报告欧洲老年人自评健康的异质性。
Reporting heterogeneity in self-assessed health among elderly Europeans.
机构信息
Department of Law and Economics, University Bayreuth, Chair of Public Finance, D-95440, Bayreuth, Germany.
出版信息
Health Econ Rev. 2012 Oct 5;2(1):21. doi: 10.1186/2191-1991-2-21.
INTRODUCTION
Self-assessed health (SAH) is a frequently used measure of individuals' health status. It is also prone to reporting heterogeneity. To control for reporting heterogeneity objective measures of true health need to be included in an analysis. The topic becomes even more complex for cross-country comparisons, as many key variables tend to vary strongly across countries, influenced by cultural and institutional differences. This study aims at exploring the key drivers for reporting heterogeneity in SAH in an international context. To this end, country specific effects are accounted for and the objective health measure is concretized, distinguishing effects of mental and physical health conditions.
METHODS
We use panel data from the SHARE-project which provides a rich dataset on the elderly European population. To obtain distinct indicators for physical and mental health conditions two indices are constructed. Finally, to identify potential reporting heterogeneity in SAH a generalized ordered probit model is estimated.
RESULTS
We find evidence that in addition to health behaviour, health care utilization, mental and physical health condition as well as country characteristics affect reporting behaviour. We conclude that observed and unobserved heterogeneity play an important role when analysing SAH and have to be taken into account.
简介
自我评估健康（SAH）是衡量个体健康状况的常用指标。它也容易受到报告异质性的影响。为了控制报告异质性，需要在分析中纳入对真实健康的客观衡量标准。对于跨国比较来说，这个问题变得更加复杂，因为许多关键变量往往因文化和制度差异而在各国之间存在很大差异。本研究旨在探讨国际背景下 SAH 报告异质性的关键驱动因素。为此，我们考虑了特定国家的影响，并具体说明了客观健康衡量标准，区分了心理健康和身体健康状况的影响。
方法
我们使用 SHARE 项目的面板数据，该项目提供了关于欧洲老年人口的丰富数据集。为了获得身体和心理健康状况的明确指标，我们构建了两个指数。最后，为了识别 SAH 中的潜在报告异质性，我们估计了广义有序概率模型。
结果
我们发现，除了健康行为、医疗保健利用、心理健康和身体健康状况以及国家特征外，其他因素也会影响报告行为。我们得出结论，在分析 SAH 时，观察到的和未观察到的异质性起着重要作用，必须加以考虑。
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