IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0188281.html
   My bibliography  Save this article

Socioeconomic differential in self-assessment of health and happiness in 5 African countries: Finding from World Value Survey

Author

Listed:
  • Oluwafunmilade Adesanya A.
  • Bomar Mendez Rojas
  • Amadou Darboe
  • Idrissa Beogo

Abstract

Objective: Factors that contribute to wealth related inequalities in self-rated health (SRH) and happiness remains unclear most especially in sub-Saharan countries (SSA). This study aims to explore and compare socioeconomic differentials in SRH and happiness in five SSA countries. Methods: Using the 2010/2014 World Values Survey (WVS), we obtained a sample of 9,869 participants of age 16 and above from five SSA countries (Nigeria, Ghana, South Africa, Rwanda and Zimbabwe). Socioeconomic inequalities were quantified using the concentration index. The contribution of each predictor to concentration index’s magnitude was obtained by means of regression based decomposition analysis. Results: Poor SRH ranges from approximately 9% in Nigeria to 20% in Zimbabwe, whereas unhappiness was lower in Rwanda (9.5%) and higher in South Africa (23.3%). Concentration index was negative for both outcomes in all countries, which implies that poor SRH and unhappiness are excessively concentrated among the poorest socioeconomic strata. Although magnitudes differ across countries, however, the major contributor to wealth-related inequality in poor SRH is satisfaction with financial situation whereas for unhappiness the major contributors are level of income and satisfaction with financial situation. Conclusions: This study underscores an association between wealth related inequalities and poor SRH and unhappiness in the context of SSA. Improving equity in health, as suggested by the commission of social determinants of health may be useful in fighting against the unfair distribution of resources. Thus, knowledge about the self-rating of health and happiness can serve as proxy estimates for understanding the distribution of health care access and economic resources needed for well-being in resident countries.

Suggested Citation

  • Oluwafunmilade Adesanya A. & Bomar Mendez Rojas & Amadou Darboe & Idrissa Beogo, 2017. "Socioeconomic differential in self-assessment of health and happiness in 5 African countries: Finding from World Value Survey," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-12, November.
  • Handle: RePEc:plo:pone00:0188281
    DOI: 10.1371/journal.pone.0188281
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0188281
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0188281&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0188281?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Oshio, Takashi & Kobayashi, Miki, 2010. "Income inequality, perceived happiness, and self-rated health: Evidence from nationwide surveys in Japan," Social Science & Medicine, Elsevier, vol. 70(9), pages 1358-1366, May.
    2. Chalasani, Satvika, 2012. "Understanding wealth-based inequalities in child health in India: A decomposition approach," Social Science & Medicine, Elsevier, vol. 75(12), pages 2160-2169.
    3. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896.
    4. Jylhä, Marja, 2009. "What is self-rated health and why does it predict mortality? Towards a unified conceptual model," Social Science & Medicine, Elsevier, vol. 69(3), pages 307-316, August.
    5. Mackenbach, Johan P., 2012. "The persistence of health inequalities in modern welfare states: The explanation of a paradox," Social Science & Medicine, Elsevier, vol. 75(4), pages 761-769.
    6. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    7. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    8. Gerdtham, Ulf-G & Johannesson, Magnus, 2001. "The relationship between happiness, health, and socio-economic factors: results based on Swedish microdata," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 30(6), pages 553-557.
    9. Dezhu Ye & Yew-Kwang Ng & Yujun Lian, 2015. "Culture and Happiness," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(2), pages 519-547, September.
    10. Ed Diener & Jeff Horwitz & Robert Emmons, 1985. "Happiness of the very wealthy," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 16(3), pages 263-274, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kohnert, Dirk, 2022. "Les Africains, sont-ils heureux ? « Retour au rire » en temps de guerre, de famine et de misère [Are Africans happy? 'Return to laughter' in times of war, famine and misery]," MPRA Paper 112941, University Library of Munich, Germany.
    2. Idrissa Beogo & Amadou Darboe & Oluwafunmilade A Adesanya & Bomar Mendez Rojas, 2018. "Choosing between nurse-led and medical doctor-led from private for-profit versus non-for-profit health facilities: A household survey in urban Burkina Faso," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-15, July.
    3. Woong Lee & Ran Im, 2023. "An Empirical Assessment of the Interactionist Model: The Relationship Between Household Income and Depression Among Retirees in Korea," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(2), pages 729-751, April.
    4. Yuri Sasaki & Yugo Shobugawa & Ikuma Nozaki & Daisuke Takagi & Yuiko Nagamine & Masafumi Funato & Yuki Chihara & Yuki Shirakura & Kay Thi Lwin & Poe Ei Zin & Thae Zarchi Bo & Tomofumi Sone & Hla Hla W, 2022. "Association between Happiness and Economic Status among Older Adults in Two Myanmar Regions," IJERPH, MDPI, vol. 19(6), pages 1-13, March.
    5. Keiko Kabasawa & Junta Tanaka & Yumi Ito & Kinya Yoshida & Kaori Kitamura & Shoichiro Tsugane & Kazutoshi Nakamura & Ichiei Narita, 2021. "Associations of physical activity in rural life with happiness and ikigai: a cross-sectional study," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-10, December.
    6. Kohnert, Dirk, 2022. "Are Africans happy? 'Return to laughter' in times of war, famine and misery," MPRA Paper 112940, University Library of Munich, Germany.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dhammika Deepani Siriwardhana & Arunasalam Pathmeswaran & Ananda Rajitha Wickremasinghe, 2019. "Socioeconomic inequality and determinants of postnatal home visits made by public health midwives: An analysis of the Sri Lanka Demographic and Health Survey," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    2. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    3. Tavares, Lara Patrício & Zantomio, Francesca, 2017. "Inequity in healthcare use among older people after 2008: The case of southern European countries," Health Policy, Elsevier, vol. 121(10), pages 1063-1071.
    4. Slawa Rokicki & Mark E. McGovern, 2020. "Heterogeneity in Early Life Investments: A Longitudinal Analysis of Children's Time Use," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 66(3), pages 647-676, September.
    5. Mohammad Monirul Hasan & Jalal Uddin & Mohammad Habibullah Pulok & Nabila Zaman & Mohammad Hajizadeh, 2020. "Socioeconomic Inequalities in Child Malnutrition in Bangladesh: Do They Differ by Region?," IJERPH, MDPI, vol. 17(3), pages 1-14, February.
    6. Zhongliang Zhou & Yu Fang & Zhiying Zhou & Dan Li & Dan Wang & Yanli Li & Li Lu & Jianmin Gao & Gang Chen, 2017. "Assessing Income-Related Health Inequality and Horizontal Inequity in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(1), pages 241-256, May.
    7. Cinzia Di Novi & Anna Marenzi & Dino Rizzi, 2018. "Do healthcare tax credits help poor-health individuals on low incomes?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 293-307, March.
    8. Owen O’Donnell & Eddy van Doorslaer & Adam Wagstaff, 2012. "Decomposition of Inequalities in Health and Health Care," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 17, Edward Elgar Publishing.
    9. Petrou, Stavros & Kupek, Emil, 2010. "Poverty and childhood undernutrition in developing countries: A multi-national cohort study," Social Science & Medicine, Elsevier, vol. 71(7), pages 1366-1373, October.
    10. Di Novi, C. & Piacenza, M. & Robone, S. & Turati, G., 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Health, Econometrics and Data Group (HEDG) Working Papers 15/23, HEDG, c/o Department of Economics, University of York.
    11. Veruska Oppedisano & Gilberto Turati, 2010. "What are the causes of educational inequalities and of their evolution over time in Europe? Evidence from PISA," Working Papers XREAP2010-16, Xarxa de Referència en Economia Aplicada (XREAP), revised Dec 2010.
    12. Chaofan Li & Lei Dou & Haipeng Wang & Shanshan Jing & Aitian Yin, 2017. "Horizontal Inequity in Health Care Utilization among the Middle-Aged and Elderly in China," IJERPH, MDPI, vol. 14(8), pages 1-13, July.
    13. Cheah, Yong Kang & Tang, Chor Foon, 2011. "The role of socio-demographic factors on self-rated happiness: The case of Malaysia," MPRA Paper 29419, University Library of Munich, Germany.
    14. Gustav Kjellsson & Dennis Petrie & Tom (T.G.M.) van Ourti, 2018. "Measuring income-related inequalities in risky health prospects," Tinbergen Institute Discussion Papers 18-007/V, Tinbergen Institute.
    15. David Mayer-Foulkes, 2008. "Economic Geography of Human Development: Stratified Growth in Bolivia, Brazil, Guatemala and Peru," Working Papers DTE 436, CIDE, División de Economía.
    16. Aristides dos Santos, Anderson Moreira & Perelman, Julian & Jacinto, Paulo de Andrade & Tejada, Cesar Augusto Oviedo & Barros, Aluísio J.D. & Bertoldi, Andréa D. & Matijasevich, Alicia & Santos, Iná S, 2019. "Income-related inequality and inequity in children’s health care: A longitudinal analysis using data from Brazil," Social Science & Medicine, Elsevier, vol. 224(C), pages 127-137.
    17. Van de Poel, Ellen & Van Doorslaer, Eddy & O’Donnell, Owen, 2012. "Measurement of inequity in health care with heterogeneous response of use to need," Journal of Health Economics, Elsevier, vol. 31(4), pages 676-689.
    18. Marion Devaux, 2015. "Income-related inequalities and inequities in health care services utilisation in 18 selected OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 21-33, January.
    19. Pulok, Mohammad Habibullah & van Gool, Kees & Hall, Jane, 2020. "Inequity in physician visits: the case of the unregulated fee market in Australia," Social Science & Medicine, Elsevier, vol. 255(C).
    20. McGovern, Mark E., 2014. "Comparing the relationship between stature and later life health in six low and middle income countries," The Journal of the Economics of Ageing, Elsevier, vol. 4(C), pages 128-148.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0188281. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.