Cut-Point Shift and Index Shift in Self-Reported Health
25 Pages Posted: 13 Sep 2004
Date Written: September 2004
Abstract
There is a concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which allows us to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index (HUI) is used as a more objective health measure than the simple 5-point scale of self-assessed health. We find clear evidence of index shifting 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
JEL Classification: D30, D31, I10, I12
Suggested Citation: Suggested Citation
Do you have a job opening that you would like to promote on SSRN?
Recommended Papers
-
Enhancing the Validity and Cross-Cultural Comparability of Measurement in Survey Research
By Gary King, Christopher Murray, ...
-
Validating the Use of Vignettes for Subjective Threshold Scales
By Arthur van Soest, Liam Delaney, ...
-
By Arie Kapteyn, James P. Smith, ...
-
By Arie Kapteyn, James P. Smith, ...
-
Comparing Incomparable Survey Responses: Evaluating and Selecting Anchoring Vignettes
By Jonathan Wand and Gary King
-
Dynamics of Work Disability and Pain
By Arthur van Soest, Arie Kapteyn, ...
-
By James W. Banks, Arie Kapteyn, ...
-
By James W. Banks, Arie Kapteyn, ...
-
Work Disability, Work, and Justification Bias in Europe and the U.S
By Arie Kapteyn, James P. Smith, ...
-
Work Disability, Work, and Justification Bias in Europe and the U.S.
By Arie Kapteyn, James P. Smith, ...