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Comparative Health Inequality in the United States : = A Structural Perspective.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Comparative Health Inequality in the United States :/
Reminder of title:	A Structural Perspective.
Author:	Cheung, Pui Yin.
Description:	1 online resource (194 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
Contained By:	Dissertations Abstracts International85-02B.
Subject:	Sociology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30633982click for full text (PQDT)
ISBN:	9798380101332

Comparative Health Inequality in the United States : = A Structural Perspective.
Cheung, Pui Yin.

Comparative Health Inequality in the United States :A Structural Perspective. - 1 online resource (194 pages)

Source: Dissertations Abstracts International, Volume: 85-02, Section: B.

Thesis (Ph.D.)--Indiana University, 2023.

Includes bibliographical references

Even though health inequality is well established to be a persistent phenomenon across sociodemographic statuses, comparative research on health inequality is still in its infancy largely due to a few methodological and theoretical barriers. This project asks how health inequality can be summarized properly in comparative research and then theorize how it can be related to population health in various ways. In particular, I argue that (1) health inequality can be summarized properly involving categorical sociodemographic and health variables; (2) health inequality can potentially explain policy heterogeneity; and (3) health inequality has a systematic relationship with population health.To answer the first question, I demonstrate that the extant summary measures cannot properly summarize health inequality involving categorical variables. Then, I propose a general class of summary measures of health inequality suitable for categorical sociodemographic and health variables and develop a decomposition method for parsing out the source of difference between two populations or periods. Lastly, I show the real-world application of this class of summary measures.I examine the second question by theorizing that societal units with higher pre-treatment health risk inequalities have higher proportions of people responsive to a policy intervention dedicated to helping them. Thus, these societal units would paradoxically benefit more from a policy intervention designed to help the disadvantaged. Using the state-of-the-art difference-in-differences method, I find that Medicaid expansion has a larger mortality-reducing effect in states with higher pre-treatment race-based health insurance coverage inequality compared to the states with lower levels of inequality.Finally, I argue for a potential tradeoff between health inequality and population health, especially regarding voluntary behaviors. Using commuting zone-level data, I find that race-based health lifestyle inequalities are negatively associated with mortality among middle-aged and near-elderly adults.Overall, the findings show that comparative health inequality research can yield fruitful results with appropriate summary measures of health inequality. Most importantly, the body of this work suggests that the relationship between health inequality and population health is probably more complicated than previously known. More attention to the relationship between the two should be given in future sociological research.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798380101332Subjects--Topical Terms:

516174
Sociology.
Subjects--Index Terms:

Causal inferenceIndex Terms--Genre/Form:

542853
Electronic books.

Comparative Health Inequality in the United States : = A Structural Perspective.
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504 $a Includes bibliographical references
520 $a Even though health inequality is well established to be a persistent phenomenon across sociodemographic statuses, comparative research on health inequality is still in its infancy largely due to a few methodological and theoretical barriers. This project asks how health inequality can be summarized properly in comparative research and then theorize how it can be related to population health in various ways. In particular, I argue that (1) health inequality can be summarized properly involving categorical sociodemographic and health variables; (2) health inequality can potentially explain policy heterogeneity; and (3) health inequality has a systematic relationship with population health.To answer the first question, I demonstrate that the extant summary measures cannot properly summarize health inequality involving categorical variables. Then, I propose a general class of summary measures of health inequality suitable for categorical sociodemographic and health variables and develop a decomposition method for parsing out the source of difference between two populations or periods. Lastly, I show the real-world application of this class of summary measures.I examine the second question by theorizing that societal units with higher pre-treatment health risk inequalities have higher proportions of people responsive to a policy intervention dedicated to helping them. Thus, these societal units would paradoxically benefit more from a policy intervention designed to help the disadvantaged. Using the state-of-the-art difference-in-differences method, I find that Medicaid expansion has a larger mortality-reducing effect in states with higher pre-treatment race-based health insurance coverage inequality compared to the states with lower levels of inequality.Finally, I argue for a potential tradeoff between health inequality and population health, especially regarding voluntary behaviors. Using commuting zone-level data, I find that race-based health lifestyle inequalities are negatively associated with mortality among middle-aged and near-elderly adults.Overall, the findings show that comparative health inequality research can yield fruitful results with appropriate summary measures of health inequality. Most importantly, the body of this work suggests that the relationship between health inequality and population health is probably more complicated than previously known. More attention to the relationship between the two should be given in future sociological research.
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