Pfarr, Christian and Schmid, Andreas and Schneider, Udo (2011): Reporting Heterogeneity in Self-Assessed Health among Elderly Europeans: The Impact of Mental and Physical Health Status.
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Self-assessed health (SAH) is a frequently used measure of individuals’ health status. It is also prone to reporting heterogeneity. To control for reporting heterogeneity valid measures of the objective health status are needed. The topic becomes even more complex for cross-country comparisons, as many key variables tend to vary strongly across countries, influenced by cultural and institutional differences. This study aims at exploring the key drivers for reporting heterogeneity in SAH in an international context. To this end, country specific effects are accounted for and the objective health measure is concretized, separating out effects of mental and physical health conditions. We use panel data from the Survey of Health, Ageing and Retirement in Europe (SHARE) which provides a rich dataset on the elderly European population. To obtain distinct indicators for physical and mental health conditions two indices were constructed. Finally, to identify potential reporting heterogeneity in SAH a generalized ordered probit model is estimated. We find evidence that health behaviour as well as health care utilization, mental and physical health condition as well as country characteristics affect reporting behaviour. We conclude that observed and unobserved heterogeneity play an important role when analysing SAH and have to be taken into account.
|Item Type:||MPRA Paper|
|Original Title:||Reporting Heterogeneity in Self-Assessed Health among Elderly Europeans: The Impact of Mental and Physical Health Status|
|Keywords:||reporting heterogeneity, SHARE, generalized ordered probit|
|Subjects:||I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior
C - Mathematical and Quantitative Methods > C2 - Single Equation Models ; Single Variables > C23 - Panel Data Models ; Spatio-temporal Models
I - Health, Education, and Welfare > I1 - Health > I10 - General
|Depositing User:||Christian Pfarr|
|Date Deposited:||06. Apr 2011 22:38|
|Last Modified:||30. Dec 2015 15:24|
Andreyeva, T. 2006. An International Comparison of Obesity in Older Adults: Effects and Risk Factors. Santa Monica, CA: RAND Corporation.
Bago d' Uva, T., Van Doorslaer, E., Lindeboom, M., O'Donnell, O. 2008. Does Reporting Heterogeneity Bias the Measurement of Health Disparities? Health Economics, 17: 351-375.
Bago d'Uva, T., Lindeboom, M., O'Donnell, O., Van Doorslaer, E. 2010. Education-related Inequity in Health Care with Heterogeneous Reporting of Health. Tinbergen Institute Discussion Paper TI2010-122/3, Amsterdam.
Börsch-Supan, A., Jürges, H. 2005. The Survey of Health, Ageing, and Retirement in Europe - Methodology. Mannheim: Mannheim Research Institute for the Economics of Aging (MEA).
Boes, S. 2007. Three Essays on the Econometric Analysis of Discrete Dependent Variables. University of Zurich: Dissertation.
Bound, J. 1991. Self-Reported versus Objective Measures of Health in Retirement Models. Journal of Human Resources, 26: 106-138.
Butler, J. S., Burkhauser, R. V., Mitchell, J. M., Pincus, T. 1987. Measurement Error in Self-Reported Health Variables. Review of Economic and Statistics, 69: 644-650.
Christelis, D. 2010. Imputations. In Mannheim Research Institute for the Economics of Ageing (Ed.), Survey of Health, Ageing and Retirement in Europe: Release Guide 2.3.1, Waves 1 & 2 (pp. 27-32). Mannheim: Mannheim Research Institute for the Economics of Ageing.
Coe, N. B., Zamarro, G. 2011. Retirement Effects on Health in Europe. Journal of Health Economics, 30: 77-86.
Disney, R., Emmerson, C., Wakefield, M. 2006. Ill Health and Retirement in Britain: A Panel Data-based Analysis. Journal of Health Economics, 25: 621-649.
Etilé, F., Milcent, C. 2006. Income-Related Reporting Heterogeneity in Self-Assessed Health: Evidence from France. Health Economics, 15: 965-981.
Greene, W. H., Hensher, D. A. 2010. Modeling Ordered Choices. Cambridge: Cambridge University Press.
Grønbaek, M., Mortensen, E. L., Mygind, K., Andersen, A. T., Becker, U., Gluud, C., Sørensen, T. I. A. 1999. Beer, Wine, Spirits and Subjective Health. .
Hernández-Quevedo, C., Jones, A. M., Rice, N. 2005. Reporting Bias and Heterogeneity in Self-Assessed Health: Evidence from the British Household Panel Survey. HEDG Working Paper 05/04. University of York.
Jürges, H. 2007. True Health vs Response Styles: Exploring Cross-Country Differences in Self-Reported Health. Health Economics, 16: 163-178.
Kerkhofs, M., Lindeboom, M. 1995. Subjective Health Measures and State Dependent Reporting Errors. Health Economics, 4: 221-235.
King, G., Murray, C. J. L., Salomon, J., Tandon, A. 2004. Enhancing the Validity and Cross-cultural Comparability of Measurement in Survey Research. American Political Science Review, 98: 184-191.
Lindeboom, M., Kerkhofs, M. 2009. Health and Work of the Elderly: Subjective Health Measures, Reporting Errors and the Endogenous Relationship Between Health and Work. Journal of Applied Econometrics, 24: 1024-1046.
Lindeboom, M., van Doorslaer, E. 2004. Cut-Point Shift and Index Shift in Self-Reported Health. Journal of Health Economics, 23: 1083-1099.
Long, J. S. 1997. Regression Models for Categorical and Limited Dependent Variables. Thousand Oaks et al: Sage.
Pfarr, C., Schmid, A., Schneider, U. 2010. Estimating Ordered Categorical Variables Using Panel Data: a Generalized Ordered Probit Model with an Autofit Procedure. Discussion Papers in Economics 02/10. Department of Law and Economcis. University of Bayreuth.
Schneider, U., Pfarr, C., Schneider, B. S., Ulrich, V. 2011. I feel good! Gender Differences and Reporting Heterogeneity in Self-assessed Health. European Journal of Health Economics, DOI: 10.1007/s10198-011-0301-7.
StataCorp. 2009. Stata: Release 11. Statistical Software - Multiple Imputation. College Station: StataCorp LP.
Statistisches Bundesamt; Gesellschaft Sozialwissenschaftlicher Infrastruktureinrichtungen; Wissenschaftszentrum Berlin für Sozialforschung 2008. Datenreport 2008 - ein Sozialbericht für die Bundesrepublik Deutschland. Berlin: Bundeszentrale für politische Bildung.
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.
Williams, R. 2006. Generalized Ordered Logit/Partial Proportional Odds Models for Ordinal Dependent Variables. The Stata Journal, 6: 58-62.
Ziebarth, N. R. 2010. Measurement of Health, the Sensitivity of the Concentration Index, and Reporting Heterogeneity. Social Science and Medicine, 71: 116-124.