Biases in health expectancies due to educational differences in survey participation of older Europeans: It’s worth weighting for

16281 9 89386 2 257160 document 89386 Spitzer2020_Article_BiasesInHealthExpectanciesDueT.pdf application/pdf 359bc6530c05443bf7e44aa32728867d MD5 919600 2020-01-29 08:13:14 https://pure.iiasa.ac.at/id/eprint/16281/1/Spitzer2020_Article_BiasesInHealthExpectanciesDueT.pdf 16281 1 1 application/pdf text en public cc_by_4

Spitzer2020_Article_BiasesInHealthExpectanciesDueT.pdf

published 89387 2 257166 document 89387 lightbox.jpg image/png 71dcc058bb71bc5343ad184814f386a7 MD5 50945 2020-01-29 08:23:25 https://pure.iiasa.ac.at/id/eprint/16281/2/lightbox.jpg 16281 2 2 image/png other Thumbnails conversion from text to thumbnail_lightbox en public

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http://eprints.org/relation/isVersionOf https://pure.iiasa.ac.at/id/document/89386 http://eprints.org/relation/isVolatileVersionOf https://pure.iiasa.ac.at/id/document/89386 http://eprints.org/relation/isIndexCodesVersionOf https://pure.iiasa.ac.at/id/document/89386 archive 353 disk0/00/01/62/81 2020-01-29 08:14:24 2021-08-27 17:32:36 2020-01-29 08:14:24 article show 1 Spitzer S. 9158 0000-0002-2114-7947 Biases in health expectancies due to educational differences in survey participation of older Europeans: It’s worth weighting for pub prog_pop Health expectancies are widely used by policymakers and scholars to analyse the number of years a person can expect to live in good health. Their calculation requires life tables in combination with prevalence rates of good or bad health from survey data. The structure of typical survey data, however, rarely resembles the education distribution in the general population. Specifically, low-educated individuals are frequently underrepresented in surveys, which is crucial given the strong positive correlation between educational attainment and good health. This is the first study to evaluate if and how health expectancies for 13 European countries are biased by educational differences in survey participation. To this end, calibrated weights that consider the education structure in the 2011 censuses are applied to measures of activity limitation in the Survey of Health, Ageing and Retirement in Europe. The results show that health expectancies at age 50 are substantially biased by an average of 0.3 years when the education distribution in the general population is ignored. For most countries, health expectancies are overestimated; yet remarkably, the measure underestimates health for many Central and Eastern European countries by up to 0.9 years. These findings highlight the need to adjust for distortion in health expectancies, especially when the measure serves as a base for health-related policy targets or policy changes. 2020-01-27 published Springer 10.1007/s10198-019-01152-0 3082 public The European Journal of Health Economics 21 573-605 TRUE 1618-7598 FALSE no info:eu-repo/semantics/article