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Health Inequality Gini Decomposition×Concentration Index×
TudományterületSocial EpidemiologySocial Epidemiology
MódszercsaládProcess / pipelineProcess / pipeline
Keletkezés éve19851991
MegalkotóRobert Lerman & Shlomo Yitzhaki; Adam Wagstaff & Eddy van DoorslaerAdam Wagstaff, Pierfilippo Paci & Eddy van Doorslaer; Nanak Kakwani
TípusInequality-measurement and decomposition pipelineRank-based summary index of socioeconomic inequality in health
AlapműLerman, R. I., & Yitzhaki, S. (1985). Income inequality effects by income source: A new approach and applications to the United States. The Review of Economics and Statistics, 67(1), 151-156. DOI ↗Wagstaff, A., Paci, P., & van Doorslaer, E. (1991). On the measurement of inequalities in health. Social Science & Medicine, 33(5), 545-557. DOI ↗
Alternatív nevekHealth Gini Decomposition, Gini Decomposition by Source, Inter-Individual Health Inequality, Total Health Inequality GiniHealth Concentration Index, Concentration Curve and Index, Wagstaff Concentration Index, Erreygers Corrected Concentration Index
Kapcsolódó44
ÖsszefoglalóThe Gini coefficient is the most familiar single-number summary of inequality, and applied to a health variable it captures total, inter-individual health inequality — how unequally health is distributed across all people, regardless of their socioeconomic position. Its real analytic power comes from decomposition. Robert Lerman and Shlomo Yitzhaki's 1985 covariance formulation rewrites the Gini as twice the covariance between health and its rank divided by the mean, which makes it decomposable into the contributions of separate sources or components, each weighted by its share, its own Gini, and its Gini correlation with the overall distribution. The same machinery supports a between-versus-within-group split. As Wagstaff and van Doorslaer's review of health-inequality measurement explains, this 'pure' inequality view complements socioeconomic measures like the concentration index: the Gini asks how unequal health is, while the concentration index asks how that inequality is patterned by income or rank.The concentration index is the standard summary measure of socioeconomic inequality in health: it quantifies the degree to which a health outcome - illness, mortality, malnutrition, or healthcare use - is disproportionately concentrated among the poor or the rich. It is built from the concentration curve, which plots the cumulative share of health against the cumulative share of the population ranked from poorest to richest, and the index is simply twice the area between that curve and the line of perfect equality. Wagstaff, Paci, and van Doorslaer's 1991 critique of inequality measures argued that, unlike the simple range or the Gini, the concentration index properly reflects the socioeconomic dimension of health inequality and the experience of the whole distribution. Kakwani, Wagstaff, and van Doorslaer's 1997 paper then supplied a computational formula, a convenient regression estimator, and the asymptotic variance needed for statistical inference. The index ranges from minus one to plus one, with zero meaning no socioeconomic gradient, a negative value meaning ill health concentrates among the poor, and a positive value the reverse. It has become the lingua franca of health-equity monitoring at agencies like the World Bank and WHO.
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ScholarGateMódszerek összehasonlítása: Health Inequality Gini Decomposition · Concentration Index. Letöltve 2026-06-25, forrás: https://scholargate.app/hu/compare