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Household Data (household + data)
Selected AbstractsThe Within-Year Concentration of Medical Care: Implications for Family Out-of-Pocket Expenditure BurdensHEALTH SERVICES RESEARCH, Issue 3 2009Thomas M. Selden Objective. To examine the within-year concentration of family health care and the resulting exposure of families to short periods of high expenditure burdens. Data Source. Household data from the pooled 2003 and 2004 Medical Expenditure Panel Survey (MEPS) yielding nationally representative estimates for the nonelderly civilian noninstitutionalized population. Study Design. The paper examines the within-year concentration of family medical care use and the frequency with which family out-of-pocket expenditures exceeded 20 percent of family income, computed at the annual, quarterly, and monthly levels. Principal Findings. On average among families with medical care, 49 percent of all (charge-weighted) care occurred in a single month, and 63 percent occurred in a single quarter). Nationally, 27 percent of the study population experienced at least 1 month in which out-of-pocket expenditures exceeded 20 percent of income. Monthly 20 percent burden rates were highest among the poor, at 43 percent, and were close to or above 30 percent for all but the highest income group (families above four times the federal poverty line). Conclusions. Within-year spikes in health care utilization can create financial pressures missed by conventional annual burden analyses. Within-year health-related financial pressures may be especially acute among lower-income families due to low asset holdings. [source] The Adequacy of Household Survey Data for Evaluating the Nongroup Health Insurance MarketHEALTH SERVICES RESEARCH, Issue 4 2007Joel C. Cantor Objective. To evaluate the accuracy of household survey estimates of the size and composition of the nonelderly population covered by nongroup health insurance. Data Sources/Study Setting. Health insurance enrollment statistics reported to New Jersey insurance regulators. Household data from the following sources: the 2002 Current Population Survey (CPS)-March Demographic Supplement, the 1997 and 1999 National Surveys of America's Families (NSAF), the 2001 New Jersey Family Health Survey (NJFHS), a 2002 survey of known nongroup health insurance enrollees, a small 2004 survey testing alternative health insurance question wording. Study Design. To assess the extent of bias in estimates of the size of the nongroup health insurance market in New Jersey, enrollment trends are compared between official enrollment statistics reported by insurance carriers to state insurance regulators with estimates from three general population household surveys. Next, to evaluate possible bias in the demographic and socioeconomic composition of the New Jersey nongroup market, distributions of characteristics of the enrolled population are contrasted among general household surveys and a survey of known nongroup subscribers. Finally, based on inferences drawn from these comparisons, alternative health insurance question wording was developed and tested in a local survey to test the potential for misreporting enrollment in nongroup coverage in a low-income population. Data Collection/Extraction Methods. Data for nonelderly New Jersey residents from the 2002 CPS (n=5,028) and the 1997 and 1999 NSAF (n=6,467 and 7,272, respectively) were obtained from public sources. The 2001 NJFHS (n=5,580 nonelderly) was conducted for a sample drawn by random digit dialing and employed computer-assisted telephone interviews and trained, professional interviewers. Sampling weights are used to adjust for under-coverage of households without telephones and other factors. In addition, a modified version of the NJFHS was administered to a 2002 sample of known nongroup subscribers (n=1,398) using the same field methods. These lists were provided by four of the five largest New Jersey nongroup insurance carriers, which represented 95 percent of all nongroup enrollees in the state. Finally, a modified version of the NJFHS questionnaire was fielded using similar methods as part of a local health survey in New Brunswick, New Jersey, in 2004 (n=1,460 nonelderly). Principal Findings. General household sample surveys, including the widely used CPS, yield substantially higher estimates of nongroup enrollment compared with administrative totals and yield estimates of the characteristics of the nongroup population that vary greatly from a survey of known nongroup subscribers. A small survey testing a question about source of payment for direct-purchased coverage suggests than many public coverage enrollees report nongroup coverage. Conclusions. Nongroup health insurance has been subject to more than a decade of reform and is of continuing policy interest. Comparisons of unique data from a survey of known nongroup subscribers and administrative sources to household surveys strongly suggest that the latter overstates the number and misrepresent the composition of the nongroup population. Research on the nongroup market using available sources should be interpreted cautiously and survey methods should be reexamined. [source] Latent Separability: Grouping Goods without Weak SeparabilityECONOMETRICA, Issue 1 2000Richard Blundell This paper develops a new concept of separability with overlapping groups,latent separability. This is shown to provide a useful empirical and theoretical framework for investigating the grouping of goods and prices. It is a generalization of weak separability in which goods are allowed to enter more than one group and where the composition of groups is identified by the choice of group specific exclusive goods. Latent separability is shown to be equivalent to weak separability in latent rather than purchased goods and provides a relationship between separability and household production theory. For the popular class of linear, almost ideal and translog demand models and their generalizations, we provide a method for choosing the number of homothetic separable groups. A detailed method for exploring the composition of the separable groups is also presented. These methods are applied to a long time series of British individual household data on the consumption of twenty two nondurable and service goods. [source] Distributional effects of WTO agricultural reforms in rich and poor countriesECONOMIC POLICY, Issue 50 2007Thomas W. Hertel SUMMARY WTO agricultural reforms Rich countries' agricultural trade policies are the battleground on which the future of the WTO's troubled Doha Round will be determined. Subject to widespread criticism, they nonetheless appear to be almost immune to serious reform, and one of their most common defences is that they protect poor farmers. Our findings reject this claim. The analysis conducted here uses detailed data on farm incomes to show that major commodity programmes are highly regressive in the US, and that the only serious losses under trade reform are among large, wealthy farmers in a few heavily protected sub-sectors. In contrast, analysis using household data from 15 developing countries indicates that reforming rich countries' agricultural trade policies would lift large numbers of developing country farm households out of poverty. In the majority of cases these gains are not outweighed by the poverty-increasing effects of higher food prices among other households. Agricultural reforms that appear feasible, even under an ambitious Doha Round, achieve only a fraction of the benefits for developing countries that full liberalization promises, but protect the wealthiest US farms from most of the rigors of adjustment. Finally, the analysis conducted here indicates that maximal trade-led poverty reductions occur when developing countries participate more fully in agricultural trade liberalization. , Thomas W. Hertel, Roman Keeney, Maros Ivanic and L. Alan Winters [source] A Simple Test of Friedman's Permanent Income HypothesisECONOMICA, Issue 289 2006JOSEPH P. DEJUAN Friedman's Permanent Income Hypothesis (PIH) predicts that the income elasticity of consumption should be higher for households for which a large fraction of the variation of their income is permanent than for households facing more transitory variations in income. We test this prediction using modern household data from the US Consumer Expenditure Survey. The results offer some support for the PIH. [source] Estimating price and income elasticities in the presence of age-cohort effectsAGRIBUSINESS : AN INTERNATIONAL JOURNAL, Issue 2 2006Hiroshi Mori Individual consumption of most food products varies by age, and in countries like Japan that have experienced drastic social and economic changes during the past several decades, it also differs from generation to generation. Unless proper measures are taken to account for these factors, estimates of demand elasticities could be severely biased. In this study, individual consumption of fresh fruit was derived from Japanese household data classified by age of household head for the years 1979,2001. Individual consumption was then decomposed by age, cohort, and period effects using Bayesian cohort analysis. Pure period effects thus determined were regressed against changes in price and income, to obtain less biased estimates for demand parameters than non- or partially age-compensated analysis. [Econlit citations: Q110]. © 2006 Wiley Periodicals, Inc. Agribusiness 22: 201,217, 2006. [source] Impact of cooperatives on smallholders' commercialization behavior: evidence from EthiopiaAGRICULTURAL ECONOMICS, Issue 2 2008Tanguy Bernard Propensity score matching; Program evaluation; Market participation; Cooperatives Abstract This article examines the impact of marketing cooperatives on smallholder commercialization of cereals using detailed household data in rural Ethiopia. We use the strong government role in promoting the establishment of cooperatives to justify the use of propensity score matching to compare households that are cooperative members to similar households in comparable areas without cooperatives. The analysis reveals that although cooperatives obtain higher prices for their members, they are not associated with a significant increase in the overall share of cereal production sold commercially by their members. However, these average results hide considerable heterogeneity across households. In particular, we find that smaller farmers tend to reduce their marketed output as a result of higher prices, whereas the opposite is true for larger farmers. [source] Liquidity constraints, access to credit and pro-poor growth in rural TanzaniaJOURNAL OF INTERNATIONAL DEVELOPMENT, Issue 7 2005Alex Winter-Nelson Small-scale farmers in developing countries may become trapped in poverty by lack of the liquidity needed to make profitable investments. Increased access to credit could generate pro-poor economic growth if poor households are otherwise liquidity-constrained and if liquidity-constrained households benefit from the new financial services. Using household data from rural Tanzania, this paper presents evidence that increased finance for liquidity-constrained households could generate pro-poor agricultural growth, but that general expansion of financial services to households that have no access to credit would not effectively target lower income households or households whose farm activities are liquidity-constrained. Copyright © 2005 John Wiley & Sons, Ltd. [source] WHY IS THE TAKE-UP OF MICROINSURANCE SO LOW?THE DEVELOPING ECONOMIES, Issue 1 2010EVIDENCE FROM A HEALTH INSURANCE SCHEME IN INDIA F35; O19 Insurance for the poor, called microinsurance, has recently drawn the attention of practitioners in developing countries. There are common problems among the various schemes: (1) low take-up rates, (2) high claim rates, and (3) low renewal rates. In the present paper, we investigate take-up decisions using household data collected in Karnataka, India, focusing on prospect theory, hyperbolic preference, and adverse selection. Prospect theory presumes that people behave in a risk-averse way when evaluating gains but in a risk-loving way when evaluating losses. Because insurance covers losses, the risk-loving attitude toward losses might explain the low take-up rates, and we find weak empirical support for this. Households with hyperbolic preference were more likely to purchase insurance, consistent with our theoretical prediction of demand for commitment. We also find some evidence on the existence of adverse selection: households with a higher ratio of sick members were more likely to purchase insurance. [source] THE IMPACT OF GREEN REVOLUTION ON RICE PRODUCTION IN VIETNAMTHE DEVELOPING ECONOMIES, Issue 2 2006TRAN Thi Ut Q16; O13; O33 The current paper reviewed the development of the Green Revolution in Vietnam, using long-term regional yield and modern variety adoption statistics, as well as household data collected in 1996 and 2003. The present study indicates that the Green Revolution began in irrigated favorable areas and spread to the less favorable areas in Vietnam such as in other Asian countries. What is unique in Vietnam is that although the Green Revolution ended in the mid-1980s in the Philippines and Indonesia, it has still been sustained as of 2003. Our analyses revealed that such growth had been supported by continuous improvements of modern varieties by regional research institutes. The varieties imported from China have contributed to the Green Revolution in northern Vietnam and those developed by the International Rice Research Institute in southern Vietnam. The national agricultural research systems have also played a critically important role in developing location-specific and appropriate technologies. [source] The effect of wealth and real income on wildlife consumption among native Amazonians in Bolivia: estimates of annual trends with longitudinal household data (2002,2006)ANIMAL CONSERVATION, Issue 3 2010R. Godoy Abstract Over the last decades, native Amazonians have put increasing pressure on animal wildlife owing to growth in demand. Across societies, household monetary income and wealth shape food consumption; hence, so it is natural to ask what effect might these variables have on the demand for wildlife consumption among native Amazonians, particularly as they gain a stronger foothold in the market economy and increasing de jure stewardship over their territories. Prior estimates of the effects of household monetary income and household wealth on wildlife consumption among native Amazonians have relied on cross-sectional data and produced unclear results. The goal of this research was to improve the precision of previous estimates by drawing on a larger sample and on longitudinal data. The analysis draws on a dataset composed of five consecutive annual surveys (2002,2006, inclusive) from 324 households in a native Amazonian society of foragers and farmers in Bolivia (Tsimane'). Multiple regression analysis is used to estimate the association between wildlife consumption and monetary income and wealth. Wildlife consumption bore a positive association with the level of household wealth and no significant association with household monetary income. Among Tsimane', the main internal threat to wildlife conservation in the short run will likely arise from increases in wealth, probably from the enhanced capacity that selected physical assets (e.g. guns) have in the capture of animal wildlife. [source] Estimating Vaccine Effects on Transmission of Infection from Household Outbreak DataBIOMETRICS, Issue 3 2003Niels G. Becker Summary. This article is concerned with a method for making inferences about various measures of vaccine efficacy. These measures describe reductions in susceptibility and in the potential to transmit infection. The method uses data on household outbreaks; it is based on a model that allows for transmission of infection both from within a household and from the outside. The use of household data is motivated by the hope that these are informative about vaccine-induced reduction of the potential to transmit infection, as household outbreaks contain some information about the possible source of infection. For illustration, the method is applied to observed data on household outbreaks of smallpox. These data are of the form needed and the number of households is of a size that can be managed in a vaccine trial. It is found that vaccine effects, such as the mean reduction in susceptibility and the mean reduction in the potential to infect others, per infectious contact, can be estimated with precision. However, a more specific parameter reflecting the reduction in infectivity for individuals partially responding to vaccination is not estimated well in the application. An evaluation of the method using artificial data shows that this parameter can be estimated with greater precision when we have outbreak data on a large number of small households. [source] Comparing the True Cost of Living Indices of Demographically Different HouseholdsBULLETIN OF ECONOMIC RESEARCH, Issue 1 2004Panayiota Lyssiotou D1 Abstract The comparison of true cost of living indices between demographically different households (relative equivalence scale) is argued to be sensitive to the way demographic characteristics enter demand analysis. In particular, parameters reflecting the cost of demographic characteristics at base prices, though themselves do not have welfare (equivalence scale) interpretation, can alter the benchmark from which demographically varying inflation effects are measured. The empirical analysis, based on a rank-3 demand system applied to UK individual household data, shows that the inflation adjustment of child benefits can vary with the way demographic costs at base period prices are specified. [source] |