Is there an income gradient in child health? It depends whom you ask
A large literature uses parental evaluations of child health status to provide evidence on the socioeconomic determinants of health. If how parents perceive health questions differs by income or education level, then estimates of the socioeconomic gradient are likely to be biased and potentially misleading. In this paper we examine this issue. We directly compare child mental health evaluations from parents, teachers, children and psychiatrists for mental health problems, test whether these differences are systematically related to observable child and parent characteristics, and examine the implications of the different reports for the estimated income gradient. We find that respondents frequently evaluate children differently and while the sign of the income gradient is in the same direction across respondents, systematic differences in evaluations mean that the estimated magnitude and significance of the health-income gradient is highly dependent upon the choice of respondent and the measure of child health.
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- 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.
- Johnston, David W & Propper, Carol & Shields, Michael, 2007. "Comparing Subjective and Objective Measures of Health: Evidence from Hypertension for the Income/Health Gradient," CEPR Discussion Papers 6270, C.E.P.R. Discussion Papers.
- Johnston, David W. & Propper, Carol & Shields, Michael A., 2007. "Comparing Subjective and Objective Measures of Health: Evidence from Hypertension for the Income/Health Gradient," IZA Discussion Papers 2737, Institute for the Study of Labor (IZA).
- David W.Johnston & Carol Propper & Michael A.Shields, 2007. "Comparing Subjective and Objective Measures of Health: Evidence from Hypertension for the Income/Health Gradient," The Centre for Market and Public Organisation 07/171, Department of Economics, University of Bristol, UK.
- Janet Currie & Mark Stabile, 2003. "Socioeconomic Status and Child Health: Why Is the Relationship Stronger for Older Children?," American Economic Review, American Economic Association, vol. 93(5), pages 1813-1823, December.
- 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).
- Michael Baker & Mark Stabile & Catherine Deri, 2001. "What do Self-Reported, Objective, Measures of Health Measure?," NBER Working Papers 8419, National Bureau of Economic Research, Inc.
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