Vijayasivajie Anushiya, Mukhopadhaya Pundarik, Heaton Chris
Economics Department, Macquarie University, North Ryde, Australia.
Health Econ. 2025 Jul;34(7):1365-1381. doi: 10.1002/hec.4966. Epub 2025 Apr 12.
This paper extends current knowledge about inequality of opportunity in body mass in Australia. Drawing on 2013 and 2017 Household, Income, and Labour Dynamics in Australia survey data, our empirical strategy comprises of mean-based and unconditional quantile regression techniques. We find that inequality of opportunity accounts for a non-trivial share of body mass inequality. Our results based on waist-to-height ratio reveal estimates of 10%-14%, which are much larger than previously published estimates based on body mass index (BMI). Our estimates are lower-bound values based on 13 observable circumstance variables. Relaxing the homogeneity assumption, for instance, increases estimates by 1.7-3 percentage points. Applying the Shapley-Shorrocks decomposition procedure, age and parents' socio-economic status are identified as leading circumstance factors. This finding is refined when quantiles of the body mass distribution are evaluated. Age's role is diminished at the clinically risky upper quantiles. By contrast, parents' socio-economic status is the single most important circumstance factor at the upper quantiles. Investigating by gender groups, inequality of opportunity is greater among women than men, with parents' socio-economic status playing a critical role in this disparity. Taking a life course perspective, circumstances' influence shows weakening over time, while effort is more impactful at later life stages. Overall, our findings underscore that anti-obesity campaigns should tackle early life social inequality, in addition to empowering personal responsibility later in life.
本文拓展了关于澳大利亚体重机会不平等的现有知识。利用2013年和2017年澳大利亚家庭、收入和劳动力动态调查数据,我们的实证策略包括基于均值和无条件分位数回归技术。我们发现,机会不平等在体重不平等中占相当大的比例。我们基于腰高比的结果显示估计值为10%-14%,远高于此前基于体重指数(BMI)发表的估计值。我们的估计值是基于13个可观察到的环境变量的下限值。例如,放宽同质性假设会使估计值提高1.7-3个百分点。应用夏普里-肖罗克斯分解程序,年龄和父母的社会经济地位被确定为主要的环境因素。当评估体重分布的分位数时,这一发现得到了细化。在临床风险较高的上分位数中,年龄的作用减弱。相比之下,在高分位数中,父母的社会经济地位是唯一最重要的环境因素。按性别群体进行调查,女性的机会不平等比男性更大,父母的社会经济地位在这种差异中起关键作用。从生命历程的角度来看,环境的影响随着时间的推移而减弱,而努力在生命后期阶段的影响更大。总体而言,我们的研究结果强调,除了在生命后期增强个人责任感外,反肥胖运动还应解决早期生活中的社会不平等问题。