Title :

The impact of economic conditions on the disablement process: A Markov transition approach using SHARE data

Author(s) :

Arrighi, Yves [Auteur]
Lille économie management - UMR 9221 [LEM]
Rapp, Thomas [Auteur]
Sirven, Nicolas [Auteur]
Institut de Recherche et Documentation en Economie de la Santé [IRDES]
Laboratoire Interdisciplinaire de Recherche Appliquée en Economie de la Santé [LIRAES - EA 4470]

Journal title :

Health Policy

Pages :

778 - 785

Publisher :

Elsevier

Publication date :

2017-07

ISSN :

0168-8510

English keyword(s) :

Long Term Care
Frailty
Dependency
Markov modelling
Health Inequality

HAL domain(s) :

Sciences de l'Homme et Société/Economies et finances

English abstract : [en]

A growing number of studies underline the relationship between socioeconomic status and health at older ages. Following that literature, we explore the impact of economic conditions on changes in functional health overtime. ...
Show more >A growing number of studies underline the relationship between socioeconomic status and health at older ages. Following that literature, we explore the impact of economic conditions on changes in functional health overtime. Frailty, a state of physiological instability, has been identified in the public health literature as a candidate for disability prevention but received little attention from health economists. Using SHARE panel data, respondents aged 50 and over from ten European countries were categorised as robust, frail and dependent. The determinants of health states' changes between two interviews were analysed using multinomial Probit models accounting for potential sample attrition. A particular focus was made on initial socioeconomic status, proxied by three alternative measures. Concentration indices were computed for key transition probabilities. Across Europe, poorer and less educated elders were substantially more likely to experience health degradations and also less likely to experience health improvements. The economic gradient for the recovery from frailty was steeper than that of frailty onset, but remained lower than that of dependency onset. The existing social programs in favour of deprived and dependent elders could be widened to those diagnosed as frail to reduce the onset of dependency and economic inequalities in health at older ages.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Lille Économie Management (LEM) - UMR 9221

Source :

Harvested from HAL