Inequality of opportunity in health: evidence from a UK cohort study
Article first published online: 30 JUL 2009
Copyright © 2009 John Wiley & Sons, Ltd.
Special Issue: 18th Annual European Workshop on Econometrics and Health Economics
Volume 18, Issue 9, pages 1057–1074, September 2009
How to Cite
Rosa Dias, P. (2009), Inequality of opportunity in health: evidence from a UK cohort study. Health Econ., 18: 1057–1074. doi: 10.1002/hec.1535
- Issue published online: 17 AUG 2009
- Article first published online: 30 JUL 2009
- Manuscript Accepted: 13 JUN 2009
- Manuscript Revised: 3 JUN 2009
- Manuscript Received: 2 OCT 2008
- inequality of opportunity;
- childhood conditions;
This paper proposes an empirical implementation of the concept of inequality of opportunity in health and applies this to data from the UK National Child Development Study. Drawing on the distinction between circumstance and effort variables in John Roemer's work on equality of opportunity, circumstances are proxied by parental socio-economic status and childhood health; effort is proxied by health-related lifestyles and educational attainment. Stochastic dominance tests are used to detect inequality of opportunity in the conditional distributions of self-assessed health in adulthood. Two alternative approaches are used to measure inequality of opportunity. Econometric models are estimated to illuminate and quantify the triangular relationship between circumstances, effort and health. The results indicate the existence of a considerable and persistent inequality of opportunity in health. Circumstances affect health in adulthood both directly and through effort factors such as educational attainment. This indicates that, while the influence of some unjust circumstances can only be tackled during childhood, the implementation of complementary educational policies may be of paramount importance. Copyright © 2009 John Wiley & Sons, Ltd.