Social Indicators Research ( IF 2.935 ) Pub Date : 2021-01-25 , DOI: 10.1007/s11205-020-02604-4 Valerii Baidin , Christopher J. Gerry , Maria Kaneva
In recent years the literature exploring the state dependent nature of individual self-rated health has grown rapidly. We contribute to this ‘reporting heterogeneity’ research field in two main ways. First, we are among the few studies to examine the determinants of reporting heterogeneity in self-rated health in the Russian context. Second, echoing the social determinants of health literature, we augment the standard battery of individual level socioeconomic and demographic characteristics with aggregated macro level variables serving as proxies for local environmental and social conditions. We are not aware of other heterogeneity studies that have incorporated this approach. Estimating a generalized ordered probit model we resolve the identification problem through the inclusion of an objective disease index. In terms of reporting heterogeneity, we find that response behaviour is systematically influenced by individual characteristics but also by aggregate regional socioeconomic characteristics. In particular, the finding that an individual’s relative standing in their local economy can condition their response to subjective health questionnaires is important and merits further examination. We argue that both a relative income mechanism and a mechanism that links the cognitive process of choice with the sense of optimism that individuals have for their institutional environment are plausible explanations for the observed aggregate level effects.
中文翻译:
自我评价的健康状况如何?探索个人和制度因素在报告异质性中的作用
近年来,探索个体自我评估健康的国家依赖性性质的文献迅速增长。我们通过两种主要方式为“报告异质性”研究领域做出了贡献。首先,我们是少数研究在俄罗斯背景下报告自我评估健康异质性决定因素的研究之一。其次,与健康文献的社会决定因素相呼应,我们用汇总的宏观水平变量作为当地环境和社会条件的代表,来增强个人水平社会经济和人口统计学特征的标准范围。我们不知道其他采用这种方法的异质性研究。估计广义有序概率模型,我们通过包含客观疾病指数来解决识别问题。就报告异质性而言,我们发现,应对行为受到个人特征的系统性影响,也受到总体区域社会经济特征的影响。尤其重要的是,发现个人在当地经济中的相对地位可以限制他们对主观健康问卷的反应,这一发现很重要,值得进一步研究。我们认为,相对收入机制和将选择的认知过程与个人对其制度环境所具有的乐观感联系起来的机制,都是观察到的总体水平效应的合理解释。一个人在当地经济中的相对地位可以决定他们对主观健康问卷的反应的发现很重要,值得进一步研究。我们认为,相对收入机制和将选择的认知过程与个人对其制度环境所具有的乐观感联系起来的机制,都是观察到的总体水平效应的合理解释。一个人在当地经济中的相对地位可以决定他们对主观健康问卷的反应的发现很重要,值得进一步研究。我们认为,相对收入机制和将选择的认知过程与个人对其制度环境所具有的乐观感联系起来的机制,都是观察到的总体水平效应的合理解释。