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Unobserved population heterogeneity and dynamics of health disparities

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  • Hui Zheng

    (Ohio State University)

Abstract

Background: A growing body of literature has reported widening educational health disparities across birth cohorts or time periods in the United States, but research has paid little attention to the implication of mortality selection on the cohort trend in health disparities. Objective: This study investigates how changes in the variance of unobserved frailty over time may complicate the interpretation of cohort trends in health disparities and life expectancy. Methods: We use the microsimulation method to test the effect of mortality selection and further propose a counterfactual simulation procedure to estimate its contribution. Data used in the simulations are based on Panel Studies of Income Dynamics 1968–2013, National Health and Nutrition Examination Survey data 1999‒2012, and National Health Interview Survey data 1986‒2011. Results: Simulation shows that mortality selection may generate seemingly contradictory trends in health disparities and life expectancy across birth cohorts at the group and individual level. Life expectancy can change even when the individual mortality curve is fixed. In the absence of a change in the causal effect of education on mortality at the individual level, an educational life expectancy gap can change across cohorts as a result of the change in frailty variance. Empirical analysis shows that mortality selection accounts for a sizeable amount of contribution to the widening educational life expectancy gap from the 1950s to 1960s birth cohorts in the United States. Contribution: We demonstrate how mortality selection can complicate the cohort trend in health disparities and life expectancy and propose a counterfactual simulation method to evaluate its contribution.

Suggested Citation

  • Hui Zheng, 2020. "Unobserved population heterogeneity and dynamics of health disparities," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(34), pages 1009-1048.
    • Handle: RePEc:dem:demres:v:43:y:2020:i:34
    DOI: 10.4054/DemRes.2020.43.34
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    References listed on IDEAS

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    1. Arun S. Hendi, 2017. "Trends in Education-Specific Life Expectancy, Data Quality, and Shifting Education Distributions: A Note on Recent Research," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 1203-1213, June.
    2. Robert Fogel & Dora Costa, 1997. "A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 49-66, February.
    3. Diane Lauderdale, 2001. "Education and survival: Birth cohort, period, and age effects," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 551-561, November.
    4. James W. Vaupel & Trifon Missov, 2014. "Unobserved population heterogeneity," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 31(22), pages 659-686.
    5. Leonid Gavrilov & Natalia Gavrilova, 2011. "Mortality Measurement at Advanced Ages," North American Actuarial Journal, Taylor & Francis Journals, vol. 15(3), pages 432-447.
    6. Hui Zheng & Y. Claire Yang & Kenneth C. Land, 2016. "Age-Specific Variation in Adult Mortality Rates in Developed Countries," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(1), pages 49-71, February.
    7. Anna Zajacova & Noreen Goldman & German Rodriguez, 2009. "Unobserved Heterogeneity Can Confound the Effect of Education on Mortality," Mathematical Population Studies, Taylor & Francis Journals, vol. 16(2), pages 153-173.
    8. Schoeni, R.F. & Martin, L.G. & Andreski, P.M. & Freedman, V.A., 2005. "Persistent and growing socioeconomic disparities in disability among the elderly: 1982-2002," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2065-2070.
    9. Hui Zheng & Y. Yang & Kenneth Land, 2016. "Age-Specific Variation in Adult Mortality Rates in Developed Countries," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(1), pages 49-71, February.
    10. Robert Fogel & Dora Costa, 1997. "Erratum to: A theory of technophysio, with come implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(2), pages 1-1, May.
    11. Dale Dannefer, 2003. "Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing Age and Social Science Theory," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(6), pages 327-337.
    12. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    13. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    14. Isaac Sasson, 2016. "Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010," Demography, Springer;Population Association of America (PAA), vol. 53(2), pages 269-293, April.
    15. Elizabeth Wrigley-Field, 2014. "Mortality Deceleration and Mortality Selection: Three Unexpected Implications of a Simple Model," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 51-71, February.
    16. Crimmins, Eileen M. & Saito, Yasuhiko, 2001. "Trends in healthy life expectancy in the United States, 1970-1990: gender, racial, and educational differences," Social Science & Medicine, Elsevier, vol. 52(11), pages 1629-1641, June.
    17. Liu, Hui & Hummer, Robert A., 2008. "Are Educational Differences in U.S. Self-Rated Health Increasing?: An Examination by Gender and Race," Social Science & Medicine, Elsevier, vol. 67(11), pages 1898-1906, December.
    18. Hui Zheng, 2014. "Aging in the Context of Cohort Evolution and Mortality Selection," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1295-1317, August.
    19. James Vaupel & Kenneth Manton & Eric Stallard, 1979. "The impact of heterogeneity in individual frailty on the dynamics of mortality," Demography, Springer;Population Association of America (PAA), vol. 16(3), pages 439-454, August.
    20. Anatoli Yashin & Ivan Iachine, 1997. "How frailty models can be used for evaluating longevity limits: Taking advantage of an interdisciplinary approach," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 31-48, February.
    21. James Vaupel & Anatoli Yashin, 1987. "Repeated resuscitation: How lifesaving alters life tables," Demography, Springer;Population Association of America (PAA), vol. 24(1), pages 123-135, February.
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    More about this item

    Keywords

    mortality selection; birth cohorts; life expectancy; simulation; unobserved frailty; cumulative advantage;
    All these keywords.

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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