Riumallo-Herl Carlos, Canning David, Kabudula Chodziwadziwa
Erasmus School of Economics, Erasmus University Rotterdam.
Global Health and Population, Harvard T.H. Chan School of Public Health.
J Econ Ageing. 2019;14. doi: 10.1016/j.jeoa.2019.01.005. Epub 2019 Jan 30.
A common approach when studying inequalities in health is to use a wealth index based on household durable goods as a proxy for socio-economic status. We test this approach for elderly health using data from an aging survey in a rural area of South Africa and find much steeper gradients for health with consumption adjusted for household size than with the wealth index. These results highlight the importance of the measure of socioeconomic status used when measuring health gradients, and the need for direct measures of household consumption or income in ageing studies.
研究健康不平等问题时常用的一种方法是使用基于家庭耐用品的财富指数作为社会经济地位的替代指标。我们利用南非农村地区一项老龄化调查的数据,对老年人健康状况的这种方法进行了检验,结果发现,在对家庭规模进行消费调整后,健康状况的梯度比使用财富指数时陡峭得多。这些结果凸显了在衡量健康梯度时所使用的社会经济地位衡量指标的重要性,以及在老龄化研究中直接衡量家庭消费或收入的必要性。