Assessing Inequalities in Preventive Care Use in Europe

24 Pages Posted: 5 Jan 2013

See all articles by Vincenzo Carrieri

Vincenzo Carrieri

Università degli Studi della Calabria - Department of Economics and Statistics

Ansgar Wübker

RWI

Date Written: October 10, 2012

Abstract

This paper presents the first cross-country estimation of needs-adjusted income and education-related inequalities in the use of a whole set of preventive care treatments. Analysis is based on the first three waves of the Survey of Health, Ageing and Retirement (SHARE) for individuals aged 50 and over living in 13 European countries. We employ alternative concentration indices based on the CI-corrections for binary outcomes to compute inequalities in the use of breast cancer screening, of colorectal cancer screening, of influenza vaccination, and of routine prevention tests (blood pressure, cholesterol, and blood sugar tests). After controlling for needs, we find that in many European countries strong pro-rich and educational inequalities exist with respect to breast and colon cancer screening, blood tests and flu-vaccination. Furthermore, poor and less educated people are more likely than the better off to use preventive care late, e.g. when health shocks occurred or health problems already display symptoms. Finally, results suggest that access to treatments within a specialist setting is generally less equal than access to treatments provided within a GP setting.

Keywords: preventive care, socio-economic related inequalities, concentration indices

JEL Classification: I14, D63

Suggested Citation

Carrieri, Vincenzo and Wübker, Ansgar, Assessing Inequalities in Preventive Care Use in Europe (October 10, 2012). Ruhr Economic Paper No. 371. Available at SSRN: https://ssrn.com/abstract=2159740

Vincenzo Carrieri

Università degli Studi della Calabria - Department of Economics and Statistics ( email )

via Ponte Bucci
Arcavacata di Rende, Cosenza 87036
Italy

Ansgar Wübker (Contact Author)

RWI ( email )

Hohenzollernstr. 1-3
Essen, 45128
Germany

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