On the measurement of relative and absolute income-related health inequality

被引:92
作者
Clarke, PM [1 ]
Gerdtham, UG
Johannesson, M
Bingefors, K
Smith, L
机构
[1] Univ Oxford, Hlth Econ Res Ctr, Oxford OX1 2JD, England
[2] Dept Community Med, Lund, Sweden
[3] Lund Univ, Ctr Hlth Econ, Lund, Sweden
[4] Stockholm Sch Econ, Dept Econ, S-11383 Stockholm, Sweden
[5] Uppsala Univ, Dept Pharm, Pharmaceut Serv Res, Uppsala, Sweden
[6] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Canberra, ACT, Australia
关键词
health inequality; international comparisons; SF-36; Sweden; Australia;
D O I
10.1016/S0277-9536(01)00321-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In recent work on international comparisons of income-related inequalities in health, the concentration index has been used as a measure of health inequality. A drawback of this measure is that it is sensitive to whether it is estimated with respect to health or morbidity. An alternative would be to use the generalized concentration index that is based on absolute rather than relative health differences. In this methodological paper, we explore the importance of the choice of health inequality measure by comparing the income-related inequality in health status and morbidity between Sweden and Australia. This involves estimating a concentration index and a generalized concentration index for the eight-scale health profile of the Short Form 36 (SF-36) health survey. We then transform the scores for each scale into a measure of morbidity and show that whether the concentration index is estimated with respect to health or morbidity has an impact on the results. The ranking between the two countries is reversed for two of the eight dimensions of SF-36 and within both countries the ranking across the eight SF-36 scales is also affected. However, this change in ranking does not occur when the generalized concentration index is compared and we conclude with the implications of these results for reporting comparisons of income-related health inequality in different populations. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:1923 / 1928
页数:6
相关论文
共 14 条
[1]  
*ABS, 1996, 43630 ABS
[2]  
Amiel Y., 1999, THINKING INEQUALITY
[3]   More or less equal? Comparing Australian income-related inequality in self-reported health with other industrialised countries [J].
Clarke, P ;
Smith, L .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 2000, 24 (04) :370-373
[4]   Income-related inequality in life-years and quality-adjusted life-years [J].
Gerdtham, UG ;
Johannesson, M .
JOURNAL OF HEALTH ECONOMICS, 2000, 19 (06) :1007-1026
[5]   A note on validating Wagstaff and van Doorslaer's health measure in the analysis of inequalities in health [J].
Gerdtham, UG ;
Johannesson, M ;
Lundberg, L ;
Isacson, D .
JOURNAL OF HEALTH ECONOMICS, 1999, 18 (01) :117-124
[6]   Socioeconomic inequalities in health: Measurement, computation, and statistical inference [J].
Kakwani, N ;
Wagstaff, A ;
vanDoorslaer, E .
JOURNAL OF ECONOMETRICS, 1997, 77 (01) :87-103
[7]  
SEN A, 1997, ONE EC INEQUALITY EX
[8]  
Van Doorslaer E., 1993, EQUITY FINANCE DELIV
[9]   Income-related inequalities in health: Some international comparisons [J].
vanDoorslaer, E ;
Wagstaff, A ;
Bleichrodt, H ;
Calonge, S ;
Gerdtham, UG ;
Gerfin, M ;
Geurts, J ;
Gross, L ;
Hakkinen, U ;
Leu, RE ;
ODonnell, O ;
Propper, C ;
Puffer, F ;
Rodriguez, M ;
Sundberg, G ;
Winkelhake, O .
JOURNAL OF HEALTH ECONOMICS, 1997, 16 (01) :93-112
[10]  
VANDOORSLAER E, 2000, 1 ER U EC 2 PROJ