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New prospects in the analysis of inequalities in health: a measurement of health encompassing several dimensions of health

  • Sandy Tubeuf
  • Marc Perronnin

This paper develops an innovative method of constructing a concrete measure of health by taking into account individual health information. Using individual survey data from the 2002 IRDES Health and Health Insurance Survey, we propose a measurement of health based on the number of diseases and their respective severity level. The construction relies on a latent variable regression model explaining self-assessed health and controlling various social and health individual characteristics. We compare this construction to other methods proposed in literature for the measurement of health. Moreover, we show how the health index allows to compare distributions of health among di®erent populations and to evaluate inequalities in health in France by using stochastic dominance at first-order.

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File URL: http://www.york.ac.uk/media/economics/documents/herc/wp/08_01.pdf
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Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 08/01.

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Date of creation: Feb 2008
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Handle: RePEc:yor:hectdg:08/01
Contact details of provider: Postal: HEDG/HERC, Department of Economics and Related Studies, University of York, York, YO10 5DD, United Kingdom
Phone: (0)1904 323776
Fax: (0)1904 323759
Web page: http://www.york.ac.uk/economics/postgrad/herc/hedg/Email:


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  1. Hendrik Jürges, 2006. "True Health vs. Response Styles: Exploring Cross-country Differences in Self-reported Health," Discussion Papers of DIW Berlin 588, DIW Berlin, German Institute for Economic Research.
  2. Lindeboom, Maarten & van Doorslaer, Eddy, 2004. "Cut-Point Shift and Index Shift in Self-Reported Health," IZA Discussion Papers 1286, Institute for the Study of Labor (IZA).
  3. 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.
  4. 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.
  5. Stewart, Mark B, 1982. "On Least Squares Estimation when the Dependent Variable is Grouped," The Warwick Economics Research Paper Series (TWERPS) 207, University of Warwick, Department of Economics.
  6. Ada Ferrer-i-Carbonell & Paul Frijters, 2004. "How Important is Methodology for the estimates of the determinants of Happiness?," Economic Journal, Royal Economic Society, vol. 114(497), pages 641-659, 07.
  7. Michael Baker & Mark Stabile & Catherine Deri, 2001. "What do Self-Reported, Objective, Measures of Health Measure?," NBER Working Papers 8419, National Bureau of Economic Research, Inc.
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