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Trends in Inequality of Opportunity in health over the life cycle: the role of early-life conditions

Author

Listed:
  • Cristina Elisa Orso

    (University of Verona)

  • Matija Kovacic

    (European Commission, Joint Research Centre (JRC), Ispra, Italy)

Abstract
This paper explores the evolution of inequality of opportunity in the prevalence ofchronic diseases along the life cycle and across different birth cohorts for individualsaged 50 or older and residing in 13 European countries. We adopt an ex-ante parametric approach and rely on the dissimilarity index as our reference inequality metric. Inaddition to a commonly used set of circumstances, we pay particular attention to therole of adverse early-life conditions, such as the experience of harm and the quality ofthe relationship with parents. In order to quantify the relative importance of each circumstance, we apply the Shapley inequality decomposition method. Our results suggestthat inequality of opportunity in health is not stable over the life cycle - it is generallylower at younger ages and then monotonically increases. Moreover, it varies betweendifferent birth cohorts and is generally higher for younger individuals than for olderage groups. Finally, the contribution of adverse early life conditions ranges between25% and 45%, which is comparable to the share of socio-economic circumstances butsignificantly higher than the relative contribution of other demographic characteristics,especially at younger ages.

Suggested Citation

  • Cristina Elisa Orso & Matija Kovacic, 2022. "Trends in Inequality of Opportunity in health over the life cycle: the role of early-life conditions," Working Papers 598, ECINEQ, Society for the Study of Economic Inequality.
  • Handle: RePEc:inq:inqwps:ecineq2022-598
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    File URL: http://www.ecineq.org/milano/WP/ECINEQ2022-598.pdf
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    References listed on IDEAS

    as
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    2. Aaberge, Rolf & Mogstad, Magne & Peragine, Vito, 2011. "Measuring long-term inequality of opportunity," Journal of Public Economics, Elsevier, vol. 95(3), pages 193-204.
    3. Attanasio, Orazio & Blundell, Richard & Conti, Gabriella & Mason, Giacomo, 2020. "Inequality in socio-emotional skills: A cross-cohort comparison," Journal of Public Economics, Elsevier, vol. 191(C).
    4. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2020. "A latent class approach to inequity in health using biomarker data," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 808-826, July.
    5. François Bourguignon & Francisco H. G. Ferreira & Marta Menéndez, 2007. "Inequality Of Opportunity In Brazil," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 53(4), pages 585-618, December.
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    7. Damien Bricard & Florence Jusot & Alain Trannoy & Sandy Tubeuf, 2013. "Inequality of Opportunities in Health and the Principle of Natural Reward: Evidence from European Countries," Research on Economic Inequality, in: Health and Inequality, volume 21, pages 335-370, Emerald Group Publishing Limited.
    8. Jo Blanden, 2013. "Cross-Country Rankings In Intergenerational Mobility: A Comparison Of Approaches From Economics And Sociology," Journal of Economic Surveys, Wiley Blackwell, vol. 27(1), pages 38-73, February.
    9. Damien Bricard & Florence Jusot & Alain Trannoy & Sandy Tubeuf, 2020. "Inequality of opportunities in health and death: an investigation from birth to middle age in Great Britain," Post-Print hal-03138298, HAL.
    Full references (including those not matched with items on IDEAS)

    Citations

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    Cited by:

    1. Graeber, Daniel & Hilbert, Viola & König, Johannes, 2023. "Inequality of Opportunity in Wealth: Levels, Trends, and Drivers," IZA Discussion Papers 16488, Institute of Labor Economics (IZA).
    2. Davillas, Apostolos & Jones, Andrew M, 2020. "Ex ante inequality of opportunity in health, decomposition and distributional analysis of biomarkers," Journal of Health Economics, Elsevier, vol. 69(C).
    3. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2020. "A latent class approach to inequity in health using biomarker data," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 808-826, July.
    4. Casabianca, Elizabeth & Kovacic, Matija, 2024. "Social interactions, loneliness and health: A new angle on an old debate," GLO Discussion Paper Series 1378, Global Labor Organization (GLO).
    5. Francesco Berlingieri & Matija Kovacic, 2023. "Health and relationship quality of the LGBTQIA+ population in Europe," Working Papers 2023: 29, Department of Economics, University of Venice "Ca' Foscari".

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    More about this item

    Keywords

    Inequality of opportunity; health; life cycle; adverse early-life conditions; decomposition;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement

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