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Pain and subjective well-being among older adults in the developing world : A comprehensive assessment based on the WHO Study on Global Ageing and Adult Health

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  • Amo-Agyei, Silas
  • Maurer, Jürgen

Abstract

This paper studies the association of pain with subjective well-being (SWB) and time use among older adults in five low- and middle-income countries using data from the first wave of the WHO Study on Global Ageing and Adult Health. We suggest a novel use of anchoring vignettes as direct control functions to account for potentially correlated reporting behaviors such as correlated response scales when analyzing the relationship between subjective variables such as self-reported pain and SWB. Exploiting detailed data on individual time use and several complementary measures of SWB, including fine-grained activity-specific affective experiences derived from an abbreviated version of the Day Reconstruction Method, we find that both evaluative and experienced well-being are markedly lower for people living with pain compared to those without pain. These disparities persist even after controlling for possible confounding from reporting behaviors through the use of anchoring vignettes. Differences in experienced utility by pain status appear to be exclusively due to worse affective experiences during daily activities for those with pain, which seem to be partially mediated through changes in their functional limitations. Pain-related differences in time use, in turn, seem to provide only small compensating effects, underscoring important challenges to the use of changed activity patterns as a viable coping strategy for individuals enduring pain.

Suggested Citation

  • Amo-Agyei, Silas & Maurer, Jürgen, 2024. "Pain and subjective well-being among older adults in the developing world : A comprehensive assessment based on the WHO Study on Global Ageing and Adult Health," Economics & Human Biology, Elsevier, vol. 54(C).
    • Handle: RePEc:eee:ehbiol:v:54:y:2024:i:c:s1570677x24000583
    DOI: 10.1016/j.ehb.2024.101406
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    as
    1. Kapteyn, Arie & Smith, James P. & van Soest, Arthur, 2008. "Dynamics of work disability and pain," Journal of Health Economics, Elsevier, vol. 27(2), pages 496-509, March.
    2. Krueger, Alan B. & Schkade, David A., 2008. "The reliability of subjective well-being measures," Journal of Public Economics, Elsevier, vol. 92(8-9), pages 1833-1845, August.
    3. Anne Case & Christina Paxson, 2005. "Sex differences in morbidity and mortality," Demography, Springer;Population Association of America (PAA), vol. 42(2), pages 189-214, May.
    4. David G. Blanchflower & Alex Bryson, 2021. "The Consequences of Chronic Pain in Mid-Life: Evidence from the National Child Development Survey," NBER Working Papers 29278, National Bureau of Economic Research, Inc.
    5. Clémence Kieny & Gabriela Flores & Jürgen Maurer, 2021. "Assessing and decomposing gender differences in evaluative and emotional well-being among older adults in the developing world," Review of Economics of the Household, Springer, vol. 19(1), pages 189-221, March.
    6. Daniel J. Benjamin & Ori Heffetz & Miles S. Kimball & Alex Rees-Jones, 2012. "What Do You Think Would Make You Happier? What Do You Think You Would Choose?," American Economic Review, American Economic Association, vol. 102(5), pages 2083-2110, August.
    7. Mihaly Csikszentmihalyi & Jeremy Hunter, 2003. "Happiness in Everyday Life: The Uses of Experience Sampling," Journal of Happiness Studies, Springer, vol. 4(2), pages 185-199, June.
    8. Daniel Kahneman & Alan B. Krueger & David Schkade & Norbert Schwarz & Arthur Stone, 2004. "Toward National Well-Being Accounts," American Economic Review, American Economic Association, vol. 94(2), pages 429-434, May.
    9. repec:cup:apsrev:v:98:y:2004:i:01:p:191-207_00 is not listed on IDEAS
    10. Andreas Knabe & Steffen Rätzel & Ronnie Schöb & Joachim Weimann, 2010. "Dissatisfied with Life but Having a Good Day: Time-use and Well-being of the Unemployed," Economic Journal, Royal Economic Society, vol. 120(547), pages 867-889, September.
    11. James Banks & Michael Marmot & Zoe Oldfield & James P. Smith, 2009. "The SES Health Gradient on Both Sides of the Atlantic," NBER Chapters, in: Developments in the Economics of Aging, pages 359-406, National Bureau of Economic Research, Inc.
    12. Oaxaca, Ronald, 1973. "Male-Female Wage Differentials in Urban Labor Markets," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 14(3), pages 693-709, October.
    13. Daniel J. Benjamin & Ori Heffetz & Miles S. Kimball & Nichole Szembrot, 2014. "Beyond Happiness and Satisfaction: Toward Well-Being Indices Based on Stated Preference," American Economic Review, American Economic Association, vol. 104(9), pages 2698-2735, September.
    14. Alan Piper & David G. Blanchflower & Alex Bryson, 2021. "Does Pain Lead to Job Loss? A Panel Study for Germany," DoQSS Working Papers 21-19, Quantitative Social Science - UCL Social Research Institute, University College London.
    15. King, Gary & Wand, Jonathan, 2007. "Comparing Incomparable Survey Responses: Evaluating and Selecting Anchoring Vignettes," Political Analysis, Cambridge University Press, vol. 15(1), pages 46-66, January.
    16. Macchia, Lucía & Delaney, Liam & Daly, Michael, 2024. "Global pain levels before and during the COVID-19 pandemic," Economics & Human Biology, Elsevier, vol. 52(C).
    17. Anne Case & Angus Deaton & Arthur A. Stone, 2020. "Decoding the mystery of American pain reveals a warning for the future," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 117(40), pages 24785-24789, October.
    18. Jeffrey M. Wooldridge, 2015. "Control Function Methods in Applied Econometrics," Journal of Human Resources, University of Wisconsin Press, vol. 50(2), pages 420-445.
    19. Arie Kapteyn & Jinkook Lee & Caroline Tassot & Hana Vonkova & Gema Zamarro, 2015. "Dimensions of Subjective Well-Being," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(3), pages 625-660, September.
    20. Alan S. Blinder, 1973. "Wage Discrimination: Reduced Form and Structural Estimates," Journal of Human Resources, University of Wisconsin Press, vol. 8(4), pages 436-455.
    21. Collin F. Payne & Francesc Xavier Gómez-Olivé & Kathleen Kahn & Lisa Berkman, 2017. "Physical Function in an Aging Population in Rural South Africa: Findings From HAALSI and Cross-National Comparisons With HRS Sister Studies," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(4), pages 665-679.
    22. Wim Groot & Henriëtte Maassen van den Brink, 2006. "The compensating income variation of cardiovascular disease," Health Economics, John Wiley & Sons, Ltd., vol. 15(10), pages 1143-1148, October.
    23. Flores, Gabriela & Ingenhaag, Michael & Maurer, Jürgen, 2015. "An anatomy of old-age disability: Time use, affect and experienced utility," Journal of Health Economics, Elsevier, vol. 44(C), pages 150-160.
    24. Arthur A. Stone & Joseph E. Schwartz & Joan E. Broderick & Angus Deaton, 2010. "A snapshot of the age distribution of psychological well-being in the United States," Working Papers 1230, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    25. Groot, Wim & Maassen van den Brink, Henriëtte, 2004. "A direct method for estimating the compensating income variation for severe headache and migraine," Social Science & Medicine, Elsevier, vol. 58(2), pages 305-314, January.
    26. Nick Carroll & Paul Frijters & Michael Shields, 2009. "Quantifying the costs of drought: new evidence from life satisfaction data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 22(2), pages 445-461, April.
    27. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
    28. McNamee, Paul & Mendolia, Silvia, 2014. "The effect of chronic pain on life satisfaction: Evidence from Australian data," Social Science & Medicine, Elsevier, vol. 121(C), pages 65-73.
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    More about this item

    Keywords

    Pain; Subjective well-being; Experienced utility; Time allocation; Anchoring vignettes; Day reconstruction method;
    All these keywords.

    JEL classification:

    • D12 - Microeconomics - - Household Behavior - - - Consumer Economics: Empirical Analysis
    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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