The Influence of Demographics and Household-Specific Price Indices on Consumption-Based Inequality and Welfare: A Comparison of Spain and the United States
Abstract:Previous research suggests that income inequality is lower in Spain than in the U.S. This paper studies whether this ranking remains the same when household consumption expenditures are used as a proxy for household welfare. Both inequality and social welfare, as components of economic well-being, are examined. Total household expenditures from each country 's 1990-91 consumer expenditure survey are used as the basis for the analysis. When consumption expenditures are substituted for income as the measure o… Show more
“…Household income was adjusted to household size using an equivalence scales method: income/(household size) 0.5 . 8 Tertiles of household income were used when analyses were stratified by this variable. Known comorbidities were self-reported and included a history of myocardial infarction, angina, stroke, or breast cancer.…”
IMPORTANCE Characteristics of a health care system can facilitate forgoing of health care owing to economic reasons and can influence population health. Whether health insurance deductibles are associated with forgoing of health care in a consumer-driven health care system with universal coverage, such as the Swiss health system, remains to be determined.OBJECTIVE To assess the association between insurance plan deductibles and forgoing of health care with consideration of socioeconomic factors.
“…Household income was adjusted to household size using an equivalence scales method: income/(household size) 0.5 . 8 Tertiles of household income were used when analyses were stratified by this variable. Known comorbidities were self-reported and included a history of myocardial infarction, angina, stroke, or breast cancer.…”
IMPORTANCE Characteristics of a health care system can facilitate forgoing of health care owing to economic reasons and can influence population health. Whether health insurance deductibles are associated with forgoing of health care in a consumer-driven health care system with universal coverage, such as the Swiss health system, remains to be determined.OBJECTIVE To assess the association between insurance plan deductibles and forgoing of health care with consideration of socioeconomic factors.
“…Nationality was defined as either Swiss or not Swiss, and educational attainment was divided into 3 categories as in Huissman et al [21]: (1) no end of school certification (Maturité) or no professional apprenticeship (primary); (2) obtaining “Maturité” or professional apprenticeship (secondary); and (3) university degree (tertiary). Monthly household income was self-reported in CHF (<2,999, 3,000–4,999, 5,000–6,999, 7,000–9,499, 9,500–13,000, or >13,000) in the questionnaire and adjusted for household size using the ratio: income/(household size) 0.5 [22]. In 2016, 1 CHF corresponded to approximately 1 USD.…”
Objectives: Fecal blood testing is a noninvasive alternative to colonoscopy for colorectal cancer (CRC) screening and is preferred by a substantial proportion of individuals. However, participant-related determinants of the choice of screening method, particularly up-to-date screening status, remain less studied. We aimed to determine if up-to-date screening status was related to choosing a fecal blood test over colonoscopy. Setting: Participants in the population-based cross-sectional survey study Bus Santé in Geneva, Switzerland – aged 50–69 years. Design: Cross-sectional survey study using mailed questionnaires inquiring about CRC screening method of choice after providing information on advantages and disadvantages of both screening methods. We used multivariable logistic regression models to determine the association between up-to-date CRC screening status and choosing fecal blood testing. Key results: We included 1,227 participants. Thirty-eight percent of participants did not have up-to-date CRC screening. Overall, colonoscopy (54.9%) was preferred to fecal blood testing (45.1%) (p < 0.001) as screening method of choice. However, screening method choices differed between those with (65.6% colonoscopy and 34.4% fecal blood testing) and without up-to-date CRC screening (36.5% colonoscopy and 63.5% fecal blood testing). Not having up-to-date CRC screening was associated with a higher probability of choosing fecal blood testing as screening method (odds ratio = 2.6 [1.9; 3.7], p < 0.001) after adjustment for the aforementioned confounders. Conclusions: Not having up-to-date screening was independently associated with fecal blood testing as the preferred method for CRC screening. Proposing this method to this subpopulation, in a context of shared decision, could potentially increase screening uptake in settings where it is already high.
“…Parent reports of adjusted household income and parental education at W1 were each standardized and then summed to represent socioeconomic status (SES). Adjusted household income was calculated using the formula: Adjusted household income = Household income/(Household size) N (Garner et al., 2003). N is a number between 0 and 1, known as an equivalence scale that accounts for the fact that expenditures do not necessarily double when having two versus one child.…”
Objectives
Agentic (status/independence) and communal (acceptance/connectedness) social goals are thought to shape how adolescents transact with their social environments. Despite their theoretical importance, little work has focused on the development of these higher order personality dimensions. Informed by developmental neuroscience and evolutionary psychology theoretical frameworks, the current study examined associations between pubertal status, a person's level of pubertal development at a single point in time, and agentic and communal social goals across early to middle adolescence.
Methods
This longitudinal study consisted of 387 (55% female) adolescents (Wave 1 M age = 12.1) who were assessed annually across three waves. Hierarchical linear modeling was used to examine growth in pubertal status and agentic and communal goals and to distinguish between‐ and within‐person associations between pubertal status and social goals.
Results
Within‐person pubertal status was concurrently associated with higher levels of agentic and communal goals. In the cross‐sectional and longitudinal models, between‐person pubertal status was associated with higher levels of agentic social goals. No support was found for social goals prospectively predicting pubertal status.
Conclusions
These findings provide support for the hypothesis that puberty, in part, may drive developmental shifts in the value adolescents place on close peer relationships and obtaining status and independence.
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