Does Self-Assessed Health Reflect the True Health State?

Self-assessed health (SAH) is a widely used tool to estimate population health. However, the debate continues as to what exactly this ubiquitous measure of social science research means for policy conclusions. This study is aimed at understanding the tenability of the construct of SAH by simultaneou...

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Autores principales: Pavitra Paul, Ulrich Nguemdjo, Natalia Kovtun, Bruno Ventelou
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/94ae164815a246e9b9fdfefa88df8a2a
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spelling oai:doaj.org-article:94ae164815a246e9b9fdfefa88df8a2a2021-11-11T16:18:13ZDoes Self-Assessed Health Reflect the True Health State?10.3390/ijerph1821111531660-46011661-7827https://doaj.org/article/94ae164815a246e9b9fdfefa88df8a2a2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11153https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Self-assessed health (SAH) is a widely used tool to estimate population health. However, the debate continues as to what exactly this ubiquitous measure of social science research means for policy conclusions. This study is aimed at understanding the tenability of the construct of SAH by simultaneously modelling SAH and clinical morbidity. Using data from 17 waves (2001–2017) of the Russian Longitudinal Monitoring Survey, which captures repeated response for SAH and frequently updates information on clinical morbidity, we operationalise a recursive semi-ordered probit model. Our approach allows for the estimation of the distributional effect of clinical morbidity on perceived health. This study establishes the superiority of inferences from the recursive model. We illustrated the model use for examining the endogeneity problem of perceived health for SAH, contributing to population health research and public policy development, in particular, towards the organisation of health systems.Pavitra PaulUlrich NguemdjoNatalia KovtunBruno VentelouMDPI AGarticleclinical morbidityendogeneityperceived healthrecursivesemi-orderedRussiaMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11153, p 11153 (2021)
institution DOAJ
collection DOAJ
language EN
topic clinical morbidity
endogeneity
perceived health
recursive
semi-ordered
Russia
Medicine
R
spellingShingle clinical morbidity
endogeneity
perceived health
recursive
semi-ordered
Russia
Medicine
R
Pavitra Paul
Ulrich Nguemdjo
Natalia Kovtun
Bruno Ventelou
Does Self-Assessed Health Reflect the True Health State?
description Self-assessed health (SAH) is a widely used tool to estimate population health. However, the debate continues as to what exactly this ubiquitous measure of social science research means for policy conclusions. This study is aimed at understanding the tenability of the construct of SAH by simultaneously modelling SAH and clinical morbidity. Using data from 17 waves (2001–2017) of the Russian Longitudinal Monitoring Survey, which captures repeated response for SAH and frequently updates information on clinical morbidity, we operationalise a recursive semi-ordered probit model. Our approach allows for the estimation of the distributional effect of clinical morbidity on perceived health. This study establishes the superiority of inferences from the recursive model. We illustrated the model use for examining the endogeneity problem of perceived health for SAH, contributing to population health research and public policy development, in particular, towards the organisation of health systems.
format article
author Pavitra Paul
Ulrich Nguemdjo
Natalia Kovtun
Bruno Ventelou
author_facet Pavitra Paul
Ulrich Nguemdjo
Natalia Kovtun
Bruno Ventelou
author_sort Pavitra Paul
title Does Self-Assessed Health Reflect the True Health State?
title_short Does Self-Assessed Health Reflect the True Health State?
title_full Does Self-Assessed Health Reflect the True Health State?
title_fullStr Does Self-Assessed Health Reflect the True Health State?
title_full_unstemmed Does Self-Assessed Health Reflect the True Health State?
title_sort does self-assessed health reflect the true health state?
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/94ae164815a246e9b9fdfefa88df8a2a
work_keys_str_mv AT pavitrapaul doesselfassessedhealthreflectthetruehealthstate
AT ulrichnguemdjo doesselfassessedhealthreflectthetruehealthstate
AT nataliakovtun doesselfassessedhealthreflectthetruehealthstate
AT brunoventelou doesselfassessedhealthreflectthetruehealthstate
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