Cut-point Shift and Index Shift in Self-reported Health

Maarten Lindeboom () and Eddy Van Doorslaer

No 03-042/3, Tinbergen Institute Discussion Papers from Tinbergen Institute

Abstract: There is a concern that ordered responses on health questions may differ acrosspopulations or even across subgroups of a population. This reporting heterogeneity mayinvalidate group comparisons and measures of health inequality. This paper proposes a test fordifferential reporting in ordered response models which allows us to distinguish betweencut-point shift and index shift. The method is illustrated using Canadian National PopulationHealth Survey data. The McMaster Health Utility Index (HUI) is used as a more objective healthmeasure than the simple 5-point scale of self-assessed health. We find clear evidence of indexshifting and cut-point shifting for age and gender, but not for income, education or language.

Keywords: health measurement; ordered response models; cut point shift; index shift; Canada. (search for similar items in EconPapers)
JEL-codes: D30 D31 I10 I12 (search for similar items in EconPapers)
Date: 2003-06-09
References: Add references at CitEc
Citations: View citations in EconPapers (10)

Downloads: (external link)
https://papers.tinbergen.nl/03042.pdf (application/pdf)

Related works:
Journal Article: Cut-point shift and index shift in self-reported health (2004)
Working Paper: Cut-Point Shift and Index Shift in Self-Reported Health (2004)
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:tin:wpaper:20030042

Access Statistics for this paper

More papers in Tinbergen Institute Discussion Papers from Tinbergen Institute Contact information at EDIRC.
Bibliographic data for series maintained by Tinbergen Office +31 (0)10-4088900 ().