Scandinavian Working Papers in Economics

DaCHE discussion papers,
University of Southern Denmark, Dache - Danish Centre for Health Economics

No 2014:5: Refining Population Health Comparisons: A Multidimensional First Order Dominance Approach

M. Azhar Hussain (), Mette Møller Jørgensen () and Lars Peter Østerdal ()
Additional contact information
M. Azhar Hussain: Department of Society and Globalisation, Roskilde University, Postal: Roskilde University, Universitetsvejen 1, DK-5000 Roskilde
Mette Møller Jørgensen: John F. Kennedy School of Government, Postal: Harvard University
Lars Peter Østerdal: COHERE, Department of Business and Economics, Postal: University of Southern Denmark, Campusvej 55, DK-5230 Odense M

Abstract: How to determine if a population group has better overall (multidimensional) health status than another is a central question in the health and social sciences. We apply a multidimensional first order dominance concept that does not rely on assumptions about the relative importance of each dimension or the complementarity/substitutability across dimensions. In particular, we suggest that one can explore the “depth” of dominances by sequentially refining the health dimensions to see which dominances persist. Using The Danish National Health Interview Survey, we conduct dominance comparisons between population groups based on education, gender, marital status, and ethnicity for given age intervals. Our empirical illustration shows that it is possible to operationalize and meaningfully apply the multidimensional first order dominance concept with sequential refinements of health status to as much as ten health dimensions.

Keywords: Multidimensional first order dominance; population health comparisons; refinement; inequalities in health; The Danish National Health Survey

JEL-codes: D63; I14

28 pages, April 1, 2014

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