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Not feeling well … true or exaggerated? Self‐assessed health as a leading health indicator

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  • Leonardo Becchetti
  • Maria Bachelet
  • Fabiola Riccardini

Abstract

We provide original, international evidence documenting that self‐assessed health (SAH) is a leading health indicator, that is, a significant predictor of future changes in health conditions, in a large sample of Europeans aged above 50 and living in 13 different countries. We find that, after controlling for attrition bias, lagged SAH is significantly and negatively correlated with changes in the number of chronic diseases, net of the correlations with levels, and changes in sociodemographic factors and health styles, country and regional health system effects, and declared symptoms. Illness‐specific estimates document that lagged SAH significantly correlates with arthritis, cholesterol, and lung diseases (and weakly so with ulcer, hypertension, and cataracts) and has a significant correlation with the probability of contracting cancer. Interpretations and policy implications of our findings are discussed in the paper.

Suggested Citation

  • Leonardo Becchetti & Maria Bachelet & Fabiola Riccardini, 2018. "Not feeling well … true or exaggerated? Self‐assessed health as a leading health indicator," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 153-170, February.
    • Handle: RePEc:wly:hlthec:v:27:y:2018:i:2:p:e153-e170
    DOI: 10.1002/hec.3581
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    1. Juan G. Gay & Valérie Paris & Marion Devaux & Michael de Looper, 2011. "Mortality Amenable to Health Care in 31 OECD Countries: Estimates and Methodological Issues," OECD Health Working Papers 55, OECD Publishing.
    2. Cheti Nicoletti & Franco Peracchi, 2005. "Survey response and survey characteristics: microlevel evidence from the European Community Household Panel," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 168(4), pages 763-781, November.
    3. Michael Baker & Mark Stabile & Catherine Deri, 2004. "What Do Self-Reported, Objective, Measures of Health Measure?," Journal of Human Resources, University of Wisconsin Press, vol. 39(4).
    4. Joar Vittersø & Robert Biswas-Diener & Ed Diener, 2005. "The Divergent Meanings of Life Satisfaction: Item Response Modeling of the Satisfaction with Life Scale in Greenland and Norway," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 74(2), pages 327-348, November.
    5. Denise Doiron & Denzil G. Fiebig & Meliyanni Johar & Agne Suziedelyte, 2015. "Does self-assessed health measure health?," Applied Economics, Taylor & Francis Journals, vol. 47(2), pages 180-194, January.
    6. Dimitrios Christelis, 2011. "Imputation of Missing Data in Waves 1 and 2 of SHARE," CSEF Working Papers 278, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    7. Mackenbach, J.P. & Looman, C.W.N. & Van Der Meer, J.B.W., 1996. "Differences in the misreporting of chronic conditions, by level of education: The effect on inequalities in prevalence rates," American Journal of Public Health, American Public Health Association, vol. 86(5), pages 706-711.
    8. 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.
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