NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH

NBER Working Papers by Allison B. Rosen

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Working Papers

April 2007Is the US Population Behaving Healthier?
with David M. Cutler, Edward L. Glaeser: w13013

Published: David M. Cutler & Edward L. Glaeser & Allison B. Rosen, 2009. "Is the U.S. Population Behaving Healthier?," NBER Chapters, in: Social Security Policy in a Changing Environment National Bureau of Economic Research, Inc.

In the past few decades, some measures of population risk have improved, while others have deteriorated. Understanding the health of the population requires integrating these different trends. We compare the risk factor profile of the population in the early 1970s with that of the population in the early 2000s and consider the impact of a continuation of recent trends. Despite substantial increases in obesity in the past three decades, the overall population risk profile is healthier now than it was formerly. For the population aged 25-74, the 10 year probability of death fell from 9.8 percent in 1971-75 to 8.4 percent in 1999-2002. Among the population aged 55-74, the 10 year risk of death fell from 25.7 percent to 21.7 percent. The largest contributors to these changes were the red...
May 2005A Proposed Method for Monitoring U.S. Population Health: Linking Symptoms, Impairments, and Health Ratings
with Susan T. Stewart, Rebecca M. Woodward, David M. Cutler: w11358
We propose a method of quantifying non-fatal health on a 0-1 QALY scale that details the impact of specific symptoms and impairments and is not based on ratings of counterfactual scenarios. Measures of general health status are regressed on health impairments and symptoms in different domains, using ordered probit and ordinary least squares regression. This yields estimates of their effects analogous to disutility weights, and accounts for complex non-additive relationships. Health measures used include self-rated health status on a 5-point scale, EuroQol 5D (EQ-5D) scores, and ratings of current health using a 0-100 rating scale and a time-tradeoff. Data are from the nationally representative Medical Expenditure Panel Survey (MEPS) year 2002 (N=34,615), with validation in an independent s...

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