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Disentangling the impacts of circumstances and efforts on health inequality: the case of Luxembourg

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  • DEUTSCH Joseph
  • PI ALPERIN Maria Noel
  • SILBER Jacques

Abstract

This paper attempts to determine the contribution of circumstances, efforts (and lifestyle) and demographic variables (age and gender) to inequality in health in Luxembourg. Health is measured subjectively by self-assessed health and is considered first as a binary variable, then as an ordinal variable. The educational level of each parent, the financial situation of the family during childhood and the area of birth are considered as circumstances while effort and lifestyle variables are proxied by information on the educational level of the individual, whether he/she smoked and whether he/she had a physical activity on a regular basis. The respective impacts of the three categories of explanatory variables (circumstances, effort and demographic variables) on health inequality are derived via a Shapley decomposition of the pseudo R-square of logit regressions. Differences in circumstances and effort and lifestyle explain each around a quarter of the pseudo R-square.

Suggested Citation

  • DEUTSCH Joseph & PI ALPERIN Maria Noel & SILBER Jacques, 2016. "Disentangling the impacts of circumstances and efforts on health inequality: the case of Luxembourg," LISER Working Paper Series 2016-07, LISER.
  • Handle: RePEc:irs:cepswp:2016-07
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    1. Arnaud Lefranc & Nicolas Pistolesi & Alain Trannoy, 2006. "Equality of opportunity: Definitions and testable conditions, with an application to income in France," Working Papers 53, ECINEQ, Society for the Study of Economic Inequality.
    2. 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.
    3. Florence Jusot & Sandy Tubeuf & Alain Trannoy, 2013. "Circumstances And Efforts: How Important Is Their Correlation For The Measurement Of Inequality Of Opportunity In Health?," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1470-1495, December.
    4. 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.
    5. Fleurbaey, Marc, 2012. "Fairness, Responsibility, and Welfare," OUP Catalogue, Oxford University Press, number 9780199653591.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. Damien Bricard & Florence Jusot & Alain Trannoy & Sandy Tubeuf, 2017. "Inequality of Opportunity in Health and the Principle of Natural Reward: evidence from European Countries," Working Papers hal-01523949, HAL.
    11. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    12. Sandy Tubeuf & Florence Jusot & Marion Devaux & Catherine Sermet, 2008. "Social heterogeneity in self-reported health status and measurement of inequalities in health," Working Papers DT12, IRDES institut for research and information in health economics, revised Jun 2008.
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    14. repec:dau:papers:123456789/5065 is not listed on IDEAS
    15. repec:dau:papers:123456789/268 is not listed on IDEAS
    16. repec:dau:papers:123456789/12516 is not listed on IDEAS
    17. Damien Bricard & Florence Jusot & Alain Trannoy & Sandy Tubeuf, 2013. "Inequality of Opportunities in Health and the Principle of Natural Reward: Evidence from European Countries," Post-Print hal-01499643, HAL.
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    Cited by:

    1. MUSSARD Stéphane & PI ALPERIN Maria Noel, 2016. "A Two-parameter Family of Socio-economic Health Inequality Indices: Accounting for Risk and Inequality Aversions," LISER Working Paper Series 2016-15, LISER.

    More about this item

    Keywords

    circumstances; efforts; equality of opportunity; health; Luxembourg; Shapley decomposition;

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