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Cut-point Shift and Index Shift in Self-reported Health

Author

Listed:
  • Maarten Lindeboom

    (FEWEB, Vrije Universiteit Amsterdam, and IZA)

  • Eddy van Doorslaer

    (Dept of Health & Management, Erasmus University Rotterdam)

Abstract

There is a concern that ordered responses on health questions may differ acrosspopulations or even across subgroups of a population. This reporting heterogeneity mayinvalidate group comparisons and measures of health inequality. This paper proposes a test fordifferential reporting in ordered response models which allows us to distinguish betweencut-point shift and index shift. The method is illustrated using Canadian National PopulationHealth Survey data. The McMaster Health Utility Index (HUI) is used as a more objective healthmeasure than the simple 5-point scale of self-assessed health. We find clear evidence of indexshifting and cut-point shifting for age and gender, but not for income, education or language.

Suggested Citation

  • Maarten Lindeboom & Eddy van Doorslaer, 2003. "Cut-point Shift and Index Shift in Self-reported Health," Tinbergen Institute Discussion Papers 03-042/3, Tinbergen Institute.
    • Handle: RePEc:tin:wpaper:20030042
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    References listed on IDEAS

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    1. van Doorslaer, Eddy & Gerdtham, Ulf-G., 2003. "Does inequality in self-assessed health predict inequality in survival by income? Evidence from Swedish data," Social Science & Medicine, Elsevier, vol. 57(9), pages 1621-1629, November.
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    5. Shmueli, Amir, 2003. "Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity," Social Science & Medicine, Elsevier, vol. 57(1), pages 125-134, July.
    6. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    7. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
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    More about this item

    Keywords

    health measurement; ordered response models; cut point shift; index shift; Canada.;
    All these keywords.

    JEL classification:

    • D30 - Microeconomics - - Distribution - - - General
    • D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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