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健康机会不平等在生命周期中的趋势:早期生活条件的作用

Trends in inequality of opportunity in health over the life cycle: The role of early-life conditions

Journal of Economic Behavior and Organization · 2022
被引 14
ABS 3

中文导读

研究了13个欧洲国家50岁及以上人群中慢性病患病机会不平等随年龄和出生队列的变化,发现早期不良生活条件(如受伤害经历和与父母关系质量)贡献了25%-45%的不平等,且不平等随年龄增长而上升。

Abstract

This paper explores the evolution of inequality of opportunity in the prevalence of chronic diseases along the life cycle and across different birth cohorts for individuals aged 50 or older and residing in 13 European countries. We adopt an ex-ante parametric approach and rely on the dissimilarity index as our reference inequality metric. In addition to a commonly used set of circumstances, we pay particular attention to the role of adverse early-life conditions, such as the experience of harm and the quality of the relationship with parents. In order to quantify the relative importance of each circumstance, we apply the Shapley inequality decomposition method. Our results suggest that inequality of opportunity in health is not stable over the life cycle - it is generally lower at younger ages and then monotonically increases. Moreover, it varies between different birth cohorts and is generally higher for younger individuals than for older age groups. Finally, the contribution of adverse early life conditions ranges between 25% and 45%, which is comparable to the share of socio-economic circumstances but significantly higher than the relative contribution of other demographic characteristics, especially at younger ages.

健康经济学人口经济学社会不平等生命周期分析