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The dynamics of health poverty in Spain during the economic crisis (2008–2016)

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  • Pascual-Sáez, Marta
  • Cantarero-Prieto, David
  • Lanza-León, Paloma

Abstract

In recent years, and because of the economic crisis, Spain’s government has been worried about changes in health poverty. In this paper, we examine individual health status measured subjectively (SAH) and we decompose some socio-economic determinants to analyse how this situation affects health. We focus on SAH to estimate the poverty trends over time using the Foster-Greer-Thorbecke (FGT) index. For this purpose, we have used data provided by the European Union Statistics on Income and Living Conditions (EU-SILC). Our results show a negative growth if a poor SAH status is chosen as a health poverty threshold, and a positive growth of health poverty, if a fair SAH status is chosen. Furthermore, we decompose some socio-economic factors (such as gender, age and education level) to study how these characteristics affect health poverty. Our findings, based on different subgroup decompositions, reveal a rise of health poverty in Spain.

Suggested Citation

  • Pascual-Sáez, Marta & Cantarero-Prieto, David & Lanza-León, Paloma, 2019. "The dynamics of health poverty in Spain during the economic crisis (2008–2016)," Health Policy, Elsevier, vol. 123(10), pages 1011-1018.
  • Handle: RePEc:eee:hepoli:v:123:y:2019:i:10:p:1011-1018
    DOI: 10.1016/j.healthpol.2019.06.009
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    as
    1. Benedicte Apouey, 2007. "Measuring health polarization with self‐assessed health data," Health Economics, John Wiley & Sons, Ltd., vol. 16(9), pages 875-894, September.
    2. Johnston, David W. & Propper, Carol & Shields, Michael A., 2009. "Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient," Journal of Health Economics, Elsevier, vol. 28(3), pages 540-552, May.
    3. Meer, Jonathan & Miller, Douglas L. & Rosen, Harvey S., 2003. "Exploring the health-wealth nexus," Journal of Health Economics, Elsevier, vol. 22(5), pages 713-730, September.
    4. Crossley, Thomas F. & Kennedy, Steven, 2002. "The reliability of self-assessed health status," Journal of Health Economics, Elsevier, vol. 21(4), pages 643-658, July.
    5. Michal Brzezinski, 2015. "Accounting for trends in health poverty: a decomposition analysis for Britain, 1991–2008," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(2), pages 153-159, March.
    6. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income‐related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628, July.
    7. McCallum, J. & Shadbolt, B. & Wang, D., 1994. "Self-rated health and survival: A 7-year follow-up study of Australian elderly," American Journal of Public Health, American Public Health Association, vol. 84(7), pages 1100-1105.
    8. Foster, James & Greer, Joel & Thorbecke, Erik, 1984. "A Class of Decomposable Poverty Measures," Econometrica, Econometric Society, vol. 52(3), pages 761-766, May.
    9. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    10. Alessio Fusco & Jacques Silber, 2014. "On social polarization and ordinal variables: the case of self-assessed health," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 841-851, November.
    11. Paul Contoyannis & Andrew M. Jones & Nigel Rice, 2004. "The dynamics of health in the British Household Panel Survey," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(4), pages 473-503.
    12. Cristina Hernandez-Quevedo & Andrew M Jones & Nigel Rice, "undated". "Reporting Bias and Heterogeneity in Self-Assessed Health. Evidence from the British Household Panel Survey," Discussion Papers 04/18, Department of Economics, University of York.
    13. Marta Pascual & David Cantarero & José María Sarabia, 2005. "Health Policies and Income Inequality Using the European Community Household Panel," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 11(1), pages 122-122, February.
    14. Marta Pascual & David Cantarero & Paloma Lanza, 2018. "Health polarization and inequalities across Europe: an empirical approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(8), pages 1039-1051, November.
    15. Buddelmeyer, Hielke & Cai, Lixin, 2009. "Interrelated Dynamics of Health and Poverty in Australia," IZA Discussion Papers 4602, Institute of Labor Economics (IZA).
    16. Nádia Simões & Nuno Crespo & Sandrina B. Moreira & Celeste A. Varum, 2016. "Measurement and determinants of health poverty and richness: evidence from Portugal," Empirical Economics, Springer, vol. 50(4), pages 1331-1358, June.
    17. Chrysanthi Hatzimasoura & Christopher J. Bennett, 2011. "Poverty Measurement with Ordinal Data," Working Papers 2011-14, The George Washington University, Institute for International Economic Policy.
    18. Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375, March.
    19. Doorslaer, Eddy van & Jones, Andrew M., 2003. "Inequalities in self-reported health: validation of a new approach to measurement," Journal of Health Economics, Elsevier, vol. 22(1), pages 61-87, January.
    20. Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
    21. Le Grand, Julian, 1987. "Inequalities in health : Some international comparisons," European Economic Review, Elsevier, vol. 31(1-2), pages 182-191.
    22. Enrico Ivaldi & Guido Bonatti & Riccardo Soliani, 2018. "Objective and Subjective Health: An Analysis of Inequality for the European Union," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 138(3), pages 1279-1295, August.
    23. David Cantarero & Marta Pascual & Jose Maria Sarabia, 2005. "Effects of income inequality on population health: new evidence from the european community household panel," Applied Economics, Taylor & Francis Journals, vol. 37(1), pages 87-91.
    24. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
    25. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    26. 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.
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    3. Ousmane Traoré, 2022. "The effect of income on health: evidence from the poverty gaps analysis method in the sub-Saharan Africa," International Review of Economics, Springer;Happiness Economics and Interpersonal Relations (HEIRS), vol. 69(3), pages 401-432, September.

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