IDEAS home Printed from https://ideas.repec.org/p/wbk/wbrwps/3698.html
   My bibliography  Save this paper

Searching for the economic gradient in self-assessed health

Author

Listed:
  • Lokshin, Michael
  • Ravallion, Martin

Abstract

Can self-assessed health be relied on to identify the true socioeconomic gradients in health status? The self-assessed health of Russian adults in 2002 shows remarkably little gradient with respect to economic welfare. The authors document this finding and assess its robustness to the assumptions routinely made in measuring health and welfare. They find that the expected economic gradient only emerges once one focuses on the component of self-assessed health that is explicable in terms of age and more objective health indicators and one allows for broader dimensions of economic welfare than captured by standard income-based measures. The results point to the need for caution in analyzing and interpreting self-assessed health data.

Suggested Citation

  • Lokshin, Michael & Ravallion, Martin, 2005. "Searching for the economic gradient in self-assessed health," Policy Research Working Paper Series 3698, The World Bank.
  • Handle: RePEc:wbk:wbrwps:3698
    as

    Download full text from publisher

    File URL: http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2006/07/13/000016406_20060713132130/Rendered/PDF/wps3698.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    2. Elizabeth Brainerd & David M. Cutler, 2005. "Autopsy on an Empire: Understanding Mortality in Russia and the Former Soviet Union," Journal of Economic Perspectives, American Economic Association, vol. 19(1), pages 107-130, Winter.
    3. Martin Ravallion & Michael Lokshin, 2001. "Identifying Welfare Effects from Subjective Questions," Economica, London School of Economics and Political Science, vol. 68(271), pages 335-357, August.
    4. Pollak, Robert A., 1991. "Welfare comparisons and situation comparisons," Journal of Econometrics, Elsevier, vol. 50(1-2), pages 31-48, October.
    5. Field, Mark G., 1995. "The health crisis in the former Soviet Union: A report from the 'post-war' zone," Social Science & Medicine, Elsevier, vol. 41(11), pages 1469-1478, December.
    6. Kapteyn, Arie, 1994. "The Measurement of Household Cost Functions: Revealed Preference versus Subjective Measures," Journal of Population Economics, Springer;European Society for Population Economics, vol. 7(4), pages 333-350, November.
    7. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    8. Duncan Thomas & Elizabeth Frankenberg, 2001. "The Measurement and Interpretation of Health in Social Surveys," Working Papers 01-06, RAND Corporation.
    9. 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.
    10. Lant Pritchett & Lawrence H. Summers, 1996. "Wealthier is Healthier," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 841-868.
    11. Cockerham, William C., 2000. "Health lifestyles in Russia," Social Science & Medicine, Elsevier, vol. 51(9), pages 1313-1324, November.
    12. Currie, Alison & Shields, Michael A. & Wheatley Price, Stephen, 2004. "Is the Child Health / Family Income Gradient Universal? Evidence from England," IZA Discussion Papers 1328, Institute of Labor Economics (IZA).
    13. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters, in: Perspectives on the Economics of Aging, pages 415-526, National Bureau of Economic Research, Inc.
    14. Bobak, Martin & Pikhart, Hynek & Hertzman, Clyde & Rose, Richard & Marmot, Michael, 1998. "Socioeconomic factors, perceived control and self-reported health in Russia. A cross-sectional survey," Social Science & Medicine, Elsevier, vol. 47(2), pages 269-279, July.
    15. Menzel, Paul & Dolan, Paul & Richardson, Jeff & Olsen, Jan Abel, 2002. "The role of adaptation to disability and disease in health state valuation: a preliminary normative analysis," Social Science & Medicine, Elsevier, vol. 55(12), pages 2149-2158, December.
    16. Branko Milanovic, 1999. "Explaining the increase in inequality during transition," The Economics of Transition, The European Bank for Reconstruction and Development, vol. 7(2), pages 299-341, July.
    17. Robinson, Peter M, 1988. "Root- N-Consistent Semiparametric Regression," Econometrica, Econometric Society, vol. 56(4), pages 931-954, July.
    18. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    19. Meer, Jonathan & Miller, Douglas L. & Rosen, Harvey S., 2003. "Exploring the health-wealth nexus," Journal of Health Economics, Elsevier, vol. 22(5), pages 713-730, September.
    20. Dwyer, Debra Sabatini & Mitchell, Olivia S., 1999. "Health problems as determinants of retirement: Are self-rated measures endogenous?," Journal of Health Economics, Elsevier, vol. 18(2), pages 173-193, April.
    21. Richard A. Easterlin, 1980. "Population and Economic Change in Developing Countries," NBER Books, National Bureau of Economic Research, Inc, number east80-1, March.
    22. Samuel H. Preston, 1980. "Causes and Consequences of Mortality Declines in Less Developed Countries during the Twentieth Century," NBER Chapters, in: Population and Economic Change in Developing Countries, pages 289-360, National Bureau of Economic Research, Inc.
    23. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
    24. Ellman, Michael, 1994. "The Increase in Death and Disease under "Katastroika."," Cambridge Journal of Economics, Cambridge Political Economy Society, vol. 18(4), pages 329-355, August.
    25. Sudhir Anand & Martin Ravallion, 1993. "Human Development in Poor Countries: On the Role of Private Incomes and Public Services," Journal of Economic Perspectives, American Economic Association, vol. 7(1), pages 133-150, Winter.
    26. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    27. Sorlie, P.D. & Backlund, E. & Keller, J.B., 1995. "US mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality Study," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 949-956.
    28. Adonis Yatchew, 1998. "Nonparametric Regression Techniques in Economics," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 669-721, June.
    29. Ravallion, Martin & Lokshin, Michael, 2001. "Identifying Welfare Effects from Subjective Questions," Economica, London School of Economics and Political Science, vol. 68(271), pages 335-357, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michael Lokshin & Martin Ravallion, 2008. "Testing for an economic gradient in health status using subjective data," Health Economics, John Wiley & Sons, Ltd., vol. 17(11), pages 1237-1259, November.
    2. Michael Lokshin & Martin Ravallion, 2008. "Testing for an economic gradient in health status using subjective data," Health Economics, John Wiley & Sons, Ltd., vol. 17(11), pages 1237-1259.
    3. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    4. Doyle, Orla & Harmon, Colm P. & Walker, Ian, 2005. "The Impact of Parental Income and Education on the Health of their Children," IZA Discussion Papers 1832, Institute of Labor Economics (IZA).
    5. Lefebvre, Pierre, 2006. "Le gradient santé / revenu familial des nouveau-nés québécois de 1998 après quatre ans : faible ou inexistant?," L'Actualité Economique, Société Canadienne de Science Economique, vol. 82(4), pages 523-595, décembre.
    6. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    7. Andrew M. Jones & Eddy Van Doorslaer & Teresa Bago D’Uva & Silvia Balia & Lynn Gambin & Cristina Hernández Quevedo & Xander Koolman & Nigel Rice, 2006. "Health and Wealth: Empirical Findings and Political Consequences," Perspektiven der Wirtschaftspolitik, Verein für Socialpolitik, vol. 7(s1), pages 93-112, May.
    8. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    9. Weichun Chen & Judith A. Clarke & Nilanjana Roy, 2014. "Health and wealth: Short panel Granger causality tests for developing countries," The Journal of International Trade & Economic Development, Taylor & Francis Journals, vol. 23(6), pages 755-784, September.
    10. Carol Propper & John Rigg & Simon Burgess, 2007. "Child health: evidence on the roles of family income and maternal mental health from a UK birth cohort," Health Economics, John Wiley & Sons, Ltd., vol. 16(11), pages 1245-1269, November.
    11. Currie, Alison & Shields, Michael A. & Price, Stephen Wheatley, 2007. "The child health/family income gradient: Evidence from England," Journal of Health Economics, Elsevier, vol. 26(2), pages 213-232, March.
    12. Frijters, Paul & Haisken-DeNew, John P. & Shields, Michael A., 2005. "The causal effect of income on health: Evidence from German reunification," Journal of Health Economics, Elsevier, vol. 24(5), pages 997-1017, September.
    13. Li, Hongbin & Meng, Lingsheng & Pan, Wenqing, 2011. "The human cost of China's industrial growth," China Economic Review, Elsevier, vol. 22(3), pages 373-382, September.
    14. Simon Burgess & Carol Propper & John A. Rigg, 2004. "The Impact of Low Income on Child Health: Evidence from a Birth Cohort Study," CASE Papers 085, Centre for Analysis of Social Exclusion, LSE.
    15. Beomsoo Kim & Christopher J. Ruhm, 2012. "Inheritances, health and death," Health Economics, John Wiley & Sons, Ltd., vol. 21(2), pages 127-144, February.
    16. Frijters, Paul & de New, John & Shields, Michael A., 2005. "Socio-Economic Status, Health Shocks, Life Satisfaction and Mortality: Evidence from an Increasing Mixed Proportional Hazard Model," IZA Discussion Papers 1488, Institute of Labor Economics (IZA).
    17. Lokshin, Michael & Ravallion, Martin, 2005. "Rich and powerful?: Subjective power and welfare in Russia," Journal of Economic Behavior & Organization, Elsevier, vol. 56(2), pages 141-172, February.
    18. Jamison, Dean T. & Murphy, Shane M. & Sandbu, Martin E., 2016. "Why has under-5 mortality decreased at such different rates in different countries?," Journal of Health Economics, Elsevier, vol. 48(C), pages 16-25.
    19. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    20. Xie, Ruizhi & Awokuse, Titus O., 2013. "The Role of Health Status on Income in China," 2013 Annual Meeting, August 4-6, 2013, Washington, D.C. 151137, Agricultural and Applied Economics Association.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wbk:wbrwps:3698. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Roula I. Yazigi (email available below). General contact details of provider: https://edirc.repec.org/data/dvewbus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.