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Health status, Neighbourhood effects and Public choice: Evidence from France

Author

Listed:
  • Thierry Debrand

    () (IRDES institut for research and information in health economics)

  • Aurélie Pierre

    () (IRDES institut for research and information in health economics)

  • Caroline Allonier

    () (IRDES institut for research and information in health economics)

  • Veronique Lucas-Gabrielli

    () (IRDES institut for research and information in health economics)

Abstract

Observation of socioeconomic statistics between different neighbourhoods highlights significant differences for economic indicators, social indicators and health indicators. The issue faced here is determining the origins of health inequalities: individual effects and neighbourhood effects. Using National Health Survey and French census data from the period 2002-2003, we attempt to measure the individual and collective determinants of Self-Reported Health Status (SRH). By using a principal component analysis of aggregated census data, we obtain three synthetic factors called: "economic and social condition", "mobility" and "generational" and show that these contextual factors are correlated with individual SRHs. Since the 80s, different French governments have formulated public policies in order to take into account the specific problems of disadvantaged and deprived neighbourhoods. In view to concentrating national assistance, the French government has created "zones urbaines sensibles" (ZUS) [Critical Urban Areas, CUA]. Our research shows that in spite of implementing public policy in France to combat health inequalities, by only taking into account the CUA criterion (the fact of being in a CUA or not), many inequalities remain ignored and thus hidden.

Suggested Citation

  • Thierry Debrand & Aurélie Pierre & Caroline Allonier & Veronique Lucas-Gabrielli, 2008. "Health status, Neighbourhood effects and Public choice: Evidence from France," Working Papers DT11, IRDES institut for research and information in health economics, revised Jun 2008.
  • Handle: RePEc:irh:wpaper:dt11
    as

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    File URL: http://www.irdes.fr/EspaceAnglais/Publications/WorkingPapers/DT11HealthStatusNeighbourhoodPubChoice.pdf
    File Function: First version, 2008
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    References listed on IDEAS

    as
    1. Samuelson, William & Zeckhauser, Richard, 1988. "Status Quo Bias in Decision Making," Journal of Risk and Uncertainty, Springer, vol. 1(1), pages 7-59, March.
    2. Marquis, M Susan & Phelps, Charles E, 1987. "Price Elasticity and Adverse Selection in the Demand for Supplementary Health Insurance," Economic Inquiry, Western Economic Association International, vol. 25(2), pages 299-313, April.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Zeynep Or & Chantal Cases & Melanie Lisac & Karsten Vrangbaek & Ulrika Winblad & Gwyn Bevan, 2009. "Are Health Problems Systemic? Politics of Access and Choice under Beveridge and Bismarck Systems," Working Papers DT27, IRDES institut for research and information in health economics, revised Sep 2009.
    2. Or, Zeynep & Cases, Chantal & Lisac, Melanie & Vrangbæk, Karsten & Winblad, Ulrika & Bevan, Gwyn, 2010. "Are health problems systemic? Politics of access and choice under Beveridge and Bismarck systems," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 269-293, July.

    More about this item

    Keywords

    Health; Neighbourhood Effect; Housing policy;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I30 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General
    • R2 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Household Analysis

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