Multidimensional health modeling: Association between socioeconomic and psychosocial factors and health in Latvia

Irina, Mozhaeva (2009): Multidimensional health modeling: Association between socioeconomic and psychosocial factors and health in Latvia.

Abstract

This research aims at estimating association between socioeconomic and psychosocial factors on the one hand and health in Latvia on the other hand. While information on association between socioeconomic determinants of population health in Latvia is scarce, effect of psychosocial resources on individual health in this country hasn’t been estimated before. We find empirical support for the association between different psychosocial factors and physical health in Latvia. This paper proposes new approach for modelling self-assessed health. We find that the concept of health is too complicated to measure effects of health determinants using a one-dimensional econometric model. We apply two-dimensional stereotype logistic model that allows capturing nonmonotonicity in effects of factors and revealing significant effects that remain unseen if single dimension models, such as ordered logit or ordered probit, are used. Modelling self-assessed health using multi-dimensional stereotype logit provides higher model goodness of fit and quality measures in comparison to ordered probit model.

• Item Type: MPRA Paper
• Language: English
• Keywords: self-assessed health; socioeconomic determinants; psychosocial factors; nonmonotonicity; stereotype logit
• Subjects: C - Mathematical and Quantitative Methods > C5 - Econometric Modeling > C52 - Model Evaluation, Validation, and Selection; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health; I - Health, Education, and Welfare > I1 - Health > I10 - General

References

Akaike, H. (1973). Information theory and an extension of the maximum likelihood principle. In Proc. 2nd Int. Symp. Info. Theory, Eds.: Petrov B.N., Csaki F., Akademia Kiado, Budapest, 267-281.

Anderson, J.A. (1984). Regression and ordered categorical variables. Journal of the Royal Statistical Society, B.46: I-30.

Anderson, R., Mikulic, B., Vermeylen, G., Lyly-Yrjanainen, M., & Zigante V. (2008). Second European Quality of Life Survey - Overview. European Foundation for the Improvement of Living and Working Conditions.

Bobak, M., Pikhart, H., Kubinova, R., Malyutina, S., Pajak, A., Sebakova, H., Topor-Madry, R., Nikitin, Y., Caan, W., & Marmot, M. (2005). The association between psychosocial characteristics at work and problem drinking: a cross-sectional study of men in three Eastern European urban populations. Occupational and Environmental Medicine, 62, 546-550.

Bockerman, P., & Ilmakunnas, P. (2009). Unemployment and self assessed health: Evidence from panel data. Health Economics, 18: 161–179.

Bohnke, P. (2005). First European Quality of Life Survey: Life satisfaction, happiness and sense of belonging. European Foundation for the Improvement of Living and Working Conditions.

Bos, A., & Bos, A. (2007). The socio-economic determinants of older people's health in Brazil: the importance of marital status and income. Cambridge University Press. Crossley, T., & Kennedy, S. (2000). The Stability of Self Assessed Health Status. Discussion Paper Nr.421, Centre for Economic Policy Research, Australian National University.

Dodoo, M. (2006). Differential reporting of health status by sub-groups of the U.S. population. Paper presented at the annual meeting of the Economics of Population Health: Inaugural Conference of the American Society of Health Economists, TBA, Madison, WI, USA, accessed through http://www.allacademic.com/meta/p91338_index.html on August 25, 2009.

Dunn, J.R., Veenstra, G., & Ross, N. (2006). Psychosocial and neo-material dimensions of SES and health revisited: Predictors of self-rated health in a Canadian National Survey. Social Science and Medicine; 62(6), 1465-1473.

Etile, F., & Milcent, C. (2006). Income-related reporting heterogeneity in self-assessed health: Evidence from France. Journal of Health Economics, 15, 965-981.

Evans, R.G., Barer, M.L., & Marmor, T.R. (1994). Why are some people healthy and others not? The determinants of health of populations. New York: Aldine de Gruyter.

Hazans, M. (2006). Job satisfaction and its impact on life satisfaction in Latvia. In: Tisenkopfs, T., Bela, B. (Eds). Quality of life in Latvia. (pp. 237-264). Riga: Zinatne (In Latvian). Available at: http://www.president.lv/images/modules/items/PDF/item_1124_Dzives_kvalitaate_Latvija.pdf

Hernandez-Quevedo, C., Jones, A.M. & Rice, N. (2004). Reporting bias and heterogeneity in self-assessed health. Evidence from the British Household Panel Survey. University of York, mimeo.

Humphries, K.H. & van Doorslaer, E. (2000). Income-related health inequality in Canada. Social Science and Medicine, 50, 663-671.

Islam, K., Merlo, J., Kawachi, I., Lindstrom, M., & Gerdtham, U.G. (2006). Social capital and health: Does egalitarianism matter? A literature review. International Journal for Equity in Health, 5(3), doi:10.1186/1475-9276-5-3.

Iversen, T. (2008). An exploratory study of associations between social capital and self-assessed health in Norway. Health Economics, Policy and Law, Cambridge University Press, vol. 3(04), 349-364, October.

Jürges, H. (2008). Self-assessed health, reference levels, and mortality. Applied Economics, Taylor and Francis Journals, 40(5), 569-582.

Jusot, F., Grignon, M., & Dourgnon, P. (2007). Psychosocial resources and social health inequalities in France: Exploratory findings from a general population survey. Working paper, IRDES, 4-6.

Kawachi, I., & Berkman L.F. (2001). Social ties and mental health. Journal of Urban Health, 78(3), 458-67.

Kvetnoy, I., & Konovalov, S. (2004). Magical molecules of health. SPb: Praim Evroznak (In Russian), 80-95.

Lacy, M. G. (2006). An explained variation measure for ordinal response models with comparisons to other ordinal R² measures. Sociological Methods and Research, 34:469-520.

Lavis, J., & Stoddard, G. (2003). Social cohesion and health. In L. Osberg (Ed), The Economic Implications of Social Cohesion (pp. 121-149). Toronto ON: University of Toronto Press.

Mackenbach, J.P. (2006). Health inequalities: Europe in profile. Independent expert report commissioned by the UK Presidency of the EU.

Mackenbach, J.P., Stirbu, I., Roskam, A.J.R., Schaap, M.M., Menvielle, G., Leinsalu, M., Kunst. A.E. (2008). Socioeconomic Inequalities in Health in 22 European Countries. The New England Journal of Medicine, 358, 2468-81.

Marmot, M., & Wilkinson, R.G. (2005) Social determinants of health. Oxford: Oxford University Press. McKenize, K., Whitley, R., & Weich, S. (2002). Social capital and mental health. British Journal of Psychiatry, 181, 280-283.

Monden, C. (2004). Socioeconomic health inequalities in Latvia: a cross-sectional study. Scandinavian Journal of Public Health, 32(3), 217-23.

O’Donnell, O., van Doorslaer, E., Wagstaff, A., & Lindelow, M. (2008). Analyzing health equity using household survey data. A guide to techniques and their implementation. The International Bank for Reconstruction and Development / The World Bank, 55-65.

Rivers, D., & Vuong, Q.H. (1988). Limited information estimators and exogeneity tests for simultaneous probit models. Journal of Econometrics, 39, 347–366.

Schwarz, G. (1978). Estimating the dimension of a model. Annals of Statistics, 6: 461-464.

StataCorp LP. (2005) User Manual. Release 9. College Station: Stata Press.

Van Doorslaer, E., & Jones, A. (2003). Inequalities in self-reported health: Validation of a new approach to measurement. Journal of Health Economics, 22, 61–87.

Wagstaff, A., & van Doorslaer, E. (1994). Measuring inequalities in health in the presence of multiple-category morbidity indicators. Journal of Health Economics, 3, 281–291.

Walters, S., & Suhrcke, M. (2005). Socioeconomic inequalities in health and health care access in central and eastern Europe and the CIS: a review of the recent literature. Venice, World Health Organization European Office for Investment for Health and Development; Working paper 2005/1.

Whitehead, M., & Dahlgren, G. (2006). Levelling up: a discussion paper on concepts and principles for tackling social inequities in health. Copenhagen, WHO Regional Office for Europe.

Zujeva , I. (2008). The direct and indirect impact of economic factors on population health in Latvia. Acta Universitatis Latvensis, series of Economics, University of Latvia, p. 251-262.

Central Statistical Bureau of Latvia. Accessed through www.csb.lv on July 8, 2010.

World Health Organization. (2010). World Health Statistics 2010.

Eurostat

Norbalt II survey data

Life quality in Latvia 2005 survey data

Health Survey 2008 data