Regional Differences in Socio-Economic Health Inequalities in Spain

UPF Working Paper No. 757

33 Pages Posted: 12 Jul 2004  

Pilar Garcia-Gomez

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE)

Ángel López Nicolás

Universitat Pompeu Fabra

Date Written: May 2004

Abstract

This paper reports an analysis of income related health inequalities at the Autonomous Community level in Spain using the self assessed health measure in the 2001 edition of the Encuesta Nacional de Salud. 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 across regions. Pais Vasco, Navarra, and La Rioja are the regions with the highest levels of mean health and simultaneously enjoy the lowest degree of income related health inequality. By contrast, Murcia is the least favoured region in that its population report one of the lowest levels of mean health and suffers the greatest degree of income related health inequality. Other territories where income related health inequality is high relative to País Vasco include rich regions such as Madrid, Baleares and Catalonia. The main feature characterizing regions where income related health inequality is low is the absence of a positive gradient between income and health. In turn, the regions where income related health inequality is greater are characterized by a strong and significant positive gradient between health and income. Thus policies aimed at eliminating the gradient between health and income can potentially lead to greater reductions in socio-economic health inequalities than policies aimed at redistributing income.

Keywords: Health inequalities, decomposition analysis, Spain

JEL Classification: D63, I12, C21

Suggested Citation

Garcia-Gomez, Pilar and López Nicolás, Ángel, Regional Differences in Socio-Economic Health Inequalities in Spain (May 2004). UPF Working Paper No. 757. Available at SSRN: https://ssrn.com/abstract=563847 or http://dx.doi.org/10.2139/ssrn.563847

Pilar Garcia Gomez (Contact Author)

Erasmus University Rotterdam (EUR) - Erasmus School of Economics (ESE) ( email )

P.O. Box 1738
3000 DR Rotterdam, NL 3062 PA
Netherlands

Ángel López Nicolás

Universitat Pompeu Fabra ( email )

Ramon Trias Fargas 25-27
Barcelona, 08005
Spain
(34-3) 542 27 08 (Phone)
(34-3) 542 17 46 (Fax)

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