Group- and individual-based approaches to health inequality

When assessing health inequalities, should one compare health outcomes across predetermined groups (e.g., race, ethnicity, socioeconomic status), or across individuals? Group-based approaches comparing group-specific means do not account for intra-group heterogeneity. Yet, traditional approaches bas...

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Detalles Bibliográficos
Autores: Permanyer, Iñaki|||0000-0002-7051-5144, Sasson, Isaac, Villavicencio, Francisco|||0000-0003-3951-7341
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:273995
Acceso en línea:https://ddd.uab.cat/record/273995
https://dx.doi.org/urn:doi:10.1093/jrsssa/qnac001
Access Level:acceso abierto
Palabra clave:Inequality decomposition
Life table
Lifespan inequality
Mortality differentials
Social groups
Descripción
Sumario:When assessing health inequalities, should one compare health outcomes across predetermined groups (e.g., race, ethnicity, socioeconomic status), or across individuals? Group-based approaches comparing group-specific means do not account for intra-group heterogeneity. Yet, traditional approaches based on additive decompositions splitting total inequality in its within- and between-group components fail to elucidate the groups' relative performance. Here, we develop a third approach based on pairwise comparisons to evaluatenot only the variability that might exist across individuals within and between groups, but also the relative performance of the different groups vis-a-vis each other-thus integrating both perspectives into a coherent framework.