Lahiri, Kajal and Pulungan, Zulkarnain (2007): Income-related health disparity and its determinants in New York state: racial/ethnic and geographical comparisons. Published in: Toward Equity in Health: A New Global Approach to Inequities in Health (2007): pp. 97-127.
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Using self-assessed health status together with several indicators of individual morbidity and socio-demographic characteristics, we study the quality of health and income related health disparity in five racial/ethnic groups as well as across 17 geographic areas of New York State. The American Indian/Alaskan Natives and Hispanics are found to do the worst, whereas, geographically, the North Country in Upstate New York and Bronx County in Downstate score the worst on both counts. Three major contributing factors to income related health disparity are found to be household income, employment status, and education. However, the contribution of each of these determinants varies significantly among racial/ethnic groups as well as across geographic areas, suggesting targeted public policy initiatives to eliminate health disparity between rich and poor.
|Item Type:||MPRA Paper|
|Original Title:||Income-related health disparity and its determinants in New York state: racial/ethnic and geographical comparisons|
|Keywords:||BRFSS data; Self-assessed health; Ordered Probit; Income related health inequality; Concentration index; Concentration curve; Decomposition analysis|
|Subjects:||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
I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health
J - Labor and Demographic Economics > J1 - Demographic Economics > J15 - Economics of Minorities, Races, Indigenous Peoples, and Immigrants ; Non-labor Discrimination
C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C25 - Discrete Regression and Qualitative Choice Models ; Discrete Regressors ; Proportions ; Probabilities
|Depositing User:||Kajal Lahiri|
|Date Deposited:||07. Apr 2010 05:49|
|Last Modified:||13. Feb 2013 21:03|
Adams, P., Hurd, M., McFadden, D., Merrill, A., & Ribeiro, T. (2003). Healthy, wealthy,and wise? Tests for direct causal between health and socioeconomic status. Journal of Econometrics, 112, 3–56.
Adler, N. E., & Newman, K. (2002). Socioeconomic disparities in health: Pathways and policies. Health Affairs, 21, 60–76.
Adler, N. E., & Ostrove, J. M. (1999). SES and health: What we know and what we don’t. Annals of the New York Academy of Sciences, 896, 3–5.
Arias, E. (2004). United States life tables, 2002. National Vital Statistics Reports 53.
Hyattsville, MD: National Center for Health Statistics. Ayanian, J. Z., Weissman, J. S., Chasan-Taber, S., & Epstein, A. M. (1999). Quality of care by race and gender for congestive heart failure and pneumonia. Medical Care, 37, 1260–1269.
Banks, J. B., Marmot, M., Oldfield, Z., & Smith, J. P. (2006). The SES health gradient on both sides of the Atlantic. National Bureau of Economic Research working paper 12674. Cambridge, MA.
Bommier, A., & Stecklov, G. (2002). Defining health inequality: Why Rawls succeeds where social welfare theory fails. Journal of Health Economics, 21, 497–513.
Centers for Disease Control and Prevention (CDC) (1999-2004). Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention (CDC) (1999-2004). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
Clarke, P. M., & Ryan, C. (2006). Self-reported health: Reliability and consequences for health inequality measurement. Health Economics, 15, 645–352.
Cutler, D. M., Deaton, A., & Lleras-Muney, A. (2006). The determinants of mortality. Journal of Economic perspectives, 20, 97–120.
Cutler, D. M., & Lleras-Muney, A. (2006). Education and health: Evaluating theories and evidence. National Bureau of Economic Research working paper 12352. Cambridge,MA.
Cutler, D. M., & Richardson, E. (1997). Measuring the health of the U.S. population.Brooking papers on economic activity. Microeconomics 1997, 217–271.
Cutler, D. M., & Richardson, E. (1998). The value of health: 1970–1990. American Economic Review, 88, 97–100.
Deaton, A. (2006). Global pattern of income and health: Facts, interpretation, and policies. National Bureau of Economic Research Working Paper 12735. Cambridge,MA.
Deaton, A., & Lubotsky, D. (2003). Mortality, inequality and race in American cities and states. Social Science & Medicine, 56, 1139–1153.
Diez-Roux, A. V., Nieto, F. J., Caulfield, L., Tyroler, H. A., Watson, R. L., & Szklo, M.(1999). Neighborhood differences in diet: The Atherosclerosis Risk in Communities (ARIC) study. Journal of Epidemiology and Community Health, 53, 55–63.
d’Uva, T. B., van Doorslaer, E., Lindeboom, M., O’Donnell, O., & Chatterji, S. (2006).Does reporting heterogeneity bias the measure of health disparity? Timbergen Institute discussion paper, TI 2006-033/3.
Ecob, R., & MacIntyre, S. (2000). Small area variations in health related behaviors: Do these depend on the behavior itself, its measurement, or on personal characteristics? Health and Place, 6, 261–274.
Environmental Systems Research Institute (ESRI). (2002). ArcView GIS. Version 3.3.Redlands, CA: Author.
Groot, W. (2000). Adaptation and scale of reference bias in self-assessments of quality of life. Journal of Health Economics, 19, 403–420.
Horton, N. J., Lipsitz, S. R., & Parzen, M. (2003). A potential for bias when rounding in multiple imputation. American Statistician, 57, 229–232.
Humphries, K. H., & van Doorslaer, E. (2000). Income-related health inequality in Canada. Social Science Medicine, 50, 663–671.
Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21–37.
Institute of Medicine. (2002). Unequal treatment: Controlling racial and ethnic disparities in health care. Washington, DC: National Academies Press.
James, W., & Nelson, M. (1997). The contribution of nutrition to inequalities in health.British Medical Journal, 314, 1545–1550.
Kakwani, N., Wagstaff, A., & van Doorslaer, E. (1997). Socioeconomic inequalities in health: Measurement, computation, and statistical inference. Journal of Econometrics,77, 59–103.
Kennedy, B. P., Kawachi, I., Glass, R., & Prothrow-Stith, D. (1998). Income distribution socioeconomic status, self-rated health in the United States: Multilevel analysis. BMJ, 317, 917–921.
Keppel, K. G., Pearcy, J. N., & Klein, R. J. (2004). Measuring progress in healthy people 2010. Statistical notes 25. Hyattsville, MD: National Center for Health Statistics.
Kobetz, E., Daniel, M., & Earp, J. A. (2003). Neighborhood poverty and self-reported health among low-income, rural women, 50 years and older. Health & Place, 9, 263– 271.
Koolman, X., & van Doorslaer, E. (2004). On the interpretation of a concentration index of inequality. Health Economics, 13, 649–56.
Lahiri, K., Vaughan, D. R., & Wixon, B. (1995). Modeling SSA’s sequential disability determination process using matched SIPP data. Social Security Bulletin, 58, 1–41.
Lecluyse, A., & Cleemput, I. (2005). Making health continuous: Implications of different methods on the measurement of inequality. Health Economics, 15, 99–104.
Manor, O., Matthews, S., & Power, C. (2001). Self-rated health and limiting longstanding illness: Inter-relationships with morbidity in early adulthood. International Journal ofEpidemiology, 30, 600–607.
McKelvey, R., & Zavoina, W. (1975). A statistical model for the analysis of ordinal level dependent variables. Journal of Mathematical Sociology, 4, 103–120.
Milanovic, B. (1997). A simple way to calculate the Gini coefficient, and some implications. Economics Letters, 56, 45–49.
Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. Journal of American Medical Association, 291, 1238–1245.
Molla, M. T., Madans, J. H., Wagener, W. K., & Crimmins, E. M. (2003). Summary measures of population health: Report of findings on methodologic and data issues.
Hyattsville, MD: National Center for Health Statistics. Mullahy, J. (2001). Live long, live well: Quantifying the health of heterogeneous population. Health Economics, 10, 429–440.
Must, A., Spadano, J., Coakley, E. H., Field, A.E., Colditz, G., & Dietz, W. H. (1999).The disease burden associated with overweight and obesity. Journal of American Medical Association, 282, 1523–1529.
National Center for Health Statistics (NCHS). (2006). Health, United States, 2006: With chartbook on trends in the health of Americans. Hyattsville, MD: Author.
Rawls, J. (1971). A theory of justice. Cambridge, MA: Harvard University Press.
Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: John Wiley.
Safaei, J. (2006). Income and health inequality across Canadian provinces. Health &Place, 9, 3.
Schafer, J. L. (1997). Analysis of incomplete multivariate data. New York: Chapman and Hall.
Sehili, S., Elbasha, E. H., Moriarty, D. G., & Zack, M. M. (2005). Inequalities in selfreported physical health in the United States, 1993–1999. Health Economics, 14,377–389.
Shishehbor, M. H., Litaker, D., Pothier, C. E., & Lauer, M. S. (2006). Association of socioeconomic status with functional capacity, heart rate recovery, and all-cause mortality. Journal of American Medical Association, 295, 784–792.
Sickles, R. C., & Taubman, P. (1997). Mortality and morbidity among adults and elderly.In M. R. Rozenzweig & O. Stark (Eds.), Handbook of population and family economics. Amsterdam: North-Holland.
Soobader, M.-J., & LeClere, F. B. (1999). Aggregation and the measurement of income inequality: Effects on morbidity. Social Science & Medicine, 48, 733–744.
Subramanian, S. V., & Kawachi, I. (2003). The association between state income inequality and worse health is not confounded by race. International Journal of Epidemiology, 32, 1022–1028.
Subramanian, S. V., & Kawachi, I. (2004). Income inequality and health: What have we learned so far? Epidemiologic Reviews, 26, 78–91.
Subramanian, S. V., & Kawachi, I. (2006). Whose health is affected by income inequality? A multilevel interaction analysis of contemporaneous and lagged effects of state income inequality on individual self-rated health in the United States. Health& Place, 12, 141–156.
U.S. Census Bureau. (2000). American FactFinder fact sheet. Retrieved January 10,2007, from http://factfinder.census.gov/.
U.S. Department of Health and Human Services (US-DHHS). (2000). Healthy People 2010: Understanding and improving health (2nd ed.). Washington, DC: U.S.Government Printing Office.
U.S. Department of Health and Human Services (US-DHHS). (2004). The Health Consequences of Smoking: A Report of Surgeon General. US Government Printing Office, Washington, DC.
Van Doorslaer, E., & Jones, A. M. (2003). Inequalities in self-reported health: Validation of a new approach to measurement. Journal of Health Economics, 22, 61–87.
Van Ourti, T., van Doorslaer, E., & Koolman, X. (2006). The effect of growth and inequality in incomes on health inequality: Theory and empirical evidence from the European Panel. Tinbergen Institute discussion paper, TI 2006-108/3. Rotterdam: Erasmus University.
Wagstaff, A., Paci, P., & van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science & Medicine, 33, 545–557.
Wagstaff, A., & van Doorslaer, E. (2004). Overall versus socioeconomic health inequality: A measurement framework and two empirical illustrations. Health Economics, 13, 297–301.
Wagstaff, A., van Doorslaer, E., & Watanabe, N. (2003). On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam. Journal of Econometrics, 112, 207–223.
Wilkinson, R. G. (1992). Income distribution and life expectancy. British Medical Journal, 304, 165–168.
Wilkinson, R. G., & Pickett, K. E. (2006). Income inequality and population health: A review and explanation of the evidence. Social Science & Medicine, 62, 1768–1784.
Williams, D. R., & Collins, C. (1995). US socioeconomic and racial differences in health:Patterns and explanations. Annual Review of Sociology, 21, 349–386.
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