The Evolution of Socio-Economic Health Inequalities in Spain: 1987-2001
UPF Working Paper No. 756
25 Pages Posted: 12 Jul 2004
Date Written: May 2004
This paper reports an analysis of the evolution of income related health inequalities in Spain over the period 1987-2001. We use recently developed methods in order to cardinalise and model self assessed health within a regression framework, decompose the sources of inequality and explain the observed differences between 1987 (one year after the 1986 General Health Act was approved) and 2001 (the latest available representative data on health for the Spanish population). The results show that the period has witnessed a reduction in income related health inequality. The driver of such reduction has been the weakening of the income health gradient, which lends support to the hypothesis that the important health policy reforms implemented over the period have been successful in the objective of reducing socio-economic inequalities in health. Our results also suggest that actions aimed at improving the health of those with low levels of education and of those who are not actively participating in the labor market would lead to further reductions in income related health inequality.
Keywords: Health inequalities, decomposition analysis, Spain
JEL Classification: D63, I12, C21
Suggested Citation: Suggested Citation