Searching for the Economic Gradient in Self-Assessed Health

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World Bank, Washington, DC

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Can self-assessed health be relied on to identify the true socioeconomic gradients in health status? The self-assessed health of Russian adults in 2002 shows remarkably little gradient with respect to economic welfare. The authors document this finding and assess its robustness to the assumptions routinely made in measuring health and welfare. They find that the expected economic gradient only emerges once one focuses on the component of self-assessed health that is explicable in terms of age and more objective health indicators and one allows for broader dimensions of economic welfare than captured by standard income-based measures. The results point to the need for caution in analyzing and interpreting self-assessed health data.

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AGED, ALCOHOL CONSUMPTION, BUDGET CONSTRAINTS, CLINICAL OUTCOMES, COMMUNITY HEALTH, DETERMINANTS OF HEALTH, DIETS, DISEASES, ECONOMIC PERSPECTIVES, ECONOMIC REVIEW, ECONOMICS, EPIDEMIOLOGY, EXPENDITURES, EXTENSION, GENDER, HEALTH CARE, HEALTH CARE SYSTEM, HEALTH ECONOMICS, HEALTH EFFECTS, HEALTH INDICATORS, HEALTH POLICY, HEALTH SERVICES, HEALTH STATUS, HIGH BLOOD PRESSURE, HOUSEHOLD EXPENDITURE, HOUSEHOLD INCOME, HYPERTENSION, INCOME EFFECT, INCOME EFFECTS, INCOMES, INFANT MORTALITY, LIFE EXPECTANCY, LIVING STANDARDS, MEDICAL CARE, MORBIDITY, MORTALITY, PERSONALITY, PHYSICAL ACTIVITY, POLICY DISCUSSIONS, POLICY RESEARCH, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC SERVICES, QUALITY OF HEALTH CARE, QUALITY OF LIFE, SMOKING, SOCIOLOGY, SURGERY, UNEMPLOYMENT, WALKING, WORKERS

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