[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/zbw/cegedp/355.html
   My bibliography  Save this paper

Long-run improvements in human health: Steady but unequal

Author

Listed:
  • Abeliansky, Ana Lucia
  • Strulik, Holger
Abstract
There exists a steady trend at which later born cohorts, at the same age, are healthier than earlier born cohorts. We show this trend by computing a health deficit index for a panel of 14 European Countries and six waves of the Survey of Health, Aging, and Retirement in Europe (SHARE). We find that for each year of later birth, health deficits decline by on average 1.4 - 1.5 percent with insignificant differences between men and women, between countries, and over time. We argue that this trend approximates the rate of medical progress, broadly defined. The steady progress implies substantial delays of human aging. For example, the level of health deficits experienced at age 65 by individuals born 1920 is predicted to be experienced at age 85 by individuals born 1945. The potential health gains are not fully appropriated by individuals of low socio-economic status. Their health deficits decline at about the same rate but from a higher level, which means that we find long-run persistence of health inequality.

Suggested Citation

  • Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Long-run improvements in human health: Steady but unequal," University of Göttingen Working Papers in Economics 355, University of Goettingen, Department of Economics.
    • Handle: RePEc:zbw:cegedp:355
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/182010/1/1030643873.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Amitabh Chandra & Jonathan Skinner, 2012. "Technology Growth and Expenditure Growth in Health Care," Journal of Economic Literature, American Economic Association, vol. 50(3), pages 645-680, September.
    2. Robert Fogel & Dora Costa, 1997. "A theory of technophysio evolution, with some implications for forecasting population, health care costs, and pension costs," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 49-66, February.
    3. Holger Strulik & Sebastian Vollmer, 2013. "Long-run trends of human aging and longevity," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(4), pages 1303-1323, October.
    4. Carl‐Johan Dalgaard & Holger Strulik, 2016. "Physiology and Development: Why the West is Taller Than the Rest," Economic Journal, Royal Economic Society, vol. 126(598), pages 2292-2323, December.
    5. Morgan E. Levine & Eileen M. Crimmins, 2018. "Is 60 the New 50? Examining Changes in Biological Age Over the Past Two Decades," Demography, Springer;Population Association of America (PAA), vol. 55(2), pages 387-402, April.
    6. Kenneth Harttgen & Paul Kowal & Holger Strulik & Somnath Chatterji & Sebastian Vollmer, 2013. "Patterns of Frailty in Older Adults: Comparing Results from Higher and Lower Income Countries Using the Survey of Health, Ageing and Retirement in Europe (SHARE) and the Study on Global AGEing and Adu," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-11, October.
    7. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, April.
    8. T. S. Breusch & A. R. Pagan, 1980. "The Lagrange Multiplier Test and its Applications to Model Specification in Econometrics," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 47(1), pages 239-253.
    9. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "How season of birth affects health and aging," University of Göttingen Working Papers in Economics 352, University of Goettingen, Department of Economics.
    10. Carl-Johan Dalgaard & Holger Strulik, 2014. "Optimal Aging And Death: Understanding The Preston Curve," Journal of the European Economic Association, European Economic Association, vol. 12(3), pages 672-701, June.
    11. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Hungry children age faster," Economics & Human Biology, Elsevier, vol. 29(C), pages 211-220.
    12. Chernew, Michael E. & Newhouse, Joseph P., 2011. "Health Care Spending Growth," Handbook of Health Economics, in: Mark V. Pauly & Thomas G. Mcguire & Pedro P. Barros (ed.), Handbook of Health Economics, volume 2, chapter 0, pages 1-43, Elsevier.
    13. Ana Lucia Abeliansky & Holger Strulik, 2018. "How We Fall Apart: Similarities of Human Aging in 10 European Countries," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 341-359, February.
    14. Holger Strulik & Katharina Werner, 2016. "50 is the new 30—long-run trends of schooling and retirement explained by human aging," Journal of Economic Growth, Springer, vol. 21(2), pages 165-187, June.
    15. Carl-Johan Dalgaard & Casper Worm Hansen & Holger Strulik, 2017. "Accounting for Fetal Origins: Health Capital vs. Health Deficits," Discussion Papers 17-11, University of Copenhagen. Department of Economics.
    16. James W. Vaupel, 2010. "Biodemography of human ageing," Nature, Nature, vol. 464(7288), pages 536-542, March.
    17. Dalgaard, Carl-Johan & Hansen, Casper Worm & Strulik, Holger, 2018. "Physiological Aging around the World and Economic Growth," CAGE Online Working Paper Series 375, Competitive Advantage in the Global Economy (CAGE).
    18. Mundlak, Yair, 1978. "On the Pooling of Time Series and Cross Section Data," Econometrica, Econometric Society, vol. 46(1), pages 69-85, January.
    19. Crimmins, E.M. & Zhang, Y. & Saito, Y., 2016. "Trends over 4 decades in disability-free life expectancy in the United States," American Journal of Public Health, American Public Health Association, vol. 106(7), pages 1287-1293.
    20. John Wilmoth & Shiro Horiuchi, 1999. "Rectangularization revisited: Variability of age at death within human populations," Demography, Springer;Population Association of America (PAA), vol. 36(4), pages 475-495, November.
    21. Linda Martin & Robert Schoeni & Patricia Andreski, 2010. "Trends in health of older adults in the United States: Past, present, future," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 17-40, March.
    22. Kevin M. White, 2002. "Longevity Advances in High‐Income Countries, 1955–96," Population and Development Review, The Population Council, Inc., vol. 28(1), pages 59-76, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Weng, Yulei & Yang, Xiaocong, 2023. "Fertility behaviors and mid-late-life health status in China: From a life-course perspective," Social Science & Medicine, Elsevier, vol. 338(C).
    2. Börsch-Supan, Axel & Ferrari, Irene & Salerno, Luca, 2021. "Long-run health trends in Europe," The Journal of the Economics of Ageing, Elsevier, vol. 18(C).
    3. Ana Lucia Abeliansky & Holger Strulik, 2023. "Health and aging before and after retirement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2825-2855, October.
    4. Dragone, Davide & Strulik, Holger, 2020. "Negligible senescence: An economic life cycle model for the future," Journal of Economic Behavior & Organization, Elsevier, vol. 171(C), pages 264-285.
    5. Strulik, Holger & Werner, Katharina, 2021. "Time-inconsistent health behavior and its impact on aging and longevity," Journal of Health Economics, Elsevier, vol. 76(C).
    6. Old, Jonathan & Scott, Andrew, 2023. "Healthy ageing trends in England between 2002 to 2018: Improving but slowing and unequal," Department of Economics, Working Paper Series qt759110mx, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    7. Abeliansky, Ana Lucia & Erel, Devin & Strulik, Holger, 2019. "Aging in the USA: Similarities and disparities across time and space," University of Göttingen Working Papers in Economics 384, University of Goettingen, Department of Economics.
    8. Strulik, Holger, 2022. "Medical progress and life cycle choices," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    9. Volker Grossmann, 2021. "Medical Innovations and Ageing: A Health Economics Perspective," CESifo Working Paper Series 9387, CESifo.
    10. Strulik, Holger, 2021. "Intertemporal choice with health-dependent discounting," Mathematical Social Sciences, Elsevier, vol. 111(C), pages 19-25.
    11. Old, Jonathan & Scott, Andrew, 2023. "Healthy ageing trends in England between 2002 to 2018: Improving but slowing and unequal," The Journal of the Economics of Ageing, Elsevier, vol. 26(C).
    12. Abeliansky, Ana Lucia & Strulik, Holger, 2020. "Season of birth, health and aging," Economics & Human Biology, Elsevier, vol. 36(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "Hungry children age faster," Economics & Human Biology, Elsevier, vol. 29(C), pages 211-220.
    2. Abeliansky, Ana Lucia & Strulik, Holger, 2020. "Season of birth, health and aging," Economics & Human Biology, Elsevier, vol. 36(C).
    3. Abeliansky, Ana Lucia & Strulik, Holger, 2018. "How season of birth affects health and aging," University of Göttingen Working Papers in Economics 352, University of Goettingen, Department of Economics.
    4. Abeliansky, Ana Lucia & Erel, Devin & Strulik, Holger, 2019. "Aging in the USA: Similarities and disparities across time and space," University of Göttingen Working Papers in Economics 384, University of Goettingen, Department of Economics.
    5. Ana Lucia Abeliansky & Holger Strulik, 2023. "Health and aging before and after retirement," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(4), pages 2825-2855, October.
    6. Strulik, Holger, 2022. "Medical progress and life cycle choices," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    7. Holger Strulik & Volker Grossmann, 2022. "Life Cycle Economics with Infectious and Chronic Diseases," CESifo Working Paper Series 10141, CESifo.
    8. Carl‐Johan Dalgaard & Casper Worm Hansen & Holger Strulik, 2021. "Fetal origins—A life cycle model of health and aging from conception to death," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1276-1290, June.
    9. Strulik, Holger & Grossmann, Volker, 2024. "The economics of aging with infectious and chronic diseases," Economics & Human Biology, Elsevier, vol. 52(C).
    10. Dragone, Davide & Strulik, Holger, 2020. "Negligible senescence: An economic life cycle model for the future," Journal of Economic Behavior & Organization, Elsevier, vol. 171(C), pages 264-285.
    11. Carl-Johan Dalgaard & Casper Worm Hansen & Holger Strulik, 2017. "Accounting for Fetal Origins: Health Capital vs. Health Deficits," Discussion Papers 17-11, University of Copenhagen. Department of Economics.
    12. Strulik, Holger, 2015. "Frailty, mortality, and the demand for medical care," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 5-12.
    13. Dalgaard, Carl-Johan & Hansen, Casper Worm & Strulik, Holger, 2018. "Physiological Aging around the World and Economic Growth," CAGE Online Working Paper Series 375, Competitive Advantage in the Global Economy (CAGE).
    14. Strulik, Holger, 2022. "A health economic theory of occupational choice, aging, and longevity," Journal of Health Economics, Elsevier, vol. 82(C).
    15. Strulik, Holger, 2021. "Intertemporal choice with health-dependent discounting," Mathematical Social Sciences, Elsevier, vol. 111(C), pages 19-25.
    16. Frankovic, Ivan & Kuhn, Michael, 2023. "Health insurance, endogenous medical progress, health expenditure growth, and welfare," Journal of Health Economics, Elsevier, vol. 87(C).
    17. Kelly, Mark & Kuhn, Michael, 2022. "Congestion in a public health service: A macro approach," Journal of Macroeconomics, Elsevier, vol. 74(C).
    18. Volker Grossmann, 2021. "Medical Innovations and Ageing: A Health Economics Perspective," CESifo Working Paper Series 9387, CESifo.
    19. Volker Grossmann & Johannes Schünemann & Holger Strulik, 2024. "Fair Pension Policies with Occupation-Specific Ageing," The Economic Journal, Royal Economic Society, vol. 134(663), pages 2835-2875.
    20. D. Dragone & H. Strulik, 2017. "Human Health and Aging over an Infinite Time Horizon," Working Papers wp1104, Dipartimento Scienze Economiche, Universita' di Bologna.

    More about this item

    Keywords

    health; aging; health deficit index; medical progress; health inequality;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I24 - Health, Education, and Welfare - - Education - - - Education and Inequality

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:zbw:cegedp:355. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/cdgoede.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.