PMID: 12753821May 20, 2003Paper

Socio-economic and demographic variation in health and in its measures: the issue of reporting heterogeneity

Social Science & Medicine
Amir Shmueli

Abstract

True health state is an unobservable concept. Researchers and practitioners now have access to a large variety of tools to measure the health state and health related quality of life by self-reports. Socio-demographic variation in these measures is usually interpreted as variation in health. However, building on several measures simultaneously (multiple indicators), true health might be better represented, so that socio-demographic variation in any indicator can be decomposed into variation in the estimated true health, and measure-specific variation, holding true health constant. The latter variation is referred to as "reporting heterogeneity". Using structural equations models, the paper provides an empirical assessment of reporting heterogeneity in three popular measures of health and health related quality of life: the number of chronic conditions (CHRON), the SF-36 instrument and the visual analogue rating scale. Considering a large array of socio-economic and demographic characteristics from an Israeli health survey, the results indicate the existence of age-related reporting heterogeneity in the CHRON; income-related heterogeneity in the rating scale measure; and age, sex, income, ethnic origin and religiosity-related re...Continue Reading

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Citations

Jan 5, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Nicole Au, Paula K Lorgelly
Mar 25, 2011·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jane C FalkinghamMaria Evandrou
Aug 1, 2006·European Journal of Public Health·Amir Shmueli
Oct 2, 2012·European Journal of Public Health·Alena VasianovichLudmila L Shebeko
Nov 26, 2010·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jennifer C CornmanMaxine Weinstein
Jun 15, 2011·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Jennifer Beam Dowd, Megan Todd
Nov 1, 2007·International Journal of Epidemiology·Jennifer Beam Dowd, Anna Zajacova
Nov 3, 2010·Journal of Aging and Health·Kimberly V Smith, Noreen Goldman
Jan 12, 2012·BMC Public Health·Cyrille DelpierreThierry Lang
Jan 21, 2012·BMC Public Health·Anne JolivetPierre Chauvin
Aug 10, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Melanie CraneKlaus Gebel
Jul 17, 2013·Journal of Epidemiology and Global Health·Nicolas Vaillant, François-Charles Wolff
Sep 8, 2010·Annals of Epidemiology·Jennifer Beam Dowd, Anna Zajacova
Apr 15, 2006·Health Economics·Wim Groot, Henriëtte Maassen van den Brink
Sep 8, 2006·Health Economics·Fabrice Etilé, Carine Milcent
Nov 24, 2004·Journal of Health Economics·Maarten Lindeboom, Eddy van Doorslaer
Aug 25, 2015·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Sunghee Lee, Jacqui Smith
Aug 19, 2015·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Thomas Barnay
Jan 24, 2012·Social Science & Medicine·Audrey LayesGeorge Kepart
Nov 28, 2019·Journal of Marriage and the Family·Brandon Wagner
Oct 22, 2008·Central European Journal of Public Health·Kristi RüütelHelle-Mai Loit

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