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Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers

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  • Lanlin Ding
  • Andrew M. Jones
  • Peng Nie

Abstract

Using pooled data from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS) linked with the 2014 CHARLS Life History Survey, we analyse ex ante inequality of opportunity (IOp) in blood‐based biomarkers among Chinese adults aged 60+. We apply a re‐centered influence function approach and a Shapley‐Shorrocks decomposition to partition the contributions of different sets of measured circumstances and find that these account for between 2.01 percent and 23.95 percent of total health inequality across the range of biomarkers. The decompositions show that spatial circumstances such as urban/rural and province of residence at birth are the dominant factors for most of the biomarkers. Distributional decompositions further reveal that the relative contributions of household socioeconomic status and health and nutrition in childhood increase in the right tails of the distribution, where the clinical risk is focused, for most of the biomarkers.

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  • Lanlin Ding & Andrew M. Jones & Peng Nie, 2022. "Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 68(4), pages 922-950, December.
    • Handle: RePEc:bla:revinw:v:68:y:2022:i:4:p:922-950
    DOI: 10.1111/roiw.12514
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    2. Sinha, Kompal & Davillas, Apostolos & Jones, Andrew M. & Sharma, Anurag, 2021. "Do socioeconomic health gradients persist over time and beyond income? A distributional analysis using UK biomarker data," Economics & Human Biology, Elsevier, vol. 43(C).
    3. Enza Simeone, 2023. "Inequality in health status during the COVID-19 in the UK: does the impact of the second lockdown policy matter?," Working Papers 661, ECINEQ, Society for the Study of Economic Inequality.
    4. Davillas, Apostolos & Jones, Andrew M, 2020. "Ex ante inequality of opportunity in health, decomposition and distributional analysis of biomarkers," Journal of Health Economics, Elsevier, vol. 69(C).
    5. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2020. "A latent class approach to inequity in health using biomarker data," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 808-826, July.
    6. Brunori, Paolo & Davillas, Apostolos & Jones, Andrew M. & Scarchilli, Giovanna, 2022. "Model-based Recursive Partitioning to Estimate Unfair Health Inequalities in the United Kingdom Household Longitudinal Study," Journal of Economic Behavior & Organization, Elsevier, vol. 204(C), pages 543-565.
    7. Brenda Gannon & Danusha Jayawardana & Vicki Clifton, 2021. "Descriptive Data Analysis of Inequality of Economic Opportunity using the Queensland Family Cohort Pilot Study," Australian Economic Review, The University of Melbourne, Melbourne Institute of Applied Economic and Social Research, vol. 54(3), pages 398-405, September.
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    10. Apostolos Davillas & Andrew M Jones, 2021. "The first wave of the COVID‐19 pandemic and its impact on socioeconomic inequality in psychological distress in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 30(7), pages 1668-1683, July.
    11. Andrea Salas‐Ortiz & Andrew M. Jones, 2024. "Inequality of opportunity in the double burden of malnutrition in Mexico," Health Economics, John Wiley & Sons, Ltd., vol. 33(10), pages 2342-2380, October.
    12. Parra-Mujica, F. & Robson, M. & Cookson, R., 2021. "Socioeconomic Health Inequalities: Differences Between and Within Individuals," Health, Econometrics and Data Group (HEDG) Working Papers 21/15, HEDG, c/o Department of Economics, University of York.
    13. Davillas, Apostolos & M. Jones, Andrew, 2020. "The COVID-19 pandemic and its impact on inequality of opportunity in psychological distress in the UK," ISER Working Paper Series 2020-07, Institute for Social and Economic Research.
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    17. Paul Makdissi & Myra Yazbeck, 2023. "Measuring the contribution of stratification and social class at birth to inequality of opportunity," Working Papers 2303E Classification- I31, University of Ottawa, Department of Economics.
    18. Yue Yu & Chengkui Liu, 2023. "Pre-market discrimination or post-market discrimination: research on inequality of opportunity for labor income in China," Empirical Economics, Springer, vol. 64(5), pages 2291-2313, May.
    19. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2023. "Equality of opportunity and the expansion of higher education in the UK," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 69(4), pages 861-885, December.
    20. David Pérez-Mesa & à ngel S. Marrero, 2024. "Adult health and inequality of opportunity in Spain," Working Papers 671, ECINEQ, Society for the Study of Economic Inequality.
    21. Davillas, Apostolos & Jones, Andrew M., 2020. "Regional inequalities in adiposity in England: distributional analysis of the contribution of individual-level characteristics and the small area obesogenic environment," Economics & Human Biology, Elsevier, vol. 38(C).
    22. Burlinson, Andrew & Davillas, Apostolos & Giulietti, Monica, 2023. "Socioeconomic Inequality in Low-Carbon Technology Adoption," IZA Discussion Papers 16114, Institute of Labor Economics (IZA).
    23. Lamu, Admassu N. & Chen, Gang & Olsen, Jan Abel, 2023. "Amplified disparities: The association between spousal education and own health," Social Science & Medicine, Elsevier, vol. 323(C).
    24. Mkupete Jaah Mkupete & Dieter Von Fintel & Ronelle Burger, 2022. "Decomposing inequality of opportunity in child health in Tanzania: The role of access to water and sanitation," Health Economics, John Wiley & Sons, Ltd., vol. 31(11), pages 2465-2480, November.
    25. Cleary, Rebecca & Liu, Yizao & Carlson, Andrea C., 2022. "Differences in the Distribution of Nutrition Between Households Above and Below Poverty," 2022 Annual Meeting, July 31-August 2, Anaheim, California 322267, Agricultural and Applied Economics Association.

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    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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