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Inequality in health status during the COVID-19 in the UK: does the impact of the second lockdown policy matter?

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  • Enza Simeone

    (Universitat de Girona)

Abstract

Using the Understanding Society data (UKHLS and COVID-19 surveys), first this work uses the models that preserve the ordinal nature of data to measure in England and Scotland the overall health inequality in the pandemic context, and second it adopts the parametric approach to measure the portion of inequalities due to circumstances.The findings show that within UK regions, overall health inequalities decrease during the pandemic, while the absolute measure of the inequality of health opportunities remains stable in both regions. Between UK regions, the overall health inequality is greater in England than in Scotland during the pandemic (except in November 2020), while inequalities of health opportunities are greater in Scotland than in England in both periods, especially in November 2020.Considering these different results within and between regions, this work also aims at assessing whether the trends in health inequalities could be related with the different national implementation of the second lockdown policy of “Stay-at-home†, also looking at the heterogeneous effect by gender. The findings show that with the second lockdown policy the probability of being in the highest health status categories decreases in England by 10 percentage points, and the impact of the lockdown policy is higher for women than men.

Suggested Citation

  • Enza Simeone, 2023. "Inequality in health status during the COVID-19 in the UK: does the impact of the second lockdown policy matter?," Working Papers 661, ECINEQ, Society for the Study of Economic Inequality.
  • Handle: RePEc:inq:inqwps:ecineq2023-661
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    1. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    2. Xavier Ramos & Dirk Van de gaer, 2012. "Empirical approaches to inequality of opportunity: Principles, measures, and evidence," Working Papers 259, ECINEQ, Society for the Study of Economic Inequality.
    3. Nicolas Gravel & Brice Magdalou & Patrick Moyes, 2019. "Inequality measurement with an ordinal and continuous variable," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 52(3), pages 453-475, March.
    4. Saavedra-Chanduví, Jaime & Molinas, José R. & De Barros, Ricardo Paes & Ferreira, Francisco H. G., 2009. "Measuring Inequality of Opportunities in Latin America and the Caribbean," IDB Publications (Books), Inter-American Development Bank, number 361, March.
    5. Vincenzo Carrieri & Andrew M. Jones, 2018. "Inequality of opportunity in health: A decomposition‐based approach," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 1981-1995, December.
    6. Ramos, Xavier & Van de gaer, Dirk, 2012. "Empirical Approaches to Inequality of Opportunity: Principles, Measures, and Evidence," IZA Discussion Papers 6672, Institute of Labor Economics (IZA).
    7. Paolo Li Donni & Vito Peragine & Giuseppe Pignataro, 2014. "Ex‐Ante And Ex‐Post Measurement Of Equality Of Opportunity In Health: A Normative Decomposition," Health Economics, John Wiley & Sons, Ltd., vol. 23(2), pages 182-198, February.
    8. John E. Roemer & Alain Trannoy, 2016. "Equality of Opportunity: Theory and Measurement," Journal of Economic Literature, American Economic Association, vol. 54(4), pages 1288-1332, December.
    9. Daniele Checchi & Vito Peragine, 2010. "Inequality of opportunity in Italy," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 8(4), pages 429-450, December.
    10. Marc Fleurbaey & Vito Peragine, 2013. "Ex Ante Versus Ex Post Equality of Opportunity," Economica, London School of Economics and Political Science, vol. 80(317), pages 118-130, January.
    11. repec:dau:papers:123456789/1552 is not listed on IDEAS
    12. Frank A. Cowell & Emmanuel Flachaire, 2017. "Inequality with Ordinal Data," Economica, London School of Economics and Political Science, vol. 84(334), pages 290-321, April.
    13. Soichiro Yamauchi, 2020. "Difference-in-Differences for Ordinal Outcomes: Application to the Effect of Mass Shootings on Attitudes toward Gun Control," Papers 2009.13404, arXiv.org.
    14. Kranich, Laurence, 1996. "Equitable Opportunities: An Axiomatic Approach," Journal of Economic Theory, Elsevier, vol. 71(1), pages 131-147, October.
    15. Stephen P. Jenkins, 2021. "Inequality Comparisons with Ordinal Data," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 67(3), pages 547-563, September.
    16. 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, September.
    17. Stephen P. Jenkins, 2020. "Comparing distributions of ordinal data," Stata Journal, StataCorp LP, vol. 20(3), pages 505-531, September.
    18. Kobus, Martyna & Miłoś, Piotr, 2012. "Inequality decomposition by population subgroups for ordinal data," Journal of Health Economics, Elsevier, vol. 31(1), pages 15-21.
    19. François Bourguignon & Francisco H. G. Ferreira & Marta Menéndez, 2007. "Inequality Of Opportunity In Brazil," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 53(4), pages 585-618, December.
    20. Titan Alon & Matthias Doepke & Jane Olmstead-Rumsey & Michèle Tertilt, 2020. "The Impact of COVID-19 on Gender Equality," CRC TR 224 Discussion Paper Series crctr224_2020_163, University of Bonn and University of Mannheim, Germany.
    21. Alain Trannoy & Sandy Tubeuf & Florence Jusot & Marion Devaux, 2010. "Inequality of opportunities in health in France: a first pass," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 921-938, August.
    22. Ricardo Paes de Barros & Francisco H.G. Ferreira & Jose R. Molinas Vega & Jaime Saavedra Chanduvi, 2009. "Measuring Inequality of Opportunities in Latin America and the Caribbean," World Bank Publications, The World Bank, number 2580, September.
    23. Mercedes Sastre & Alain Trannoy, 2002. "Shapley inequality decomposition by factor components: Some methodological issues," Journal of Economics, Springer, vol. 9(1), pages 51-89, December.
    24. Frédéric Chantreuil & Alain Trannoy, 2013. "Inequality decomposition values: the trade-off between marginality and efficiency," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 11(1), pages 83-98, March.
    25. Nicolas Gravel & Brice Magdalou & Patrick Moyes, 2021. "Ranking distributions of an ordinal variable," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 71(1), pages 33-80, February.
    26. Anthony Shorrocks, 2013. "Decomposition procedures for distributional analysis: a unified framework based on the Shapley value," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 11(1), pages 99-126, March.
    27. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    28. Lanlin Ding & Andrew M. Jones & Peng Nie, 2022. "Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 68(4), pages 922-950, December.
    29. Lynn, Peter, 2009. "Sample design for Understanding Society," Understanding Society Working Paper Series 2009-01, Understanding Society at the Institute for Social and Economic Research.
    30. Herrero, Carmen & Iturbe-Ormaetxe, Inigo & Nieto, Jorge, 1998. "Ranking opportunity profiles on the basis of the common opportunities," Mathematical Social Sciences, Elsevier, vol. 35(3), pages 273-289, May.
    31. Johanna Fajardo-Gonzalez, 2016. "Inequality of opportunity in adult health in Colombia," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 14(4), pages 395-416, December.
    32. Francisco H. G. Ferreira & Jérémie Gignoux, 2011. "The Measurement Of Inequality Of Opportunity: Theory And An Application To Latin America," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(4), pages 622-657, December.
    33. Abul Naga, Ramses H. & Yalcin, Tarik, 2008. "Inequality measurement for ordered response health data," Journal of Health Economics, Elsevier, vol. 27(6), pages 1614-1625, December.
    34. David Madden, 2010. "Ordinal and cardinal measures of health inequality: an empirical comparison," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 243-250, February.
    35. 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, March.
    36. Shorrocks, Anthony F, 1983. "Ranking Income Distributions," Economica, London School of Economics and Political Science, vol. 50(197), pages 3-17, February.
    37. Peter Lynn & Alita Nandi & Violetta Parutis & Lucinda Platt, 2018. "Design and implementation of a high-quality probability sample of immigrants and ethnic minorities: Lessons learnt," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(21), pages 513-548.
    38. Ok, Efe A., 1997. "On Opportunity Inequality Measurement," Journal of Economic Theory, Elsevier, vol. 77(2), pages 300-329, December.
    39. Florian Wendelspiess Chavez Juarez & Isidro Soloaga, 2014. "iop: Estimating ex-ante inequality of opportunity," Stata Journal, StataCorp LP, vol. 14(4), pages 830-846, December.
    40. Jonathan Cribb & Monica Costa Dias & Richard Blundell & Robert Joyce & Thomas Wernham & Tom Waters & Xiaowei Xu, 2022. "Inequality and the COVID-19 Crisis in the United Kingdom," Annual Review of Economics, Annual Reviews, vol. 14(1), pages 607-636, August.
    41. repec:dau:papers:123456789/268 is not listed on IDEAS
    42. Daniel Tzu-Hsuan Chen & Yi-Jen Wang, 2021. "Inequality-Related Health and Social Factors and Their Impact on Well-Being during the COVID-19 Pandemic: Findings from a National Survey in the UK," IJERPH, MDPI, vol. 18(3), pages 1-9, January.
    43. Paolo Li Donni & Juan Rodríguez & Pedro Rosa Dias, 2015. "Empirical definition of social types in the analysis of inequality of opportunity: a latent classes approach," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 44(3), pages 673-701, March.
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    More about this item

    Keywords

    health inequality; inequality of opportunity in health; self-assessed health status; COVID-19; policy evaluation;
    All these keywords.

    JEL classification:

    • C1 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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