TY  - JOUR
T1  - TÜRKİYE'DE SAĞLIKLILIK HALİ: BİR PSEUDO-PANEL VERİ ANALİZİ
TT  - BEING HEALTHY IN TURKEY: A PSEUDO-PANEL DATA ANALYSIS
AU  - Özdamar, Öznur
AU  - Gıovanıs, Eleftherios
PY  - 2017
DA  - March
DO  - 10.17065/huniibf.303307
JF  - Hacettepe Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi
PB  - Hacettepe University
WT  - DergiPark
SN  - 1301-8752
SP  - 89
EP  - 110
VL  - 35
IS  - 1
LA  - tr
AB  - Çalışma, Türkiye’dekibireylerin sağlık düzeylerini belirleyen faktörleri ampirik olarakincelemektedir. Çalışma ayrıca mikro veri seti kullanarak Türkiye’de kapalıortam hava kirliliğinin sağlık üzerindeki rolünü araştıran ilk makale olmaözelliği ile de önem arz etmektedir. İlgili analizler Türkiye İstatistik Kurumu(TUİK) Gelir ve Yaşam Koşulları Anketi (2006-2012) yatay kesit verilerikullanılarak yapılmıştır. Yaş kohortları temelinde oluşturulan pseudo panelverileri kullanılarak uygulanan yöntemlerden birincisi olan Uyarlanmış ProbitSabit Etkiler Modeli ile, zamandan bağımsız değişen bölgesel karakteristiklerinkontrolü ve böylece tahminlerdeki yanlılığın önlenmesi amaçlanmıştır. İkinciyöntem olan Rassal Etkiler Sıralı Logit Modeli de, ilk yöntemle elde edilensonuçların bu yöntemle de geçerli olup olmadığını görmek için uygulanmıştır.Sosyoekonomik statü gibi fertlere ve hanehalklarına ait pek çok değişkenanalize dahil edilmiştir. Bunlardan eğitim ile gelirin ve onları takibenistihdam durumu ve medeni halin bireylerin sağlıklı olma hallerini etkileyen enönemli iki faktör olduğu ortaya konulmuştur. Kapalı ortam hava kirliliğineilişkin olarak, elektrik ve doğal gaz kullanımının kömür ve odun kullanımınıntersine sağlığı pozitif yönde etkilediği bulunmuştur. Çalışmadaki nihaibulgular, eğitimde yeniden yapılandırma politikalarının, gelir eşitliğinisağlayıcı politikaların, temiz hava koşullarını sağlamaya yönelik girişimlerinsağlıklı bireylerin gelişiminde ve toplumdaki sağlık düzeyi eşitsizliklerininen aza indirgenmesinde önemli adımlar olabileceğini göstermektedir.
KW  - Sağlık düzeyi
KW  - Pseudo-Panel
KW  - sosyo-ekonomik statü
KW  - kapalı ortam hava kirliliği
N2  - This study examines thedeterminants of health status in Turkey. Moreover, this is the first study upto date that explores the indoor air pollution as an additional factor ofhealth. The analysis relies on detailed micro-level data derived by the TurkishStatistical Institute (TURKSTAT) Cross Sectional Income and Living ConditionsSurvey over the years 2006-2012. Using Pseudo-Panel Data, an Adapted ProbitFixed Effects Model is applied to control for time invariant characteristics ofthe regions, thereby eliminating potentially large sources of bias.Furthermore, the Random-Effects Ordered Logit Model is applied for robustnesscheck. Various determinants, including individual and household characteristics,such as socio-economic status, are examined. The findings show that income andeducation are the most important socio-economic determinants of health followedby the marital and employment status. Furthermore, estimations for the type offuel used for heating in dwelling as a proxy for indoor air pollution show thatindividuals that use natural gas and electricity report higher levels of healthoutcomes compared to those who use wood and coal. Overall, the findings pointout the importance of policies on the education reconstruction, incomedistribution, clean environment, improvement of health status and reduction ofhealth inequalities.
CR  - Achia, T.N.O., A. Wangombe, N. Khadioli (2010), “A Logistic Regression Model to identify key determinants of poverty using demographic and health survey data”, European Journal of Social Sciences, 13(1), 38-46.
CR  - Adams, P., D.M. Hurd, L.D., A. McFaddenMerrill, T. Ribeiro (2003), “Healthy, Wealthy and Wise? Tests for Direct Causal Paths Between Health and Socioeconomic Status”, Journal of Econometrics, 112(1), 3-56.
CR  - Aldwin, C, E. Greenberger (1987), “Cultural Differences in the Predictors of Depression”, American Journal of Community Psychology, 15(6), 789-813.
CR  - Auster, R., I. Leveson, D. Sarachek (1969), “The Production of Health: An Exploratory Study”, Journal of Human Resources, 4(4), 411-436.
CR  - Barro, R., X. Sala-I-Martin (1995), Economic Growth, New York: McGraw-Hill.
CR  - Benzeval, M., J. Taylor, K. Judge (2000), “Evidence on the Relationship Between Low Income and Poor Health: Is the Government Doing Enough?”, Fiscal Studies, 21(3), 375-399.
CR  - Bloom, D.E., D. Canning, J. Sevilla (2004), “The Effect of Health on Economic Growth: A Production Function Approach”, World Development, 32(1), 1-13.
CR  - Brooks-Gunn, J., G.J. Duncan (1997), “The Effects of Poverty on Children”, Future of Children, 7(2), 55-71.
CR  - Contoyannis, P., M.A. Jones, N. Rice (2004), “The Dynamics of Health in the British Household Panel Survey”, Journal of Applied Econometrics, 19(4), 473-503.
CR  - Contoyannis, P., M.A. Jones (2004), “Socioeconomic Status, Health and Lifestyle”, Journal of Health Economics, 23(5), 965-995.
CR  - Currie, J., R. Walker (2011), “Traffic Congestion and Infant Health: Evidence from E-ZPass”, American Economic Journal: Applied Economics, 3(1), 65-90.
CR  - Deaton, A. (1985), “Panel Data from Time Series of Cross-Sections”, Journal of Econometrics, 30(1), 109-126.
CR  - Deaton, S.A., H.C. Paxson (1998), “Ageing and Inequality in Income and Health”, American Economic Review, Papers and Proceedings, 88(2), 248-253.
CR  - Deaton, A. (2001), “Inequalities in Income and Inequalities in Health” in F. Welch (ed.), The Causes and Consequences of Increasing Inequality, Chicago: U. Chicago Press, 285–313.
CR  - Deaton, A. (2002), “Policy Implications of the Gradient of Health and Wealth”, Health Affairs, 21(2), 13–30.
CR  - Doornbos, M.M. (2001), “Professional Support for Family Caregivers of People with Serious and Persistent Mental Illnesses”, Journal of Psychosocial Nursing Mental Health Service, 39(12), 38-45.
CR  - Etiler, N. (2016). “Gender Differences in Self-Rated Health and their Determinants in Turkey: A Further Analysis of Turkish Health Survey”, Turkish Journal of Public Health, 14(3), 152-166
CR  - Ettner, L.S. (1996), “New Evidence on the Relationship Between Income and Health”, Journal of Health Economics, 15(1), 67-85.
CR  - Fogel, R.W. (1994), “The Relevance of Malthus for the Study of Mortality Today: Long Run Influences on Health, Mortality, Labor Force Participation and Population Growth”, NBER Historical Working Paper No: 54, National Bureau of Economic Research, Cambridge, MA. http://www.nber.org/papers/h0054.pdf
CR  - Frijters, P., J.P. Haisken-DeNew, M.A. Shields (2005), “The Causal Effect of Income on Health: Evidence from German Reunification”, Journal of Health Economics, 24(5), 997-1017.
CR  - Giovanis, E. (2014), “Relationship between Well-Being and Recycling Rates: Evidence from Life Satisfaction Approach in Britain”, Journal of Environmental Economics and Policy, 3(2), 201-214.
CR  - Grossman, M. (1972), The Demand for Health: A Theoretical and Empirical Investigation, New York: NBER Books.
CR  - Grossman, M., R. Kaestner (1997), “Effects of Education on Health”, in J.R. Berhman, N. Stacey (ed.), The Social Benefits of Education, Ann Arbor: University of Michigan Press, 69-124.
CR  - Grossman, M., (2000), “Chapter 7: The Human Capital Model”, in A.J. Culyer, J.P. Newhouse (ed.), Handbook of Health Economics, Elsevier, Amsterdam, 1, 347-408.
CR  - Hajdu T., G. Hajdu (2015), “Reduction of Income Inequality and Subjective Well-Being in Europe”, Economics: The Open-Access, Open-Assessment E-Journal, 8(2014-35), 1-29.
CR  - Halliday, T.J., M. Park, (2009), “Household Size, Home Health Care and Medical Expenditures”, University of Hawaii at Manoa, Department of Economics, Working Paper, No:200916.
CR  - Haveman, R., B. Wolfe, J. Spaulding (1991), “Child Events and Circumstances Influencing High School Completion”, Demography, 28(1), 133-158.
CR  - Herzer D., P. Nunnenkamp (2015), “Income Inequality and Health: Evidence from Developed and Developing Countries, Economics: The Open-Access, Open-Assessment E-Journal, 9(2015-4), 1-57.
CR  - Husain M.J., (2010), “Contribution of Health to Economic Development: A Survey and Overview”, Economics: The Open-Access, Open-Assessment E-Journal, 4(2010-14), 1-52.
CR  - Huston, A.C., V.C. McLoyd, C.T. Garcia Coll (1994), “Children and Poverty: Issues in Contemporary Research”, Child Development, 65(2), 275-282.
CR  - International Energy Agency (2010). Energy Policies of IEA Countries, Turkey 2009 Review.
CR  - Janssen, N.A.H., J. Schwartz, A. Zanobetti, H.H. Suh (2002), “Air Conditioning and Source-Specific Particles as Modifiers of the Effect of PM10 on Hospital Admissions for Heart and Lung Disease”, Environmental Health Perspectives, 110(1), 43–49.
CR  - Karaoglan, D., A. Tansel (2017), “Determinants of Obesity in Turkey: A Quantile Regression Analysis from a Developing Country”, MPRA Paper No. 76250. https://mpra.ub.uni-muenchen.de/76250/
CR  - Kenkel, S.D. (1995), “Should You Eat Breakfast? Estimates form Health Production Functions”, Health Economics, 4(1), 15-29.
CR  - Kessler, R.C., J.B. Turner, J.S. House (1988), “Effects of Unemployment on Health in a Community Survey: Main, Modifying, and Mediating Effects”, Journal of Social Issues, 44(4), 69-85.
CR  - Lercher P, G.W. Evans, M. Meis, W. Kofler (2002), “Ambient Neighborhood Noise and Children’s Mental Health”, Occupational Environment Medicine, 59(6), 380–386.
CR  - McConnell, R., K. Berhane, L.Yao, M. Jerrett, E.A. Gauderman, D. Thomas, J. Peters (2006), “Traffic, Susceptibility, and Childhood Asthma. Archives of Environmental Health 114(5), 766–772.
CR  - Oksuzyan, A., E. Crimmins, Y. Saito, A. O’Rand, J.W. Vaupel, K. Christensen (2010), “Cross-national comparison of sex differences in health and mortality in Denmark, Japan and the US”, European Journal of Epidemiology, 25, 471-480
CR  - O’Neill, M.S., D. Loomis, V.H. Borja-Aburto (2004), “Ozone, Area Social Conditions, and Mortality in Mexico City”, Environmental Research, 94(3), 234–242.
CR  - Oosterlee, A., M. Drijver, E. Lebret, B. Brunekreef (1996), “Chronic Respiratory Symptoms in Children and Adults Living Along Streets with High Traffic Density”, Occupation and Environmental Medicine, 53(4), 241–247.
CR  - Or, Z. (2000), Determinants of Health Outcomes in Industrialised Countries: A Pooled, Cross-country, Time Series Analysis, OECD Economic Studies No. 30, Organization for Economic Cooperation and Development, Paris, France.
CR  - Ostro, B., R. Broadwin, S. Green, W.Y. Feng, M. Lipsett (2006), “Fine Particulate Air Pollution and Mortality in Nine California Counties: Results from CALFINE”, Environmental Health Perspectives, 114(1), 29-33.
CR  - Ozdamar, O., E. Giovanis (2014), Valuing the Effects of Air and Noise Pollution on Health Status in Turkey, SSRN Working Paper No: 2525824.
CR  - Pampel, F.C. (2003). “Declining Sex Differences in Mortality from lung Cancer in High-Income Nations”, Demography, 40, 45-65
CR  - Rieker, P.P., C.E. Bird (2005). “Rethinking Gender Differences in health: Why we need to Integrate Social and Biological Perspectives”, Journal of Gerontology: Psychological Sciences and Social Sciences, 60B(Special Issue II), 40-47
CR  - Rodriguez, E. (2001), “Keeping the Unemployed Healthy: The Effect of Means-tested and Entitlement Benefits in Britain, Germany, and the United States”, American Journal of Public Health, 91(9), 1403–1411.
CR  - Rosenzweig, M. R., T.P. Schultz (1982), “Child Mortality and Fertility in Colombia: Individual and Community Effects”, Health Policy and Education, 2(3), 305-348.
CR  - Rosenzweig, M.R., T.P. Schultz (1983), “Estimating a Household Production Function: Heterogeneity, the Demand for Health Inputs, and Their Effects on Birth Weight”, The Journal of Political Economy, 91(5), 723-746.
CR  - Rosenzweig, M.R., T.P. Schultz (1991), “Who Receives Medical Care? Income, Implicit Prices, and the Distribution of Medical Services among Pregnant Women in the United States”, Journal of Human Resources, 26(3), 473-508.
CR  - Ross, C.E., J. Mirovsky (1995), “Does Unemployment Affect Health?”, Journal of Health and Social Behavior, 36(3), 230–243.
CR  - Salas, C. (2002), “On the Empirical Association between Poor Health and Low Socioeconomic Status at Old Age”, Health Economics, 11(3), 207-220
CR  - Schultz, T.P. (1984), “Studying the Impact of Household Economic and Community Variables on Child Mortality”, Population and Development Review, 10, 215–235.
CR  - Sen A. (1999), “Mortality as an Indicator of Economic Success and Failure”, The Economic Journal, 108 (446), 1–25.
CR  - Shima, M., Y. Nitta, M. Ando, M. Adachi (2002), “Effects of Air Pollution on the Prevalence and Incidence of Asthma in Children”, Archives of Environmental Health, 57(6), 529-535.
CR  - Sözmen, K., H. Baydur, H. Simsek, B. Ünal (2012), “Decomposing Socioeconomic Inequalities in Self Assessed Health in Turkey”, International Journal for Equity in Health, 11, 73.
CR  - Strauss, J., Thomas, D. (1998), ‘Health, Nutrition, and Economic Development”, Journal of Economic Literature, 36(2), 766-817.
CR  - Suresh, Y., M.M. Sailaja Devi, V. Manjari, U.N. Das (2000), “Oxidant Stress, Antioxidants, and Nitric Oxide in Traffic Police of Hyderabad, India”, Environmental Pollution, 109(2), 321-325.
CR  - Thomas, D., J. Strauss (1997), “Health and Wages: Evidence on Men and Women in Urban Brazil”, Journal of Econometrics, 77(1), 159-185.
CR  - Turkish Statistical Institute (2012), Income and Living Conditions Survey Micro Data Set (Cross-Sectional), TURKSTAT, Ankara.
CR  - Van Praag, B., A. Ferrer-i-Carbonell (2004), Happiness Quantified: A Satisfaction Calculus Approach, Oxford: Oxford University Press.
CR  - Van Vliet, P., M. Knape, J. De Hartog, N. Janssen, H. Hassema, B. Brunekreef (1997), “Motor Vehicle Exhaust and Chronic Respiratory Symptoms in Children Living Near Freeways”, Environmental Research, 74(2), 122-132.
CR  - Verbrugge, L.M. (1985), “Gender and health: an update on hypotheses and evidence”, Journal of Health and Social Behavior, 26(3), 156-182.
CR  - Verbrugge, L.M., D.L. Wingard (1987), “Sex Differentials in Health and Mortality”, Women & Health, 12(2), 103-145.
CR  - Wilkinson, R.G. (1996), Unhealthy societies: The Afflictions of Inequality, London and New York: Routledge.
CR  - Wilson, S.H., G.M. Walker (1993), “Unemployment and Health: A Review”, Public Health, 107(3), 153–162.
CR  - Wingard, D.L. (1984), “The Sex Differential in Morbidity, Mortality, and Lifestyle”, Annual Review of Public Health, 5, 433-458.
CR  - Waldron, I. (1985), “What do we Know About Causes of Sex Differences in Mortality? A review of the literature”, Population Bulletin of the United Nations, 18, 59-76.
UR  - https://doi.org/10.17065/huniibf.303307
L1  - https://dergipark.org.tr/en/download/article-file/837684
ER  -