Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable

This study investigates the empirical validity of the material deprivation indices (MDIs) using a partial criterion variable, namely UHCNIR (unmet health care need due to inadequate resources). This alternative approach helps to assess absolute validity (Type I and II errors) and sources of error in...

Full description

Bibliographic Details
Main Author: Bedük, S
Format: Journal article
Language:English
Published: Springer Nature 2016
_version_ 1797108921946603520
author Bedük, S
author_facet Bedük, S
author_sort Bedük, S
collection OXFORD
description This study investigates the empirical validity of the material deprivation indices (MDIs) using a partial criterion variable, namely UHCNIR (unmet health care need due to inadequate resources). This alternative approach helps to assess absolute validity (Type I and II errors) and sources of error in the measurement of poverty for a specific aspect of poverty (in this case inability to receive adequate health care due to affordability problems). A simple mismatch analysis identifies a sizable group, around 1% of the adult EU population, missed by MDIs despite being in UHCNIR. A majority of this 1% experiences not only UHCNIR but also multiple other deprivations, commonly reports having some difficulties making ends meet, and prevalently has a disability or a chronic health problem. The analysis reveals that MDIs miss specifically those "unhealthy poor" since these measures do not include a relevant item, and thus cannot adjust for different needs and costs in health care and account for the distinct poverty experiences of these people. Therefore, the main methodological assumption of MDIs, identifying the people in poverty with only a limited set of key deprivation indicators is not supported by this empirical analysis.
first_indexed 2024-03-07T07:34:46Z
format Journal article
id oxford-uuid:58f90a7c-d01f-4f40-be92-b75262c728bc
institution University of Oxford
language English
last_indexed 2024-03-07T07:34:46Z
publishDate 2016
publisher Springer Nature
record_format dspace
spelling oxford-uuid:58f90a7c-d01f-4f40-be92-b75262c728bc2023-02-23T12:29:18ZMissing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:58f90a7c-d01f-4f40-be92-b75262c728bcEnglishSymplectic ElementsSpringer Nature2016Bedük, SThis study investigates the empirical validity of the material deprivation indices (MDIs) using a partial criterion variable, namely UHCNIR (unmet health care need due to inadequate resources). This alternative approach helps to assess absolute validity (Type I and II errors) and sources of error in the measurement of poverty for a specific aspect of poverty (in this case inability to receive adequate health care due to affordability problems). A simple mismatch analysis identifies a sizable group, around 1% of the adult EU population, missed by MDIs despite being in UHCNIR. A majority of this 1% experiences not only UHCNIR but also multiple other deprivations, commonly reports having some difficulties making ends meet, and prevalently has a disability or a chronic health problem. The analysis reveals that MDIs miss specifically those "unhealthy poor" since these measures do not include a relevant item, and thus cannot adjust for different needs and costs in health care and account for the distinct poverty experiences of these people. Therefore, the main methodological assumption of MDIs, identifying the people in poverty with only a limited set of key deprivation indicators is not supported by this empirical analysis.
spellingShingle Bedük, S
Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title_full Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title_fullStr Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title_full_unstemmed Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title_short Missing the unhealthy? Examining empirical validity of material deprivation indices (MDIs) using a partial criterion variable
title_sort missing the unhealthy examining empirical validity of material deprivation indices mdis using a partial criterion variable
work_keys_str_mv AT beduks missingtheunhealthyexaminingempiricalvalidityofmaterialdeprivationindicesmdisusingapartialcriterionvariable