Scandinavian Working Papers in Economics

Umeå Economic Studies,
Umeå University, Department of Economics

No 751: Inequality in mortality in Vietnam: unravel the causes

David Granlund (), NT Chuc (), HD Phuc () and Lars Lindholm ()
Additional contact information
David Granlund: Department of Economics, Umeå University, Postal: S 901 87 Umeå, Sweden
NT Chuc: Faculty of Public Health, Postal: Hanoi Medical University, Vietnam
HD Phuc: Institute of Mathematics, Postal: Hanoi, Vietnam
Lars Lindholm: Department of Public Health and Clinical Medicine, Postal: Umeå University, Sweden

Abstract: The association between socioeconomic variables and mortality for 41 000 adults Vietnamese followed from January 1999 to March 2008 are estimated using Cox's proportionally hazard models. Also, we use decomposition techniques to investigate the relative importance of socioeconomic factors for explaining total inequality in age-standardized mortality risk. The results confirm previously found negative association between mortality and income and education, for both men and women. The decomposition, however, shows that these variables together explain less than one third of the inequality, suggesting that it is important to also consider other dimensions of socioeconomic status, such as occupation and marital status. Finally, estimation results for relative education variables suggest that there exist positive spillover of education, meaning that that higher education of one's neighbors or spouse might reduce ones mortality risk.

Keywords: Health inequality; Socioeconomic status; Mortality risk; Decomposition; Vietnam

JEL-codes: D30; D63; I10; I30

23 pages, October 10, 2008

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