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Erschienen in: International Journal of Public Health 1/2013

01.02.2013 | Original Article

On age-specific variations in income-related inequalities in diabetes, hypertension and obesity

verfasst von: Martin Siegel, Markus Luengen, Stephanie Stock

Erschienen in: International Journal of Public Health | Ausgabe 1/2013

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Abstract

Objective

This article examines whether the social health gradients in diabetes, hypertension and obesity for men and women vary significantly across different age groups.

Methods

We use a pooled sample of German survey data from the years 2002 and 2006 with a total of 87,601 observations. We employ a varying Wagstaff index derived from the class of Gini-type concentration indices to estimate age-specific income-related health inequalities.

Results

We find significant health disadvantages among poor women in mid-age, but no significant age-specific income-related health inequalities among men. Some leveling of inequalities in diabetes is observed.

Conclusions

The results suggest that variations in age-specific inequalities are unlikely to be a purely artificial result of health-related selection into retirement or mortality.
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Literatur
Zurück zum Zitat Banks J, Marmot M, Oldfield Z, Smith JP (2007) The SES health gradient on both sides of the Atlantic. IZA Discussion Papers 2539, Institute for the Study of Labor (IZA) Banks J, Marmot M, Oldfield Z, Smith JP (2007) The SES health gradient on both sides of the Atlantic. IZA Discussion Papers 2539, Institute for the Study of Labor (IZA)
Zurück zum Zitat Beckett M (2000) Converging health inequalities in later life—an artifact of mortality selection. J Health Soc Behav 41(1):106–119PubMedCrossRef Beckett M (2000) Converging health inequalities in later life—an artifact of mortality selection. J Health Soc Behav 41(1):106–119PubMedCrossRef
Zurück zum Zitat Boersch-Supan A, Wilke CB (2004) The German public pension system: how it was, how it will be. Working Paper 10525, National Bureau of Economic Research Boersch-Supan A, Wilke CB (2004) The German public pension system: how it was, how it will be. Working Paper 10525, National Bureau of Economic Research
Zurück zum Zitat Case AC, Deaton A (2005) Broken down by work and sex: how our health declines. In: Wise DA (ed) Analyses in the economics of aging, chap 6. Chicago University Press, Chicago, pp 185–205 Case AC, Deaton A (2005) Broken down by work and sex: how our health declines. In: Wise DA (ed) Analyses in the economics of aging, chap 6. Chicago University Press, Chicago, pp 185–205
Zurück zum Zitat Deaton AS, Paxson CH (1998) Aging and inequality in income and health. Am Econ Rev 88(2):248–253 Deaton AS, Paxson CH (1998) Aging and inequality in income and health. Am Econ Rev 88(2):248–253
Zurück zum Zitat Dupre ME (2007) Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses. J Health Soc Behav 48(1):1–15PubMedCrossRef Dupre ME (2007) Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses. J Health Soc Behav 48(1):1–15PubMedCrossRef
Zurück zum Zitat Harati H, Hadaegh F, Momenan AA, Ghanei L, Bozorgmanesh MR, Ghanbarian A, Mirmiran P, Azizi F (2010) Reduction in incidence of type 2 diabetes by lifestyle intervention in a middle eastern community. Am J Prev Med 38(6):628.e1–636.e1. doi:10.1016/j.amepre.2010.03.003 CrossRef Harati H, Hadaegh F, Momenan AA, Ghanei L, Bozorgmanesh MR, Ghanbarian A, Mirmiran P, Azizi F (2010) Reduction in incidence of type 2 diabetes by lifestyle intervention in a middle eastern community. Am J Prev Med 38(6):628.e1–636.e1. doi:10.​1016/​j.​amepre.​2010.​03.​003 CrossRef
Zurück zum Zitat Hastie T, Tibshirani R (1993) Varying-coefficient models. J R Stat Soc Ser B Stat Methodol 55(4):757–796 Hastie T, Tibshirani R (1993) Varying-coefficient models. J R Stat Soc Ser B Stat Methodol 55(4):757–796
Zurück zum Zitat Islam MK, Gerdtham UG, Clarke P, Burström K (2010) Does income-related health inequality change as the population ages? Evidence from Swedish panel data. Health Econ 19(3):334–349. doi:10.1002/hec.1479 PubMedCrossRef Islam MK, Gerdtham UG, Clarke P, Burström K (2010) Does income-related health inequality change as the population ages? Evidence from Swedish panel data. Health Econ 19(3):334–349. doi:10.​1002/​hec.​1479 PubMedCrossRef
Zurück zum Zitat Kakwani N, Wagstaff A, van Doorslaer E (1997) Socioeconomic inequalities in health: measurement, computation, and statistical inference. J Econom 77(1):87–103CrossRef Kakwani N, Wagstaff A, van Doorslaer E (1997) Socioeconomic inequalities in health: measurement, computation, and statistical inference. J Econom 77(1):87–103CrossRef
Zurück zum Zitat Konings P, Harper S, Lynch J, Hosseinpoor AR, Berkvens D, Lorant V, Geckova A, Speybroeck N (2010) Analysis of socioeconomic health inequalities using the concentration index. Int J Public Health 55(1):71–74. doi:10.1007/s00038-009-0078-y PubMedCrossRef Konings P, Harper S, Lynch J, Hosseinpoor AR, Berkvens D, Lorant V, Geckova A, Speybroeck N (2010) Analysis of socioeconomic health inequalities using the concentration index. Int J Public Health 55(1):71–74. doi:10.​1007/​s00038-009-0078-y PubMedCrossRef
Zurück zum Zitat Kunst AE, Mackenbach JP (1994) The size of mortality differences associated with educational level in nine industrialized countries. Am J Public Health 84(6):932–937PubMedCrossRef Kunst AE, Mackenbach JP (1994) The size of mortality differences associated with educational level in nine industrialized countries. Am J Public Health 84(6):932–937PubMedCrossRef
Zurück zum Zitat Li Q, Huang CJ, Li D, Fu TT (2002) Semiparametric smooth coefficient models. J Bus Econ Stat 20(3):412–422CrossRef Li Q, Huang CJ, Li D, Fu TT (2002) Semiparametric smooth coefficient models. J Bus Econ Stat 20(3):412–422CrossRef
Zurück zum Zitat Lynch SM (2003) Cohort and life-course patterns in the relationship between education and health: a hierarchical approach. Demography 40(2):309–331PubMedCrossRef Lynch SM (2003) Cohort and life-course patterns in the relationship between education and health: a hierarchical approach. Demography 40(2):309–331PubMedCrossRef
Zurück zum Zitat Mirowsky J, Ross CE (2005) Education, cumulative advantage, and health. Aging Int 30:27–62CrossRef Mirowsky J, Ross CE (2005) Education, cumulative advantage, and health. Aging Int 30:27–62CrossRef
Zurück zum Zitat Potthoff P, Heinemann LAJ, Güther B (2004) A household panel as a tool for cost-effective health-related population surveys: validity of the "Healthcare Access Panel". Ger Med Sci 2(Doc05):1–8 Potthoff P, Heinemann LAJ, Güther B (2004) A household panel as a tool for cost-effective health-related population surveys: validity of the "Healthcare Access Panel". Ger Med Sci 2(Doc05):1–8
Zurück zum Zitat Prus SG (2004) A life course perspective on the relationship between socio-economic status and health: testing the divergence hypothesis. Can J Aging 23 Suppl 1:S145–S153PubMedCrossRef Prus SG (2004) A life course perspective on the relationship between socio-economic status and health: testing the divergence hypothesis. Can J Aging 23 Suppl 1:S145–S153PubMedCrossRef
Zurück zum Zitat Ross CE, Wu CL (1996) Education, age, and the cumulative advantage in health. J Health Soc Behav 37(1):104–120PubMedCrossRef Ross CE, Wu CL (1996) Education, age, and the cumulative advantage in health. J Health Soc Behav 37(1):104–120PubMedCrossRef
Zurück zum Zitat Siegel M, Mosler K (2010) On the life course perspective in income related health inequalities: a semiparametric approach. Discussion Papers in Statistics and Econometrics 3/2010 Siegel M, Mosler K (2010) On the life course perspective in income related health inequalities: a semiparametric approach. Discussion Papers in Statistics and Econometrics 3/2010
Zurück zum Zitat van Doorslaer E, Masseria C, Koolman X, OECD Health Equity Research Group (2006) Inequalities in access to medical care by income in developed countries. CMAJ 174(2):177–183PubMed van Doorslaer E, Masseria C, Koolman X, OECD Health Equity Research Group (2006) Inequalities in access to medical care by income in developed countries. CMAJ 174(2):177–183PubMed
Zurück zum Zitat Wagstaff A (2005) The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality. Health Econ 14(4):429–432. doi:10.1002/hec.953 PubMedCrossRef Wagstaff A (2005) The bounds of the concentration index when the variable of interest is binary, with an application to immunization inequality. Health Econ 14(4):429–432. doi:10.​1002/​hec.​953 PubMedCrossRef
Zurück zum Zitat Wagstaff A, Paci P, van Doorslaer E (1991) On the measurement of inequalities in health. Soc Sci Med 33(5):545–557PubMedCrossRef Wagstaff A, Paci P, van Doorslaer E (1991) On the measurement of inequalities in health. Soc Sci Med 33(5):545–557PubMedCrossRef
Zurück zum Zitat WHO (2003) Obesity and overweight: global strategy on diet, physical activity and health. World Health Organization Fact Sheet WHO (2003) Obesity and overweight: global strategy on diet, physical activity and health. World Health Organization Fact Sheet
Zurück zum Zitat Wingerter C (2010) Später in den ruhestand? Tech. rep., German Federal Statistical Office, Wiesbaden Wingerter C (2010) Später in den ruhestand? Tech. rep., German Federal Statistical Office, Wiesbaden
Metadaten
Titel
On age-specific variations in income-related inequalities in diabetes, hypertension and obesity
verfasst von
Martin Siegel
Markus Luengen
Stephanie Stock
Publikationsdatum
01.02.2013
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
International Journal of Public Health / Ausgabe 1/2013
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-012-0368-7

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