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On the empirical association between poor health and low socioeconomic status at old age

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  • Christian Salas

Abstract

Epidemiologic studies using mortality rates as indicators of health fail to find any meaningful association between poor health and low socioeconomic status in older age‐groups, whereas economic studies using self‐assessed health consistently find a significant positive correlation, even after controlling for self‐reporting errors. Such contradictory results have not been reported for working age individuals. A simple explanation might be that the elderly samples on which the epidemiologic and economic studies are based come from different populations. However, this paper shows that similar contradictory results are obtained even when the same samples are used, simply by switching between self‐assessed health and mortality as health indicators. An alternative explanation is proposed, namely that these health indicators yield different results because they relate to different ranges of the latent health variable at old age. Copyright © 2002 John Wiley & Sons, Ltd.

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  • Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220, April.
    • Handle: RePEc:wly:hlthec:v:11:y:2002:i:3:p:207-220
    DOI: 10.1002/hec.663
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    1. Posner, B.M. & Jette, A.M. & Smith, K.W. & Miller, D.R., 1993. "Nutrition and health risks in the elderly: The nutrition screening initiative," American Journal of Public Health, American Public Health Association, vol. 83(7), pages 972-978.
    2. Donald S. Kenkel, 1995. "Should you eat breakfast? Estimates from health production functions," Health Economics, John Wiley & Sons, Ltd., vol. 4(1), pages 15-29, January.
    3. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    4. Guralnik, J.M. & Kaplan, G.A., 1989. "Predictors of healthy aging: Prospective evidence from the Alameda County Study," American Journal of Public Health, American Public Health Association, vol. 79(6), pages 703-708.
    5. Jette, A.M. & Feldman, H.A. & Tennstedt, S.L., 1993. "Tobacco use: A modifiable risk factor for dental disease among the elderly," American Journal of Public Health, American Public Health Association, vol. 83(9), pages 1271-1276.
    6. Sickles, Robin C & Taubman, Paul, 1986. "An Analysis of the Health and Retirement Status of the Elderly," Econometrica, Econometric Society, vol. 54(6), pages 1339-1356, November.
    7. Burton, L.C. & Steinwachs, D.M. & German, P.S. & Shapiro, S. & Brant, L.J. & Richards, T.M. & Clark, R.D., 1995. "Preventive services for the elderly: Would coverage affect utilization and costs under Medicare?," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 387-391.
    8. Mirand, A.L. & Welte, J.W., 1996. "Alcohol consumption among the elderly in a general population, Erie County, New York," American Journal of Public Health, American Public Health Association, vol. 86(7), pages 978-984.
    9. Kaplan, G.A. & Seeman, T.E. & Cohen, R.D. & Knudsen, L.P. & Guralnik, J., 1987. "Mortality among the elderly in the Alameda County study: Behavioral and demographic risk factors," American Journal of Public Health, American Public Health Association, vol. 77(3), pages 307-312.
    10. German, P.S. & Burton, L.C. & Shapiro, S. & Steinwachs, D.M. & Tsuji, I. & Paglia, M.J. & Damiano, A.M., 1995. "Extended coverage for preventive services for the elderly: Response and results in a demonstration population," American Journal of Public Health, American Public Health Association, vol. 85(3), pages 379-386.
    11. Lubben, J.E. & Weiler, P.G. & Chi, I., 1989. "Health practices of the elderly poor," American Journal of Public Health, American Public Health Association, vol. 79(6), pages 731-734.
    12. Paganini-Hill, A. & Hsu, G., 1994. "Smoking and mortality among residents of a California retirement community," American Journal of Public Health, American Public Health Association, vol. 84(6), pages 992-995.
    13. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    14. Escarce, J.J. & Epstein, K.R. & Colby, D.C. & Schwartz, J.S., 1993. "Racial differences in the elderly's use of medical procedures and diagnostic tests," American Journal of Public Health, American Public Health Association, vol. 83(7), pages 948-954.
    15. Roos, N.P. & Havens, B., 1991. "Predictors of successful aging: A twelve-year study of Manitoba elderly," American Journal of Public Health, American Public Health Association, vol. 81(1), pages 63-68.
    16. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    17. Guralnik, J.M. & LaCroix, A.Z. & Branch, L.G. & Kasl, S.V. & Wallace, R.B., 1991. "Morbidity and disability in older persons in the years prior to death," American Journal of Public Health, American Public Health Association, vol. 81(4), pages 443-447.
    18. Adam Wagstaff, 1993. "The demand for health: An empirical reformulation of the Grossman model," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 189-198, July.
    19. Hollenbach, K.A. & Barrett-Connor, E. & Edelstein, S.L. & Holbrook, T., 1993. "Cigarette smoking and bone mineral density in older men and women," American Journal of Public Health, American Public Health Association, vol. 83(9), pages 1265-1270.
    20. Haynes, Robin, 1991. "Inequalities in health and health service use: Evidence from the general household survey," Social Science & Medicine, Elsevier, vol. 33(4), pages 361-368, January.
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    3. Ozdamar, Oznur & Giovanis, Eleftherios, 2016. "Being Healthy in Turkey: A Pseudo-Panel Data Analysis," MPRA Paper 95838, University Library of Munich, Germany.
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    5. Andrew M. Jones & Nigel Rice & Paul Contoyannis, 2012. "The Dynamics of Health," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 2, Edward Elgar Publishing.
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    9. M. Solaiman Miah & Virginia Wilcox-Gok, 2007. "Do the sick retire early? Chronic illness, asset accumulation and early retirement," Applied Economics, Taylor & Francis Journals, vol. 39(15), pages 1921-1936.
    10. Andrew M. Jones & Xander Koolman & Nigel Rice, 2006. "Health‐related non‐response in the British Household Panel Survey and European Community Household Panel: using inverse‐probability‐weighted estimators in non‐linear models," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 169(3), pages 543-569, July.
    11. Brown, Paul & Guy, Melody & Broad, Joanna, 2005. "Individual socio-economic status, community socio-economic status and stroke in New Zealand: A case control study," Social Science & Medicine, Elsevier, vol. 61(6), pages 1174-1188, September.
    12. Hernández-Quevedo, Cristina & Jones, Andrew M. & Rice, Nigel, 2008. "Persistence in health limitations: A European comparative analysis," Journal of Health Economics, Elsevier, vol. 27(6), pages 1472-1488, December.
    13. Joan Costa‐Font & Frank A. Cowell & Belen Saenz de Miera, 2021. "Measuring pure health inequality and mobility during a health insurance expansion: Evidence from Mexico," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1833-1848, August.
    14. Máximo Rossi & Patricia Triunfo, 2004. "El Estado de Salud del Adulto Mayor en Uruguay," Documentos de Trabajo (working papers) 1404, Department of Economics - dECON.
    15. Katharina Hauck & Aki Tsuchiya, 2010. "Health mobility: implications for efficiency and equity in priority setting," Monash Econometrics and Business Statistics Working Papers 6/10, Monash University, Department of Econometrics and Business Statistics.
    16. Li Donni, Paolo, 2019. "The unobserved pattern of material hardship and health among older Americans," Journal of Health Economics, Elsevier, vol. 65(C), pages 31-42.
    17. 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.
    18. Grace Lordan & Eliana Jimenez Soto & Richard P. C. Brown & Ignacio Correa‐Valez, 2012. "Socioeconomic status and health outcomes in a developing country," Health Economics, John Wiley & Sons, Ltd., vol. 21(2), pages 178-186, February.
    19. Elisabetta Santarelli & Anna De Pascale, "undated". "Economic, housing conditions and health of old people in Italy: evidence from EU-SILC," Working Papers 99/12, Sapienza University of Rome, Metodi e Modelli per l'Economia, il Territorio e la Finanza MEMOTEF.
    20. Keith A. Bender & Steffen Habermalz, 2008. "Are There Differences in the Health– Socio‐economic Status Relationship over the Life Cycle? Evidence from Germany," LABOUR, CEIS, vol. 22(1), pages 107-125, March.
    21. David Cantarero & Marta Pascual, 2005. "Socio-Economic Status And Health: Evidence From The Echp," Economics Bulletin, AccessEcon, vol. 9(9), pages 1-17.
    22. Antonio J. Trujillo & John A. Vernon & Laura Rodriguez Wong & Gustavo Angeles, 2005. "Race and Health Disparities Among Seniors in Urban Areas in Brazil," NBER Working Papers 11690, National Bureau of Economic Research, Inc.
    23. Olga Kiuila & Peter Mieszkowski, 2007. "The effects of income, education and age on health," Health Economics, John Wiley & Sons, Ltd., vol. 16(8), pages 781-798, August.
    24. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    25. Maite Blázquez Cuesta & Santiago Budría, 2013. "Does income deprivation affect people’s mental well-being?," Working Papers 1312, Banco de España.

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