Inequality of opportunities in health and death: an investigation from birth to middle age in Great Britain

Autor: Florence Jusot, Damien Bricard, Alain Trannoy, Sandy Tubeuf
Přispěvatelé: Institut de Recherche et Documentation en Economie de la Santé (IRDES), Université Paris Dauphine-PSL, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL), Laboratoire d’Economie et de Gestion des Organisations de Santé (LEDA-LEGOS), Laboratoire d'Economie de Dauphine (LEDa), Institut de Recherche pour le Développement (IRD)-Université Paris Dauphine-PSL, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Université Paris Dauphine-PSL, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS), Aix-Marseille Sciences Economiques (AMSE), École des hautes études en sciences sociales (EHESS)-Aix Marseille Université (AMU)-École Centrale de Marseille (ECM)-Centre National de la Recherche Scientifique (CNRS), Institut de Recherche en Sciences de la Santé (IRSS), CNRST, Institut de recherches économiques et sociales (UCL IRES), Université Catholique de Louvain = Catholic University of Louvain (UCL), Financial support of the Health Chair, a joint initiative by PSL, Universite Paris-Dauphine, ENSAE and MGEN under the aegis of the Fondation du Risque (FDR), Institut de la Recherche et Documentation en Economie de la Santé, École des hautes études en sciences sociales (EHESS)-École Centrale de Marseille (ECM)-Centre National de la Recherche Scientifique (CNRS)-Aix Marseille Université (AMU), Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche pour le Développement (IRD)-Université Paris Dauphine-PSL
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
National Child Development Study
Inequality
longitudinal
Epidemiology
media_common.quotation_subject
Health Status
Longevity
Distribution (economics)
03 medical and health sciences
Fathers
Young Adult
0302 clinical medicine
equality of opportunity
0502 economics and business
Humans
AcademicSubjects/MED00860
030212 general & internal medicine
050207 economics
Occupations
Child
media_common
childhood
business.industry
Technician
05 social sciences
1. No poverty
self-assessed health
General Medicine
Middle Aged
[SHS.ECO]Humanities and Social Sciences/Economics and Finance
Child development
mortality
Health equity
Middle age
United Kingdom
Social Class
Socioeconomic Factors
8. Economic growth
Normative
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
health inequality
Psychology
business
Demography
Supplement
Zdroj: International Journal of Epidemiology
International Journal of Epidemiology, 2020, 49 (5), pp.1739-1748. ⟨10.1093/ije/dyaa130⟩
International Journal of Epidemiology, Oxford University Press (OUP), 2020, 49 (5), pp.1739-1748. ⟨10.1093/ije/dyaa130⟩
ISSN: 0300-5771
1464-3685
Popis: Objective We assess the existence of unfair inequalities in health and death using the normative framework of inequality of opportunities, from birth to middle age in Great Britain. Methods We use data from the 1958 National Child Development Study, which provides a unique opportunity to observe individual health from birth to the age of 54, including the occurrence of mortality. We measure health status combining self-assessed health and mortality. We compare and statistically test the differences between the cumulative distribution functions of health status at each age according to one childhood circumstance beyond people’s control: the father’s occupation. Results At all ages, individuals born to a ‘professional’, ‘senior manager or technician’ father report a better health status and have a lower mortality rate than individuals born to ‘skilled’, ‘partly skilled’ or ‘unskilled’ manual workers and individuals without a father at birth. The gap in the probability to report good health between individuals born into high social backgrounds compared with low, increases from 12 percentage points at age 23 to 26 at age 54. Health gaps are even more marked in health states at the bottom of the health distribution when mortality is combined with self-assessed health. Conclusions There is increasing inequality of opportunities in health over the lifespan in Great Britain. The tag of social background intensifies as individuals get older. Finally, there is added analytical value to combining mortality with self-assessed health when measuring health inequalities.
Databáze: OpenAIRE
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