The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition

Background: The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health in Catalonia from 1994 to 2006. Methods: Longitudinal cross-sectional study usin...

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Autores: García-Altés, Anna, Pinilla Domínguez, Jaime, Ortún Rubio, Vicente
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/23034
Acceso en línea:http://hdl.handle.net/10230/23034
http://dx.doi.org/10.1186/1472-6963-11-116
Access Level:acceso abierto
Palabra clave:Health status
Chronic conditions
Prevalence
Severity
Blinder
Oaxaca decomposition
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spelling The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decompositionGarcía-Altés, AnnaPinilla Domínguez, Jaime Ortún Rubio, VicenteHealth statusChronic conditionsPrevalenceSeverityBlinderOaxaca decompositionBackground: The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health in Catalonia from 1994 to 2006. Methods: Longitudinal cross-sectional study using the Catalonia Health Interview Survey of 1994 and 2006. The approach used was the three-fold Blinder - Oaxaca decomposition, separating the part of the differential in mean visual analogue scale value (VAS) due to group differences in the predictors (prevalence effect), due to differences in the coefficients (severity effect), and an interaction term. Variables included were the VAS value, education level, labour status, marital status, all common chronic conditions over the two cross-sections, and a variable for non-common chronic conditions and other conditions. Sample weights have been applied./n/nResults: Results show that there is an increase in mean VAS for men aged 15-44, and a decrease in mean VAS for women aged 65-74 and 75 and more. The increase in mean VAS for men aged 15-44 could be explained by a decrease in the severity effect, which offsets the increase in the prevalence effect. The decrease in mean VAS for women aged 65-74 and 75 and more could be explained by an increase in the prevalence effect, which does not offset the decrease in the severity effect. Conclusions: The results of the present analysis corroborate the paradox of health hypothesis for the population of Catalonia, and highlight the need to be careful when measuring population health over time, as well as their usefulness to detect population's perceptions.The authors are grateful the Agència de Salut Pública de Barcelona (ASPB) for providing the data, to Maarten Lindeboom (Department of General and Development Economics, Free University, Amsterdam) for his valuable suggestions on the statistical analysis, and all the members of the Centre for Health Economics (CHE), and the Health, Econometrics and Data Group (HEDG) of the University of York, for their comments on a previous version of this paper.BioMed Central201420142011info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/23034http://dx.doi.org/10.1186/1472-6963-11-116reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésBMC Health Services Research. 2011 May;11:116.© 2011 García-Altés et al; licensee BioMed Central Ltd. /nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/2.0info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/230342026-06-12T07:21:37Z
dc.title.none.fl_str_mv The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
title The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
spellingShingle The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
García-Altés, Anna
Health status
Chronic conditions
Prevalence
Severity
Blinder
Oaxaca decomposition
title_short The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
title_full The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
title_fullStr The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
title_full_unstemmed The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
title_sort The evolution of health status and chronic conditions in Catalonia, 1994-2006: the paradox of health revisited using the Blinder - Oaxaca decomposition
dc.creator.none.fl_str_mv García-Altés, Anna
Pinilla Domínguez, Jaime
Ortún Rubio, Vicente
author García-Altés, Anna
author_facet García-Altés, Anna
Pinilla Domínguez, Jaime
Ortún Rubio, Vicente
author_role author
author2 Pinilla Domínguez, Jaime
Ortún Rubio, Vicente
author2_role author
author
dc.subject.none.fl_str_mv Health status
Chronic conditions
Prevalence
Severity
Blinder
Oaxaca decomposition
topic Health status
Chronic conditions
Prevalence
Severity
Blinder
Oaxaca decomposition
description Background: The paradox of health refers to the improvement in objective measures of health and the increase in the reported prevalence of chronic conditions. The objective of this paper is to test the paradox of health in Catalonia from 1994 to 2006. Methods: Longitudinal cross-sectional study using the Catalonia Health Interview Survey of 1994 and 2006. The approach used was the three-fold Blinder - Oaxaca decomposition, separating the part of the differential in mean visual analogue scale value (VAS) due to group differences in the predictors (prevalence effect), due to differences in the coefficients (severity effect), and an interaction term. Variables included were the VAS value, education level, labour status, marital status, all common chronic conditions over the two cross-sections, and a variable for non-common chronic conditions and other conditions. Sample weights have been applied./n/nResults: Results show that there is an increase in mean VAS for men aged 15-44, and a decrease in mean VAS for women aged 65-74 and 75 and more. The increase in mean VAS for men aged 15-44 could be explained by a decrease in the severity effect, which offsets the increase in the prevalence effect. The decrease in mean VAS for women aged 65-74 and 75 and more could be explained by an increase in the prevalence effect, which does not offset the decrease in the severity effect. Conclusions: The results of the present analysis corroborate the paradox of health hypothesis for the population of Catalonia, and highlight the need to be careful when measuring population health over time, as well as their usefulness to detect population's perceptions.
publishDate 2011
dc.date.none.fl_str_mv 2011
2014
2014
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dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/23034
http://dx.doi.org/10.1186/1472-6963-11-116
url http://hdl.handle.net/10230/23034
http://dx.doi.org/10.1186/1472-6963-11-116
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Health Services Research. 2011 May;11:116.
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/2.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/2.0
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
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