Batana, Yélé Maweki (2010): Evolution of social inequalities in health in Quebec?
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This paper, based on data from the National Population Health Surveys (NPHS) from 1994 to 2007, analyzes the evolution of social inequalities in health in Quebec since the mid-1990s using two health measures namely self-assessed health (SAH) and health utility index (HUI). Two methods are used. The first is based on concentration indices and their decompositions while the second is based on the income-health matrices. The results confirm the existence of persistent health gradients, but with some variations over time. The findings also suggest an increase, on average, in health inequalities during the period with a peak during the years 2002/2003. These variations appear especially stronger for low-income individuals.
|Item Type:||MPRA Paper|
|Original Title:||Evolution of social inequalities in health in Quebec?|
|Keywords:||Concentration indices; decomposition analysis; self-assessed health; health utility index; income-health matrices; dominance analysis|
|Subjects:||D - Microeconomics > D3 - Distribution > D31 - Personal Income, Wealth, and Their Distributions
D - Microeconomics > D6 - Welfare Economics > D63 - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior
J - Labor and Demographic Economics > J6 - Mobility, Unemployment, Vacancies, and Immigrant Workers > J60 - General
C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C21 - Cross-Sectional Models ; Spatial Models ; Treatment Effect Models ; Quantile Regressions
C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C25 - Discrete Regression and Qualitative Choice Models ; Discrete Regressors ; Proportions ; Probabilities
|Depositing User:||Yélé Maweki Batana|
|Date Deposited:||16 Feb 2010 22:37|
|Last Modified:||23 Feb 2016 13:35|
Atkinson, A. B. (1983), "The Measurement of Economic Mobility," in: Social Justice and Public Policy, Harvester Wheatsheaf.
Bernier, N. (2005), "Canadian Approaches to Public Health: A Comparative Overview of Policy Content and Organization," Paper presented at SASE 2005, 17th Annual Meeting on Socio-Economic, Budapest, July.
Borrell, C., Rue, M., Pasarín, M. I., Rohlfs, I., Ferrando, J. and E. Fernandez (2000), "Trends in Social Class Inequalities in Health Status, Health-Related Behaviors, and Health Services Utilization in a Southern European Urban Area (1983-1994)," Preventive Medicine, 31: 691-701.
Conlisk, J. (1990), "Monotone Mobility Matrices," Journal of Mathematical Sociology, 15, 173-191.
Dalstra, J. A. A., Kunst, A. E., Geurts, J. J. M., Frenken, F. J. M. and J. P. Mackenbach (2002), "Trends in socioeconomic health inequalities in the Netherlands, 1981-1999," Journal of Epidemiology and Community Health, 56: 927-934.
Dardanoni, V. (1993), "Measuring Social Mobility," Journal of Economic Theory, 61: 372-394.
Deaton, A. (2003), "Health, Inequality, and Economic Development," Journal of Economic Literature, 41: 113-158.
Decker, S. L. and D. K. Remler (2004), "How Much Might Universal Health Insurance Reduce Socioeconomic Disparities in Health? A Comparison of the US and Canada," Applied Health Economics and Health Policy, 3: 205-216.
Feeny, D., Furlong, W., Torrance, G. W. et al. (2002), "Multi-attribute and single-attribute utility functions for the health utilities index mark 3 system," Medical Care, 40: 113-128.
Frenk, J., Bobadilla, J.-L., Stern, C., Frejka, T. and R. Lozano (1994), "Elements for a Theory of the Health Transition," in Chen, L. C., Kleinman, A. Et N. C. Ware (Eds.), Health and Social Change in International Perspective, Harvard Series on Population and International Health, Harvard University Press, Boston.
García-Gómez, P. and A. López Nicolás (2004), "The evolution of socio-economic health inequalities in Spain: 1987-2001," UPF Economics Working Paper 756.
Glouberman, S. and J. Millar (2003), "Evolution of the Determinants of Health, Health Policy, and Health Information Systems in Canada," American Journal of Public Health, 93: 388-392.
Groot, W. (2000), "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, 19: 403-420.
Humphries, K. H. and E. van Doorslaer (2000), "Income-related health inequality in Canada," Social Science & Medicine, 50: 663-671.
Jones, A. M. (2000), "Health econometrics," in Culyer, A. J., Newhouse, J. P. (Eds.), Handbook of Health Economics, Elsevier, Amsterdam.
Jones, A. M. et J. Wildman (2008), "Health, Income and Relative Deprivation: Evidence from the BHPS," Journal of Health Economics, 27: 308-324.
Kakwani, N., Wagstaff, A. and E. van Doorslaer (1997), "Socioeconomic inequalities in health: measurement, computation and statistical inference," Journal of Econometrics, 77: 87-104.
Krokstad, S., Kunst, A. E. and S. Westin (2002), "Trends in health inequalities by educational level in a Norwegian total population study," Journal of Epidemiology and Community Health, 56: 375-380.
Kunst, A. E. et al. (2005), "Trends in socioeconomic inequality in self-assessed health in 10 European countries," International Journal of Epidemiology, 34: 295-305.
Marmot, M. (2005), "Social Determinants of Health Inequalities," Lancet, 365: 1099-1104.
McGrail, K. M., van Doorslaer, E., Ross, N. A. and C. Sanmartin (2009), "Income-Related Inequalities in Canada and the United States: A Decomposition Analysis," American Journal of Public Health, 99: 1856-63.
McLeod, C. B., Lavis, J. N., Mustard, C. A. and G. L. Stoddart (2003), "Income Inequality, Household Income, and Health Status in Canada: A Prospective Cohort Study," American Journal of Public Health, 93: 1287-1293.
Murthy, N. R. V. (2006), "Health Status and Income Inequality: Evidence from OECD Countries," Atlantic Economic Journal, 34: 237-238.
O’Donnell, O., van Doorslaer, E., Wagstaff, A. and M. Lindelow (2008), Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and their Implementations, The World Bank, Washington DC.
Pampalon, R., Hamel, D. and P. Gamache (2008a), "Évolution récente de la mortalité premature au Québec selon la défavorisation matérielle et sociale," In Frolich, K., De Koninck, M., Bernard, P. and A. Demers (Eds.), Les inégalités sociales de santé au Québec, Presses Universitaires de Montréal, Montréal.
Pampalon, R., Hamel, D. and P. Gamache (2008b), "Recent changes in the geography of social disparities in premature mortality in Québec," Social Science & Medicine, 67: 1269-1281.
Pascual, M., Cantarero, D. and J. M. Sarabia (2005), "Income Inequality and Health: Do the Equivalence Scales Matter?," Atlantic Economic Journal, 33: 169-178.
Safaei, J. (2007), "Income and Health Inequality Across Canadian Provinces," Health & Place, 13: 629-638.
Starfield, B. and L. Shi (2002), "Policy Relevant Determinants of Health: An International Perspective, " Health Policy, 60: 201-218.
Torrance, G. W., Feeny, D., Furlong, W., Barr, R., Zhang, Y. and Q. Wang (1996), "Multi-attribute Utility Function for a Comprehensive Health Status Classification System—Health Utilities Index Mark 2," Medical Care, 34: 702-722.
van Doorslaer, E. and A. M. Jones (2003), "Inequality in self-reported health: Validation of a new approach to measurement," Journal of Health Economics, 22: 61-87.
Wagstaff, A. (2002), "Inequality aversion, health inequalities and health achievement," Journal of Health Economics, 21: 627-641.
Wagstaff, A., van Doorslaer, E. and N. Watanabe (2003), "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, 112: 207-223.
Wagstaff, A., Paci, P. and van Doorslaer (1991), "On the measurement of inequalities in health," Social Sciences and Medicine, 33: 545-557.
Wildman, J. (2003), "Income Related Inequalities in Mental Health in Great Britain. Analysing the Causes of Health Inequality Over Time," Journal of Health Economics, 22: 295-312.
Wilkins, R., Berthelot, J.-M. and E. Ng (2002), "Trends in mortality by neighbourhood income in urban Canada from 1971 to 1996," Supplement to Health Reports, 13: 1-27.
Zheng, B. (2006), "Measuring Health Inequality and Health Opportunity," UNU-WIDER Conference, Helsinki, September.