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Title:Cut-Point Shift and Index Shift in Self-Reported Health PDF Logo
Authors:Lindeboom, Maarten
van Doorslaer, Eddy
Issue Date:2004
Series/Report no.:IZA Discussion paper series 1286
Abstract:There is a concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which allows us to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index (HUI) is used as a more objective health measure than the simple 5-point scale of self-assessed health. We find clear evidence of index shifting and cut-point shifting for age and gender, but not for income, education or language.
Subjects:hierarchical ordered probit
health measurement
cut-point shift
index shift
Canada
JEL:I12
I10
D31
D30
Document Type:Working Paper
Appears in Collections:IZA Discussion Papers, Forschungsinstitut zur Zukunft der Arbeit (IZA)

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