Income-Related Inequalities in Future Health Prospects
Gustav Kjellsson1,2, Dennis Petrie3, Tom Van Ourti4,5,6,7
1Department of Economics, School of Public Health & Communicy Medicine, University of Gothenburg, Gothenburg, Sweden.
Health Economics
|April 18, 2025
Summary
This study introduces a new way to measure health inequality by including individual health risks. It shows that ignoring these risks underestimates the true health disparities faced by lower-income individuals.
Area of Science:
- Health Economics
- Public Health Policy
- Health Disparities Research
Background:
- Monitoring health systems relies on measuring health disparities.
- Existing measures often neglect individual health risk and future health prospects.
- Income-related health inequality is a critical area for public health intervention.
Purpose of the Study:
- To integrate individual health risk into the measurement of income-related health inequality.
- To develop a novel rank-dependent health inequality index accounting for expected and dispersed future health.
- To assess the impact of considering individual risk on estimating health disparities.
Main Methods:
- Development of a rank-dependent health inequality index.
- Incorporation of individual expected future health and its dispersion.
- Empirical analysis using Australian longitudinal health and income data.
Main Results:
- Neglecting individual health risk leads to an underestimation of income-related health inequalities.
- The poor face not only worse expected future health but also greater dispersion in health prospects.
- The proposed index reveals more significant health inequalities when individual risk is considered.
Conclusions:
- Accurate measurement of health disparities requires incorporating individual health risk.
- Social planners should consider risk-averse preferences when assessing health inequalities.
- Policy interventions targeting health disparities must address both expected health outcomes and risk exposure.
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