法国健康机会不平等:初步探讨

Inequality of opportunities in health in France: a first pass

Health Economics · 2009
被引 202 · 同刊同年前 5%
人大 A-

中文导读

利用法国SHARE数据,分析童年环境(尤其是家庭和社会背景)对老年人健康的影响,发现改善父母社会经济地位和健康状况可使健康不平等降低57%。

Abstract

This article analyses the role played by childhood circumstances, especially social and family background in explaining health status among older adults. We explore the hypothesis of an intergenerational transmission of health inequalities using the French part of SHARE. As the impact of both social background and parents' health on health status in adulthood represents circumstances independent of individual responsibility, this study allows us testing the existence in France of inequalities of opportunity in health related to family and social background. Empirically, our study relies on tests of stochastic dominance at first order and multivariate regressions, supplemented by a counterfactual analysis to evaluate the long-lasting impact of childhood conditions on inequality in health. Allocating the best circumstances in both parents' socioeconomic status and parents' health reduces inequality in health by an impressive 57% using the Gini coefficient. The mother's social status has a direct effect on the health of her offspring. By contrast, the effect on descendant's health from their father's social status is indirect only, which goes through the descendant's social status as an adult. There is also a strong effect of the father vital status on health in adulthood, revealing a selection effect.

健康机会不平等童年环境代际健康传递法国