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041 _afre
042 _adc
100 1 0 _aDevaux, Marion
_eauthor
700 1 0 _a Jusot, Florence
_eauthor
700 1 0 _a Sermet, Catherine
_eauthor
700 1 0 _a Tubeuf, Sandy
_eauthor
245 0 0 _aSocial Heterogeneity in the Reporting of Health Problems and Measures of Health Inequality
260 _c2008.
500 _a76
520 _aThis article explores the way in which the instrument for measuring health impacts the scope of social health inequalities by using structural equations with latent variables. A synthetic indicator of latent health is created from perceived health indicators, limitations of activity, chronic illnesses and mental health. The effect of these socio-demographic variables on latent health is then separated from its direct effect on each health indicator. This method highlights social differences in declaration by presuming that the contribution of socio-demographic characteristics in the explanation of latent health reveals determinants in state of health, while with the latent health factor, the direct effects of these characteristics on health indicators reflect a heterogeneity in declaration. Thus, we show a social heterogeneity in declaration with latent health factors: women and the elderly, the highly educated and the upper classes declare chronic illnesses more often; mental health problems appear over-declared by women and people living alone and under-declared by the elderly; the unemployed, retirees and executives declare activity limitation more often. Finally, people with a lower level of education under-declare perceived ill health. Although the four indicators in this study can be faulted with heterogeneity in declaration, the chronic illness indicator is the one that most reduces the scope of social health inequalities.
786 0 _nRevue française des affaires sociales | - | 1 | 2008-03-01 | p. 29-47 | 0035-2985
856 4 1 _uhttps://shs.cairn.info/journal-revue-francaise-des-affaires-sociales-2008-1-page-29?lang=en&redirect-ssocas=7080
999 _c550407
_d550407