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375, March.
    16. 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," NBER Chapters, in: Perspectives on the Economics of Aging, pages 415-526, National Bureau of Economic Research, Inc.
    17. Michael D. Hurd & Kathleen McGarry, 1995. "Evaluation of the Subjective Probabilities of Survival in the Health and Retirement Study," Journal of Human Resources, University of Wisconsin Press, vol. 30, pages 268-292.
    18. Michaela Benzeval & Jayne Taylor & Ken Judge, 2000. "Evidence on the relationship between income and poor health: is the government doing enough?," Fiscal Studies, Institute for Fiscal Studies, vol. 21(3), pages 375-399, September.
    19. 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.
    20. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
    21. Hana Voňková & Patrick Hullegie, 2011. "Is the anchoring vignette method sensitive to the domain and choice of the vignette?," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(3), pages 597-620, July.
    22. John Giles & Ren Mu, 2007. "Elderly parent health and the migration decisions of adult children: Evidence from rural China," Demography, Springer;Population Association of America (PAA), vol. 44(2), pages 265-288, May.
    23. 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.
    24. Arthur van Soest & Liam Delaney & Colm Harmon & Arie Kapteyn & James P. Smith, 2011. "Validating the use of anchoring vignettes for the correction of response scale differences in subjective questions," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 174(3), pages 575-595, July.
    25. Michael Lokshin & Martin Ravallion, 2008. "Testing for an economic gradient in health status using subjective data," Health Economics, John Wiley & Sons, Ltd., vol. 17(11), pages 1237-1259, November.
    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. Harris, Mark N. & Knott, Rachel J. & Lorgelly, Paula K. & Rice, Nigel, 2020. "Using externally collected vignettes to account for reporting heterogeneity in survey self-assessment," Economics Letters, Elsevier, vol. 194(C).
    2. Zhiyong Huang & Haoxian Wang & Wenyuan Zheng, 2021. "An extended hierarchical ordered probit model robust to heteroskedastic vignette perceptions with an application to functional limitation assessment," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-19, March.
    3. Bakkeli, Nan Zou, 2016. "Income inequality and health in China: A panel data analysis," Social Science & Medicine, Elsevier, vol. 157(C), pages 39-47.
    4. Yun Liang & John Gibson, 2017. "Do More Grandchildren Lead to Worse Health Status of Grandparents? Evidence from the China Health and Nutrition Survey," Working Papers in Economics 17/18, University of Waikato.
    5. Laura Rossouw, 2015. "Poor Health Reporting: Do Poor South Africans Underestimate Their Health Needs?," WIDER Working Paper Series wp-2015-027, World Institute for Development Economic Research (UNU-WIDER).
    6. Laura Rossouw, 2015. "Poor health reporting: Do poor South Africans underestimate their health needs?," WIDER Working Paper Series 027, World Institute for Development Economic Research (UNU-WIDER).
    7. Chao Ma & Zhaopeng Qu & Zimeng Xu, 2020. "Internal Migration and Mental Health: An Examination of the Healthy Migration Phenomenon in China," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(3), pages 493-517, June.
    8. Huang, Xian & Wu, Bingxiao, 2020. "Impact of urban-rural health insurance integration on health care: Evidence from rural China," China Economic Review, Elsevier, vol. 64(C).
    9. Molina, Teresa, 2017. "Adjusting for heterogeneous response thresholds in cross-country comparisons of self-reported health," The Journal of the Economics of Ageing, Elsevier, vol. 10(C), pages 1-20.
    10. Teresa Molina, 2016. "Reporting Heterogeneity and Health Disparities Across Gender and Education Levels: Evidence From Four Countries," Demography, Springer;Population Association of America (PAA), vol. 53(2), pages 295-323, April.

    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. 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.
    2. Raskina, Yulia & Podkorytova, Olga & Kuchakov, Ruslan, 2022. "Health determinants and the reporting heterogeneity bias in Russia: Anchoring vignettes approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 66, pages 118-143.
    3. Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375, March.
    4. 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.
    5. Giovanis, Eleftherios & Ozdamar, Oznur, 2014. "The effects of Air Pollution on Health Status in Great Britain," MPRA Paper 59988, University Library of Munich, Germany.
    6. Kim, Hoolda & Mitra, Sophie, 2022. "Dynamics of health and labor income in Korea," The Journal of the Economics of Ageing, Elsevier, vol. 21(C).
    7. David Cantarero & Marta Pascual & Jose Maria Sarabia, 2004. "Can income inequality contribute to understand inequalities in health? An empirical approach based on the European Community Household Panel," ERSA conference papers ersa04p230, European Regional Science Association.
    8. William H. Greene & Mark N. Harris & Rachel J. Knott & Nigel Rice, 2021. "Specification and testing of hierarchical ordered response models with anchoring vignettes," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 184(1), pages 31-64, January.
    9. 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.
    10. Zhang, Hao & Bago d’Uva, Teresa & van Doorslaer, Eddy, 2015. "The gender health gap in China: A decomposition analysis," Economics & Human Biology, Elsevier, vol. 18(C), pages 13-26.
    11. 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.
    12. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    13. Franco Peracchi & Claudio Rossetti, 2012. "Heterogeneity in health responses and anchoring vignettes," Empirical Economics, Springer, vol. 42(2), pages 513-538, April.
    14. 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.
    15. 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.
    16. Bertoni, Marco, 2015. "Hungry today, unhappy tomorrow? Childhood hunger and subjective wellbeing later in life," Journal of Health Economics, Elsevier, vol. 40(C), pages 40-53.
    17. Rachel J. Knott & Nicole Black & Bruce Hollingsworth & Paula K. Lorgelly, 2017. "Response‐Scale Heterogeneity in the EQ‐5D," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 387-394, March.
    18. 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.
    19. Lefebvre, Pierre, 2006. "Le gradient santé / revenu familial des nouveau-nés québécois de 1998 après quatre ans : faible ou inexistant?," L'Actualité Economique, Société Canadienne de Science Economique, vol. 82(4), pages 523-595, décembre.
    20. Frijters, Paul & de New, John & 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 of Labor Economics (IZA).

    More about this item

    Statistics

    Access and download statistics

    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:wly:hlthec:v:23:y:2014:i:5:p:529-549. 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: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    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.