体重的机会不平等:来自澳大利亚的证据。

IF 2.4 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-04-12 DOI:10.1002/hec.4966
Anushiya Vijayasivajie, Pundarik Mukhopadhaya, Chris Heaton
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引用次数: 0

摘要

本文扩展了目前关于澳大利亚体重机会不平等的知识。根据2013年和2017年澳大利亚家庭、收入和劳动力动态调查数据,我们的实证策略包括基于均值和无条件分位数回归技术。我们发现机会不平等在体重不平等中占有重要的份额。我们基于腰高比的研究结果显示了10%-14%的估计,这比之前发表的基于身体质量指数(BMI)的估计要大得多。我们的估计是基于13个可观察到的环境变量的下限值。例如,放松同质性假设会使估计提高1.7-3个百分点。应用Shapley-Shorrocks分解程序,年龄和父母的社会经济地位是主要的环境因素。当评估体重分布的分位数时,这一发现得到了改进。年龄的作用在临床上危险的上分位数减弱。相比之下,父母的社会经济地位是最重要的环境因素。根据性别群体的调查,女性的机会不平等比男性更严重,父母的社会经济地位在这种差异中起着关键作用。从人生历程的角度来看,环境的影响会随着时间的推移而减弱,而努力在人生的后期阶段更有影响力。总的来说,我们的研究结果强调,除了在以后的生活中增强个人责任感之外,反肥胖运动应该解决早期生活中的社会不平等问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Inequality of Opportunity in Body Mass: Evidence From Australia

Inequality of Opportunity in Body Mass: Evidence From Australia

This paper extends current knowledge about inequality of opportunity in body mass in Australia. Drawing on 2013 and 2017 Household, Income, and Labour Dynamics in Australia survey data, our empirical strategy comprises of mean-based and unconditional quantile regression techniques. We find that inequality of opportunity accounts for a non-trivial share of body mass inequality. Our results based on waist-to-height ratio reveal estimates of 10%–14%, which are much larger than previously published estimates based on body mass index (BMI). Our estimates are lower-bound values based on 13 observable circumstance variables. Relaxing the homogeneity assumption, for instance, increases estimates by 1.7–3 percentage points. Applying the Shapley–Shorrocks decomposition procedure, age and parents' socio-economic status are identified as leading circumstance factors. This finding is refined when quantiles of the body mass distribution are evaluated. Age's role is diminished at the clinically risky upper quantiles. By contrast, parents' socio-economic status is the single most important circumstance factor at the upper quantiles. Investigating by gender groups, inequality of opportunity is greater among women than men, with parents' socio-economic status playing a critical role in this disparity. Taking a life course perspective, circumstances' influence shows weakening over time, while effort is more impactful at later life stages. Overall, our findings underscore that anti-obesity campaigns should tackle early life social inequality, in addition to empowering personal responsibility later in life.

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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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