The Chronic Disease Index: Analyzing Health Inequalities Over the Lifecycle

Kaveh Danesh, Jonathan Kolstad, William Parker and Johannes Spinnewijn

No 19160, CEPR Discussion Papers from C.E.P.R. Discussion Papers

Abstract: The rich live longer than the poor, but relatively little is known about the evolution of health inequality across the lifecycle. Using rich administrative data from the Netherlands, we develop an index of chronic disease burden based on the projected contribution to old-age mortality. Chronic conditions account for one-third of the mortality gap in old age. Using our index we demonstrate that health inequality arises much earlier in life; by age 35, the bottom half of the income distribution has the same disease burden as those aged 50 in the top half. Approximately 60% of the divergence across income groups is due to low-income individuals developing chronic illness at a faster rate, rather than chronically ill individuals sorting into lower-income groups. Using linked health survey data, we then examine the contributions of various mediators to the incidence of chronic diseases over the life-cycle. Socio-economic and geographic factors explain most of the variation, while individual health behaviors play a moderate role. Our findings align with calls to target health policies toward early-life social determinants of health.

Keywords: Inequality; Public health policy (search for similar items in EconPapers)
JEL-codes: I12 I14 I18 (search for similar items in EconPapers)
Date: 2024-06
References: Add references at CitEc
Citations:

Downloads: (external link)
https://cepr.org/publications/DP19160 (application/pdf)
CEPR Discussion Papers are free to download for our researchers, subscribers and members. If you fall into one of these categories but have trouble downloading our papers, please contact us at subscribers@cepr.org

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:cpr:ceprdp:19160

Ordering information: This working paper can be ordered from
https://cepr.org/publications/DP19160

Access Statistics for this paper

More papers in CEPR Discussion Papers from C.E.P.R. Discussion Papers Centre for Economic Policy Research, 33 Great Sutton Street, London EC1V 0DX.
Bibliographic data for series maintained by ().