Hétérogénéité sociale de déclaration de l’état de santé et mesure des inégalités de santé
This article explores the way in which the instrument for measuring health impacts the scope of social health inequalities by using structural equations with latent variables. A synthetic indicator of latent health is created from perceived health indicators, limitations of activity, chronic illnesses and mental health. The effect of these socio-demographic variables on latent health is then separated from its direct effect on each health indicator. This method highlights social differences in declaration by presuming that the contribution of socio-demographic characteristics in the explanation of latent health reveals determinants in state of health, while with the latent health factor, the direct effects of these characteristics on health indicators relect a heterogeneity in declaration. Thus, we show a social heterogeneity in declaration with latent health factors : women and the elderly, the highly educated and the upper classes declare chronic illnesses more often ; mental health problems appear over-declared by women and people living alone and under-declared by the elderly ; the unemployed, retirees and executives declare activity limitation more often. Finally, people with a lower level of education under-declare perceived ill health. Although the four indicators in this study can be faulted with heterogeneity in declaration, the chronic illness indicator is the one that most reduces the scope of social health inequalities.
|Date of creation:||Jan 2008|
|Date of revision:|
|Publication status:||Published in Revue Française des Affaires Sociales, 2008, no. 1. pp. 29-47.Length: 18 pages|
|Contact details of provider:|| Web page: http://www.dauphine.fr/en/welcome.html|
More information through EDIRC
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.:
- 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.
- Baron-Epel, Orna & Kaplan, Giora, 2001. "General subjective health status or age-related subjective health status: does it make a difference?," Social Science & Medicine, Elsevier, vol. 53(10), pages 1373-1381, November.
- Fabrice Etilé & Carine Milcent, 2006. "Income-related reporting heterogeneity in self-assessed health: evidence from France," PSE Working Papers halshs-00590524, HAL.
- Fabrice Etilé & Carine Milcent, 2006. "Income-related reporting heterogeneity in self-assessed health: evidence from France," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 965-981.
- Shmueli, Amir, 2003. "Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 57(1), pages 125-134, July.
- Didier Blanchet & Thierry Debrand, 2007. "Souhaiter prendre sa retraite le plus tôt possible : santé, satisfaction au travail et facteurs monétaires," Économie et Statistique, Programme National Persée, vol. 403(1), pages 39-62.
When requesting a correction, please mention this item's handle: RePEc:dau:papers:123456789/423. 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: (Alexandre Faure)
If references are entirely missing, you can add them using this form.