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Systematic Measurement Error in Self-Reported Health: Is anchoring vignettes the way out?

Aparajita Dasgupta

MPRA Paper from University Library of Munich, Germany

Abstract: This paper studies the pattern of non-random measurement error in self-assessed health responses across population subgroups and examines whether anchoring of vignettes can be used to identify this bias. It uses unique data from the World Health Survey (WHS)-SAGE survey(wave 1) from India, that has self-reported assessments of health linked to anchoring vignettes as well as objective measures like measured anthropometrics and performance tests on a range of health domains. Both estimations using individual fixed effects and anchored-vignettes response reveal strong systematic reporting bias across subgroups. Controlling for a battery of objective health measures, we implicitly test and confirm the validity of the ‘response consistency’ assumption used in vignettes technique. Further analysis using individual fixed effects in a two-stage regression estimation reveals substantial individual reporting bias even after accounting for the usual covariates controlled in a regression. The analysis finds that non-random measurement error in SAH cannot be simply dealt with by controlling for socio-economic covariates in a typical regression framework. This exposes the problem of cross-comparability using self-reported health response in the context of a developing country setting and lends support to the use of vignettes for identifying this bias.

Keywords: Self-assessed health; vignettes approach; measurement error; response consistency (search for similar items in EconPapers)
JEL-codes: I1 I14 O2 (search for similar items in EconPapers)
Date: 2014-09-17
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https://mpra.ub.uni-muenchen.de/58722/1/MPRA_paper_58722.pdf original version (application/pdf)

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Journal Article: Systematic measurement error in self-reported health: is anchoring vignettes the way out? (2018) Downloads
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