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Abstract

Identifying important factors that influence health status is essential in ensuring an effective health intervention. One of the factors that may contribute to the differences in individual health is the level of income. This study attempts to determine the effect of income, measured at household level, on individual health within the Malaysian context. The sample consists of individuals aged 18 and above from selected households. The self-assessed health (SAH) is used in this study to represent health status. Given that the response of SAH is in the form of ordinal, the ordered logit model, which is more appropriate than the widely used linear regression techniques, is utilized in estimating the effect of income. Controlling for other socio-economic and other health-related factors, there is evidence that income is statistically significant in determining the level of individual health with a positive effect, suggesting the existence of income related inequity in health.

Keywords

Self-assessed health household income ordered logit model inequity in health

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References

Cheah

Y.K.

(2012). An exploratory study on self-rated health status: The case of Penang, Malaysia. Malaysian Journal of Economic Studies, 49(2), 141–55.

Etile

Milcent

(2006). Income-related reporting heterogeneity in self-assessed health: Evidence from France. Health Economics, 15(9), 965–81.

Feng

Wang

W.W.

Jones

(2012). An exploratory multilevel analysis of income, income inequality and self-rated health of the elderly in China. Social Science and Medicine, Part Special Issue: Place, migration and amp; Health, 75(12), 2481–92.

Fritzell

Nermo

Lundberg

(2004). The impact of income: Assessing the relationship between income and health in Sweden. Scandinavian Journal of Public Health, 32(1), 6–16.

Gerdtham

U.-G.

Johannesson

Lundberg

Isacson

(1999). A note on validating Wagstaff and van Doorslaer’s health measure in the analysis of inequalities in health. Journal of Health Economics, 18(1), 117–24.

Groot

(2000). Adaption and scale reference bias in self-assessment of quality of life. Journal of Health Economics, 19(3), 403–20.

Grossman

(2000). The human capital model. In Newhouse

J.P.

(ed.), Handbook of health economics (Vol. 1A). London: Elsevier.

Gunasekara

F.I.

Carter

Blakely

(2011). Change in income and change in self-rated health: Systematic review of studies using repeated measures to control for confounding bias. Social Science and Medicine, 72(2), 193–201.

Haron

S.A.

Sharpe

D.L.

Masud

Abdel-Ghany

(2010). Health divide: Economic and demographic factors associated with self-reported health among older Malaysian. Journal of Family and Economic Issues, 31(3), 328–37.

10.

Hernandez-Quevedo

Jones

A.M.

Rice

(2004). Reporting bias and heterogeneity in self-assessed health. Evidence from the British Household Panel Survey, United Kingdom: University of York, mimeo.

11.

Humphries

K.H.

Doorslaer

E. van

(2000). Income-related health inequity in Canada. Social Science and Medicine, 50(5), 663–71.

12.

Idler

E.L.

Kasl

S.V.

(1995). Self-ratings of health: Do they also predict change in functional ability? The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 50B(6), 344–53.

13.

Johnston

D.W.

Propperand

Shields

M.A.

(2009). Comparing subjective and objective measures of health: Evidence from hypertension for the income/health gradient. Journal of Health Economics, 28(3), 540–52.

14.

Kerkhofs

Lindeboom

(1995). Subjective health measures and state reporting errors. Health Economics, 4(3), 221–35.

15.

Lorgelly

P.K.

Lindley

(2008). What is the relationship between income inequality and health? Evidence from the BHPS. Health Economics, 17(2), 249–65.

16.

Mackenbach

J.P.

Martikainen

Looman

C.W.

Dalstra

J.A.

Kunst

A.E.

Lahelma

. (2005). The shape of the relationship between income and self-assessed health: An International Study, International Journal of Epidemiology, 34(2), 286–93.

17.

Reuben

D.B.

Siuand

A.L.

Kimpau

(1992). The Predictive validity of self-report and performance-based measures of function and health. Journal of Gerontology, 47(4), 106–10.

18.

Shadbolt

(1997). Some correlates of self-rated health for Australian women. American Journal of Public Health, 87(6), 951–56.

19.

van Doorslaer

Gerdtham

U.G.

(2003). Does inequality is self-assessed health predict inequality in survival by income? Evidence from Swedish Data. Social Science and Medicine, 57(9), 1621–29.

20.

Wagstaff

(1986). The demand for health: Theory and Applications. Journal of Epidemiology and Community Health, 40(1), 1–11.

Do High Income Earners Have Better Health? The Case Study in Kedah,Malaysia

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