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Cut-point shift and index shift in self-reported health

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Lindeboom, Maarten, van Doorslaer, Eddy·2004·Journal of Health Economics

Abstract

There is some concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which enables to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index Mark 3 (HUI3) is used as a more objective health measure than the simple five-point scale of self-assessed health. We find clear evidence of index shifting and cut-point shifting for age and gender, but not for income, education or language.

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Metadata

Authors
Lindeboom, M., & van Doorslaer, E.
Venue
Journal of Health Economics
Publisher
Elsevier BV
Published
2004-11
Volume
23
Issue
6
Pages
1083-1099
ISSN
0167-6296 (ISSN-L)
OpenAlex
W3122059466
Cited by
403
References
0
FWCI
33.98
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Cut-point shift and index shift in self-reported health. https://app.cochat.ai/papers/10.1016/j.jhealeco.2004.01.002
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Lindeboom, M., & van Doorslaer, E. (2004). Cut-point shift and index shift in self-reported health. Journal of Health Economics. https://doi.org/10.1016/j.jhealeco.2004.01.002

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.