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Effort or Circumstances : Which one matters in health inequality ?

  • Trannoy, Alain
  • Tubeuf, Sandy
  • Jusot, Florence

This paper attempts to quantify the contribution of inequalities of opportunities and inequalities due to differences in effort to be in good health to overall health inequality in France. It examines three alternative specifications of legitimate and illegitimate inequalities drawing on Roemer, Barry and Swift‟s considerations of circumstances and effort. The issue at stake is how to treat the correlation between circumstances and effort. Using a representative French health survey undertaken in 2006 and partly designed for this purpose, and the natural decomposition of the variance, the contribution of circumstances to inequalities in health ranges between 44.5% and up to 46.4% according to the scenario, whereas the contribution of efforts is not beyond 10%. The remaining part is due to the impact of age and sex.

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File URL: http://basepub.dauphine.fr/xmlui/bitstream/123456789/9524/1/Jusot_Tubeuf_Trannoy_2010.pdf
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Paper provided by Paris Dauphine University in its series Economics Papers from University Paris Dauphine with number 123456789/9524.

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Date of creation: Jun 2010
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Handle: RePEc:dau:papers:123456789/9524
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  1. 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.
  2. Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence & Devaux, Marion, 2010. "Inequality of Opportunities in Health in France: A First Pass," Economics Papers from University Paris Dauphine 123456789/268, Paris Dauphine University.
  3. Sandy Tubeuf & Marc Perronnin, 2008. "New prospects in the analysis of inequalities in health: a measurement of health encompassing several dimensions of health," Health, Econometrics and Data Group (HEDG) Working Papers 08/01, HEDG, c/o Department of Economics, University of York.
  4. FLEURBAEY, Marc & SCHOKKAERT, Erik, . "Unfair inequalities in health and health care," CORE Discussion Papers RP -2141, Université catholique de Louvain, Center for Operations Research and Econometrics (CORE).
  5. Lindeboom, Maarten & Llena-Nozal, Ana & van der Klaauw, Bas, 2009. "Parental education and child health: Evidence from a schooling reform," Journal of Health Economics, Elsevier, vol. 28(1), pages 109-131, January.
  6. Adda, Jerome & Chandola, Tarani & Marmot, Michael, 2003. "Socio-economic status and health: causality and pathways," Journal of Econometrics, Elsevier, vol. 112(1), pages 57-63, January.
  7. Gourieroux, Christian & Monfort, Alain & Renault, Eric & Trognon, Alain, 1987. "Generalised residuals," Journal of Econometrics, Elsevier, vol. 34(1-2), pages 5-32.
  8. Stephanie Von Hinke Kessler Scholder, 2007. "Maternal Employment and Overweight Children: Does Timing Matter?," Health, Econometrics and Data Group (HEDG) Working Papers 07/12, HEDG, c/o Department of Economics, University of York.
  9. Dubin, Jeffrey A & McFadden, Daniel L, 1984. "An Econometric Analysis of Residential Electric Appliance Holdings and Consumption," Econometrica, Econometric Society, vol. 52(2), pages 345-62, March.
  10. Cambois, Emmanuelle & Jusot, Florence, 2010. "Monitoring Health Inequalities in France. A Short Tool for Routine Health Survey to Account for Lifelong Adverse Experiences," Economics Papers from University Paris Dauphine 123456789/7002, Paris Dauphine University.
  11. Sermet, Catherine & Tubeuf, Sandy & Devaux, Marion & Jusot, Florence, 2008. "Hétérogénéité sociale de déclaration de l’état de santé et mesure des inégalités de santé," Economics Papers from University Paris Dauphine 123456789/423, Paris Dauphine University.
  12. Fleurbaey, Marc, 2012. "Fairness, Responsibility, and Welfare," OUP Catalogue, Oxford University Press, number 9780199653591, March.
  13. Silja Göhlmann & Christoph M. Schmidt & Harald Tauchmann, 2010. "Smoking initiation in Germany: the role of intergenerational transmission," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 227-242.
  14. Teresa Bago d’Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O’Donnell & Somnath Chatterji, 2006. "Does reporting heterogeneity bias the measurement of health disparities?," Health, Econometrics and Data Group (HEDG) Working Papers 06/03, HEDG, c/o Department of Economics, University of York.
  15. Balia, Silvia & Jones, Andrew M., 2008. "Mortality, lifestyle and socio-economic status," Journal of Health Economics, Elsevier, vol. 27(1), pages 1-26, January.
  16. Trannoy, Alain & Tubeuf, Sandy & Jusot, Florence, 2009. "Tel père, tel fils : l’influence de l'origine sociale et familiale sur la santé des descendants en Europe," Economics Papers from University Paris Dauphine 123456789/7044, Paris Dauphine University.
  17. Pedro Rosa Dias, 2010. "Modelling opportunity in health under partial observability of circumstances," Health Economics, John Wiley & Sons, Ltd., vol. 19(3), pages 252-264.
  18. Ahlburg, Dennis, 1998. "Intergenerational Transmission of Health," American Economic Review, American Economic Association, vol. 88(2), pages 265-70, May.
  19. Ville, Isabelle & Jusot, Florence & Khlat, Myriam, 2009. "Social origins, early hardship and obesity: A strong association in women, but not in men ?," Economics Papers from University Paris Dauphine 123456789/265, Paris Dauphine University.
  20. Pedro Rosa Dias, 2009. "Inequality of opportunity in health: evidence from a UK cohort study," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1057-1074.
  21. 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.
  22. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
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