Inequality Aversion, Health Inequalities, and Health Achievement

This paper addresses two issues. The first is how health inequalities can be measured in such a way as to take into account policymakers' attitudes towards inequality. The Gini coefficient and the related concentration index embody one particular set of value judgements. By generalising these indices, alternative sets of value judgements can be reflected. The other issue addressed is how information on health inequality can be used together with information on the mean of the relevant distribution to obtain an overall measure of health "achievement".

[1]  C. Murray,et al.  Defining and measuring health inequality: an approach based on the distribution of health expectancy. , 2000, Bulletin of the World Health Organization.

[2]  A. Hyder.  Challenging Inequities in Health: From Ethics to Action , 2002 .

[3]  A. Wagstaff,et al.  On the measurement of inequalities in health. , 1991, Social science & medicine.

[4]  Alleyne,et al.  Equality, equity: why bother? , 2000, Bulletin of the World Health Organization.

[5]  V Navarro,et al.  The Widening Gap in Death Rates among Income Groups in the United States from 1967 to 1986 , 2000, International journal of health services : planning, administration, evaluation.

[6]  W. Eichhorn,et al.  Models and Measurement of Welfare and Inequality , 1994 .

[7]  C. Victora,et al.  Explaining trends in inequities: evidence from Brazilian child health studies , 2000, The Lancet.

[8]  M. Westerman.  United Nations and World Bank , 1998 .

[9]  Stephen P. Jenkins,et al.  CALCULATING INCOME DISTRIBUTION INDICES FROM MICRO-DATA , 1988, National Tax Journal.

[10]  E. Doorslaer,et al.  Income-related health inequality in Canada. , 2000, Social science & medicine.

[11]  Elsie R. Pamuk,et al.  Social-class inequality in infant mortality in England and Wales from 1921 to 1980 , 1988 .

[12]  M. Johannesson,et al.  A note on validating Wagstaff and van Doorslaer's health measure in the analysis of inequalities in health. , 1999, Journal of health economics.

[13]  D. Gwatkin.  Health inequalities and the health of the poor: what do we know? What can we do? , 2000, Bulletin of the World Health Organization.

[14]  Michael Grüninger,et al.  Introduction , 2002, CACM.

[15]  A. Wagstaff,et al.  Measuring inequalities in health in the presence of multiple-category morbidity indicators. , 1994, Health economics.

[16]  D. Yach,et al.  Chile: Socioeconomic Differentials and Mortality in a Middle-Income Nation , 2001 .

[17]  A. Wagstaff,et al.  Socioeconomic Inequalities in Child Malnutrition in the Developing World , 1999 .

[18]  A. Wagstaff.  Economics, health and development: some ethical dilemmas facing the World Bank and the international community , 2001, Journal of medical ethics.

[19]  P. Lambert.  The Distribution and Redistribution of Income: A Mathematical Analysis , 1993 .

[20]  A. Wagstaff,et al.  Socio-economic differences in health nutrition and population in Indonesia. , 2000 .

[21]  S. Yitzhaki.  On The Progressivity of Commodity Taxation , 1994 .

[22]  Shlomo Yitzhaki,et al.  On an Extension of the Gini Inequality Index , 1983 .

[23]  Deon Filmer,et al.  The effect of household wealth on educational attainment: evidence from 35 countries. , 1999 .

[24]  M. Whitehead,et al.  The concepts and principles of equity and health. , 1992, International journal of health services : planning, administration, evaluation.

[25]  S. Yitzhaki,et al.  A note on the calculation and interpretation of the Gini index , 1984 .

[26]  A. Wagstaff,et al.  On Decomposing the Causes of Health Sector Inequalities with an Application to Malnutrition Inequalities in Vietnam , 2001 .

[27]  J. Grand.  An international comparison of distributions of ages-at-death , 1989 .

[28]  Gwatkin Dr,et al.  Health inequalities and the health of the poor: What do we know? What can we do? , 2000 .

[29]  J. L. Grand,et al.  Inequalities in health: Some international comparisons , 1987 .

[30]  A. Wagstaff.  QALYs and the equity-efficiency trade-off. , 1991, Journal of health economics.

[31]  N. Kakwani,et al.  Socioeconomic inequalities in health: Measurement, computation, and statistical inference , 1997 .

[32]  E. Pamuk,et al.  Social class inequality in mortality from 1921 to 1972 in England and Wales. , 1985, Population studies.

[33]  Banco Mundial.  2000 a better world for all: progress towards the international development goals , 2000 .

[34]  B. Starfield,et al.  World Health Report 2000: how it removes equity from the agenda for public health monitoring and policy. , 2001, BMJ : British Medical Journal.

[35]  A. Kunst,et al.  International variation in socioeconomic inequalities in self reported health. , 1995, Journal of epidemiology and community health.

[36]  Margaret Grosh,et al.  Designing Household Survey Questionnaires for Developing Countries , 2000 .

[37]  A. Wagstaff,et al.  Socio-economic differences in health nutrition and population. Dominican Republic: 1996 2002. , 2003 .

[38]  J. Mackenbach,et al.  Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. , 1997, Social science & medicine.

[39]  A. Wagstaff,et al.  Socioeconomic inequalities in child mortality: comparisons across nine developing countries. , 2000, Bulletin of the World Health Organization.

[40]  F. Bourguignon.  On the Measurement of Inequality , 2003 .