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Health inequality in the Russian Federation: An examination of the changes in concentration and achievement indices from 1994 to 2013


  • Paul, Pavitra
  • Valtonen, Hannu


Background: To assess and quantify the magnitude of health inequalities ascribed to socioeconomic strata from 1994 to 2013 in the Russian Federation. Methods: A balanced sample of 1,496 adult individuals extracted from the 1994 wave of the Russian Longitudinal Monitoring Survey (RLMS) is followed for stated self-perceived health status until 2013. The socioeconomic strata (SES) index is constructed with a set of variables (adult equivalent household income, ownership of assets and living conditions) by applying principal component analysis (PCA). We use a regression-based concentration index to measure differences in self-perceived health status. Finally, we examine the degree of aversion to inequalities in self-perceived health status between the worse-off and the better-off with the achievement index. Results: By 2013, the mean standardized self-perceived health status has improved by 4.6 % compared to 1994. The absolute size of Concentration Index (CI) for non - standardized self-perceived health status is reduced by 44.27 % from 1994 to 2013. No systematic trend emerges in the evolution of CI for self-perceived health status of the Russians over the 19 year period. However, avoidable inequalities in self-perceived health status of the Russian population is reduced by almost 60 % over the two decades (1994–2013). Conclusion: SES, as defined with objective indicators, shows little consistency in association with self-perceived health status in the Russian Federation. This study highlights the need for future research that considers the context of stated self-perceived health status in the realm of subjective socioeconomic status (SSS).

Suggested Citation

  • Paul, Pavitra & Valtonen, Hannu, 2015. "Health inequality in the Russian Federation: An examination of the changes in concentration and achievement indices from 1994 to 2013," MPRA Paper 70150, University Library of Munich, Germany, revised 05 Feb 2016.
  • Handle: RePEc:pra:mprapa:70150

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    More about this item


    Achievement; Aversion; Concentration; Distributionally-sensitive; Health inequalities; Positive-externality; Self-perceived; Subjective socioeconomic status; Russia.;
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    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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