Universität zu Köln

Siegel, Martin ORCID: 0000-0001-8219-8986, Mielck, Andreas and Maier, Werner ORCID: 0000-0003-4356-7296 (2015). Individual Income, Area Deprivation, and Health: Do Income-Related Health Inequalities Vary by Small Area Deprivation? Health Econ., 24 (11). S. 1523 - 1531. HOBOKEN: WILEY. ISSN 1099-1050

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Abstract

This paper aims to explore potential associations between health inequalities related to socioeconomic deprivation at the individual and the small area level. We use German cross-sectional survey data for the years 2002 and 2006, and measure small area deprivation via the German Index of Multiple Deprivation. We test the differences between concentration indices of income-related and small area deprivation related inequalities in obesity, hypertension, and diabetes. Our results suggest that small area deprivation and individual income both yield inequalities in health favoring the better-off, where individual income-related inequalities are significantly more pronounced than those related to small area deprivation. We then apply a semiparametric extension of Wagstaff's corrected concentration index to explore how individual-level health inequalities vary with the degree of regional deprivation. We find that the concentration of obesity, hypertension, and diabetes among lower income groups also exists at the small area level. The degree of deprivation-specific income-related inequalities in the three health outcomes exhibits only little variations across different levels of multiple deprivation for both sexes. Copyright (c) 2014 John Wiley & Sons, Ltd.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Siegel, Martin UNSPECIFIED orcid.org/0000-0001-8219-8986 UNSPECIFIED Mielck, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Werner UNSPECIFIED orcid.org/0000-0003-4356-7296 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-389118
DOI:	10.1002/hec.3102
Journal or Publication Title:	Health Econ.
Volume:	24
Number:	11
Page Range:	S. 1523 - 1531
Date:	2015
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1099-1050
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AGE-SPECIFIC VARIATIONS; CONCENTRATION INDEX; REGIONAL DEPRIVATION; SOCIOECONOMIC-STATUS; REGISTRY DATA; BINARY; PREVALENCE; MORTALITY; GERMANY; BAVARIA Multiple languages Economics; Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38911