Neri Marcelo C, Lopes Soares Wagner
Centro de Políticas Sociais, Fundação Getúlio Vargas, Rio de Janeiro, Brasil.
Cad Saude Publica. 2007 Aug;23(8):1845-56. doi: 10.1590/s0102-311x2007000800011.
Income levels and health status are related variables, because an increase in income enables greater access to assets that improve individual health status, and because productivity and income gains are associated with improved workers' health. Recent Brazilian experience offers favorable conditions to overcome the simultaneity problem that occurs when estimating the impact of income on health. A special health edition from both the 1998 and 2003 National Household Surveys (PNAD) shows the relationship between changes in these two variables. In addition, the Brazilian government has adopted and expanded several income transfer programs targeting the poor elderly population. The strategy used to identify the effect of income on health consisted of comparing the health status of eligible and non-eligible groups, before and after the expansion of income transfer programs. We used differences in estimates based on logistic regression. Our results show a distinct gain in the health status of lower-income seniors and do not allow rejecting the hypothesis that income changes have an impact on perceived health conditions.
收入水平和健康状况是相关变量,这是因为收入增加使人能够更多地获取有助于改善个人健康状况的资产,还因为生产力和收入增长与工人健康状况的改善相关。巴西最近的经验为克服在估计收入对健康的影响时出现的同步性问题提供了有利条件。1998年和2003年全国住户调查(PNAD)的特别健康版显示了这两个变量变化之间的关系。此外,巴西政府实施并扩大了若干针对贫困老年人口的收入转移计划。用于确定收入对健康影响的策略包括比较收入转移计划扩大前后符合条件和不符合条件群体的健康状况。我们使用了基于逻辑回归的估计差异。我们的结果表明低收入老年人的健康状况有明显改善,并且不允许拒绝收入变化对感知健康状况有影响这一假设。