IDEAS home Printed from https://ideas.repec.org/p/ott/wpaper/2403e.html
   My bibliography  Save this paper

A modeling approach to decomposing changes in health concentration curves

Author

Listed:
  • Khadija Bchi

    (Department of Economics, University of Ottawa, Canada)

  • Paul Makdissi

    (Department of Economics, University of Ottawa, Canada)

  • Myra Yazbeck

    (Department of Economics, University of Ottawa, Canada)

Abstract

This paper proposes a decomposition approach for health concentration curves. Decomposing changes in health concentration curves gives additional insight compared to decomposing a single index such as the health concentration index. First, the results would be valid for a comprehensive set of indices. Second, and more importantly, it allows for identifying heterogeneous effects along socioeconomic ranks. We use inverse propensity weighting for the overall decomposition. We use multiple recentered influence function regressions on a grid of points to identify the impact of specific covariates. We weight these regressions by the inverse propensity score of the observations to correct for errors due to departure from linearity. The paper also derives the expressions of the recentered influence functions of the relative and absolute health concentration curves since the literature does not offer the expression of these recentered influence functions. We offer an empirical illustration using information on cigarette consumption from the National Health Interview Survey of 2000 and 2020.

Suggested Citation

  • Khadija Bchi & Paul Makdissi & Myra Yazbeck, 2024. "A modeling approach to decomposing changes in health concentration curves," Working Papers 2403E, University of Ottawa, Department of Economics.
  • Handle: RePEc:ott:wpaper:2403e
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10393/46239
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    2. Sergio Firpo, 2007. "Efficient Semiparametric Estimation of Quantile Treatment Effects," Econometrica, Econometric Society, vol. 75(1), pages 259-276, January.
    3. Khaled, Mohamad A. & Makdissi, Paul & Yazbeck, Myra, 2018. "Income-related health transfers principles and orderings of joint distributions of income and health," Journal of Health Economics, Elsevier, vol. 57(C), pages 315-331.
    4. Makdissi, Paul & Yazbeck, Myra, 2014. "Measuring socioeconomic health inequalities in presence of multiple categorical information," Journal of Health Economics, Elsevier, vol. 34(C), pages 84-95.
    5. Chris Elbers & Jean O. Lanjouw & Peter Lanjouw, 2005. "Imputed welfare estimates in regression analysis," Journal of Economic Geography, Oxford University Press, vol. 5(1), pages 101-118, January.
    6. Mohamad A. Khaled & Paul Makdissi & Myra Yazbeck, 2023. "On absolute socioeconomic health inequality comparisons," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(1), pages 5-25, February.
    7. Roselinde Kessels & Guido Erreygers, 2019. "A direct regression approach to decomposing socioeconomic inequality of health," Health Economics, John Wiley & Sons, Ltd., vol. 28(7), pages 884-905, July.
    8. Sergio Firpo & Nicole M. Fortin & Thomas Lemieux, 2009. "Unconditional Quantile Regressions," Econometrica, Econometric Society, vol. 77(3), pages 953-973, May.
    9. Khalid Abu-Ismail & Verena Gantner & Paul Makdissi & Myra Yazbeck, 2020. "Socioeconomic inequalities in child malnutrition in Egypt," METRON, Springer;Sapienza Università di Roma, vol. 78(2), pages 175-191, August.
    10. Sergio Firpo & Cristine Pinto, 2016. "Identification and Estimation of Distributional Impacts of Interventions Using Changes in Inequality Measures," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 31(3), pages 457-486, April.
    11. Heckley, Gawain & Gerdtham, Ulf-G. & Kjellsson, Gustav, 2016. "A general method for decomposing the causes of socioeconomic inequality in health," Journal of Health Economics, Elsevier, vol. 48(C), pages 89-106.
    12. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    13. Sergio P. Firpo & Nicole M. Fortin & Thomas Lemieux, 2018. "Decomposing Wage Distributions Using Recentered Influence Function Regressions," Econometrics, MDPI, vol. 6(2), pages 1-40, May.
    14. Schechtman, Edna & Shelef, Amit & Yitzhaki, Shlomo & Zitikis, Ričardas, 2008. "Testing Hypotheses About Absolute Concentration Curves And Marginal Conditional Stochastic Dominance," Econometric Theory, Cambridge University Press, vol. 24(4), pages 1044-1062, August.
    15. Bleichrodt, Han & van Doorslaer, Eddy, 2006. "A welfare economics foundation for health inequality measurement," Journal of Health Economics, Elsevier, vol. 25(5), pages 945-957, September.
    Full references (including those not matched with items on IDEAS)

    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. Mohamad A. Khaled & Paul Makdissi & Myra Yazbeck, 2023. "On absolute socioeconomic health inequality comparisons," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(1), pages 5-25, February.
    2. Peng Nie & Andrew E. Clarck & Conchita D'Ambrosio & Lanlin Ding, 2020. "Income-related health inequality in urban China (1991-2015): The role of homeownership and housing conditions," Working Papers 524, ECINEQ, Society for the Study of Economic Inequality.
    3. Tzu-Ying Chen & Yi-Hsin Elsa Hsu & Rachel J. Huang & Larry Y. Tzeng, 2021. "Making socioeconomic health inequality comparisons when health concentration curves intersect," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 57(4), pages 875-899, November.
    4. Rohde, Kirsten I.M. & Van Ourti, Tom & Soebhag, Amar, 2023. "Reducing socioeconomic health inequalities? A questionnaire study of majorization and invariance conditions," Journal of Health Economics, Elsevier, vol. 90(C).
    5. Alexander Silbersdorff & Kai Sebastian Schneider, 2019. "Distributional Regression Techniques in Socioeconomic Research on the Inequality of Health with an Application on the Relationship between Mental Health and Income," IJERPH, MDPI, vol. 16(20), pages 1-28, October.
    6. Khaled, Mohamad A. & Makdissi, Paul & Yazbeck, Myra, 2018. "Income-related health transfers principles and orderings of joint distributions of income and health," Journal of Health Economics, Elsevier, vol. 57(C), pages 315-331.
    7. Roselinde Kessels & Guido Erreygers, 2019. "A direct regression approach to decomposing socioeconomic inequality of health," Health Economics, John Wiley & Sons, Ltd., vol. 28(7), pages 884-905, July.
    8. 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.
    9. Khalid Abu-Ismail & Verena Gantner & Paul Makdissi & Myra Yazbeck, 2020. "Socioeconomic inequalities in child malnutrition in Egypt," METRON, Springer;Sapienza Università di Roma, vol. 78(2), pages 175-191, August.
    10. Heckley, Gawain & Nordin, Martin & Gerdtham, Ulf-G., 2018. "Could Easier Access to University Improve Health and Reduce Health Inequalities?," Working Papers 2018:5, Lund University, Department of Economics.
    11. Cleary, Rebecca & Liu, Yizao & Carlson, Andrea C., 2022. "Differences in the Distribution of Nutrition Between Households Above and Below Poverty," 2022 Annual Meeting, July 31-August 2, Anaheim, California 322267, Agricultural and Applied Economics Association.
    12. Alexander Silbersdorff & Julia Lynch & Stephan Klasen & Thomas Kneib, 2018. "Reconsidering the income‐health relationship using distributional regression," Health Economics, John Wiley & Sons, Ltd., vol. 27(7), pages 1074-1088, July.
    13. Mohamad A. Khaled & Paul Makdissi & Myra Yazbeck, 2018. "On the importance of the upside down test in absolute socioeconomic health inequality comparisons," Discussion Papers Series 600, School of Economics, University of Queensland, Australia.
    14. Guido Erreygers & Roselinde Kessels, 2017. "Socioeconomic Status and Health: A New Approach to the Measurement of Bivariate Inequality," IJERPH, MDPI, vol. 14(7), pages 1-23, June.
    15. Roselinde Kessels & Guido Erreygers, 2016. "Structural equation modeling for decomposing rank-dependent indicators of socioeconomic inequality of health: an empirical study," Health Economics Review, Springer, vol. 6(1), pages 1-13, December.
    16. Cécile Couharde & Rémi Generoso, 2024. "Assessing the Impact of National Air Quality Standards on Agricultural Land Values: Insights from Corn and Soybean Regions," Working Papers hal-04503777, HAL.
    17. Laura Rossouw & Hana Ross, 2021. "Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    18. Makdissi, Paul & Yazbeck, Myra, 2016. "Avoiding blindness to health status in health achievement and health inequality measurement," Social Science & Medicine, Elsevier, vol. 171(C), pages 39-47.
    19. Paul Makdissi & Myra Yazbeck, 2017. "Robust rankings of socioeconomic health inequality using a categorical variable," Health Economics, John Wiley & Sons, Ltd., vol. 26(9), pages 1132-1145, September.
    20. Derek Asuman & Ama Pokuaa Fenny & Doreen Nyarko Anyamesem Odame, 2021. "Trends and antecedents of inequalities in maternal healthcare coverage in four African countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(3), pages 515-544, April.

    More about this item

    Keywords

    Counterfactual; inverse probability weighting; recentered influence function; health concentration curves;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:ott:wpaper:2403e. 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: Aggey Semenov (email available below). General contact details of provider: https://edirc.repec.org/data/deottca.html .

    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.