教育程度与健康差异:差异报告误差的作用

Health disparities across education: The role of differential reporting error

Health Economics · 2017
被引 36
人大 A-

中文导读

利用1999-2012年NHANES数据,检验教育程度与健康差异是否部分源于不同教育群体在健康行为与状况上的报告误差差异,发现大学毕业生整体报告更准确。

Abstract

One of the most robust findings in health economics is that higher educated individuals tend to be in better health. This paper tests whether health disparities across education are to some extent due to differences in reporting error across education. We test this hypothesis using data from the pooled National Health and Nutrition Examination Survey (NHANES) for 1999-2012, which include both self-reports and objective verification for an extensive set of health behaviors and conditions, including smoking, obesity, high blood pressure, high cholesterol, and diabetes. We find that college graduates are more likely to give false negative reports of obesity and high total cholesterol; one possible explanation for this is social desirability bias. However, college graduates are also significantly less likely to give false positive reports of smoking, obesity, and high cholesterol. Because there are far more truly negative people (who are less likely to give a false positive report) than more truly positive people (who are more likely to give a false negative report), we find that college graduates report their health significantly more accurately overall.

教育健康差异报告误差社会期望偏差NHANES