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首页> 外文期刊>Journal of health economics >Longitudinal methods to investigate the role of health determinants in the dynamics of income-related health inequality
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Longitudinal methods to investigate the role of health determinants in the dynamics of income-related health inequality

机译：研究健康决定因素在与收入相关的健康不平等动态中的作用的纵向方法

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摘要

The usual starting point for understanding changes in income-related health inequality (IRHI) over time has been regression-based decomposition procedures for the health concentration index. However the reliance on repeated cross-sectional analysis for this purpose prevents both the appropriate specification of the health function as a dynamic model and the identification of important determinants of the transition processes underlying IRHI changes such as those relating to mortality. This paper overcomes these limitations by developing alternative longitudinal procedures to analyse the role of health determinants in driving changes in IRHI through both morbidity changes and mortality, with our dynamic modelling framework also serving to identify their contribution to long-run or structural IRHI. The approach is illustrated by an empirical analysis of the causes of the increase in IRHI in Great Britain between 1999 and 2004.
机译：理解收入相关健康不平等（IRHI）随时间变化的通常起点是基于回归的健康集中指数分解程序。然而，为此目的依赖于重复的横截面分析既阻碍了健康功能作为动态模型的适当规范，也阻碍了IRHI改变所基于的过渡过程的重要决定因素（例如与死亡率有关的决定因素）的确定。本文通过开发替代纵向程序来分析健康决定因素通过发病率变化和死亡率来驱动IRHI变化的作用，从而克服了这些局限性，我们的动态建模框架也有助于确定其对长期或结构性IRHI的贡献。通过对1999至2004年间英国IRHI上升的原因进行实证分析来说明这种方法。

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