Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient

Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient
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DOI:
10.1016/j.jhealeco.2009.02.010
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发表时间:
2009-05-01
影响因子:
3.5
通讯作者:
Shields, Michael A.
Shields, Michael A.
中科院分区:
经济学2区
文献类型:
--
作者:
Johnston, David W.;Propper, Carol;Shields, Michael A.

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经济学家在很大程度上依赖于自我报告的健康指标来研究收入与健康之间的关系。我们直接比较了在全国代表性调查中常用的自我报告的健康指标与相同健康状况的客观指标的调查响应。我们专注于油高血压。我们发现没有证据表明收入/健康梯度使用自我报告的高血压,但一个相当大的梯度时,使用客观测量的高血压。我们还发现,假阴性报告的概率显着的收入分级。我们的研究结果表明,使用常用的自我报告的慢性健康措施可能会低估真正的收入相关的健康不平等。(C)2009爱思唯尔有限公司版权所有。
Economists rely heavily on self-reported measures of health to examine the relationship between income and health. We directly compare survey responses of a self-reported measure of health that is commonly used in nationally representative surveys with objective measures of the same health condition. We focus oil hypertension. We find no evidence of an income/health gradient using self-reported hypertension but a sizeable gradient when using objectively measured hypertension. We also find that the probability of false negative reporting is significantly income graded. Our results suggest that using commonly available self-reported chronic health measures might underestimate true income-related inequalities in health. (C) 2009 Elsevier B.V. All rights reserved.