TY - RPRT AU - Lindeboom, Maarten AU - Doorslaer, Eddy van TI - Cut-Point Shift and Index Shift in Self-Reported Health PY - 2004/Sep/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 1286 UR - https://www.iza.org/publications/dp1286 AB - There is a concern that ordered responses on health questions may differ across populations or even across subgroups of a population. This reporting heterogeneity may invalidate group comparisons and measures of health inequality. This paper proposes a test for differential reporting in ordered response models which allows us to distinguish between cut-point shift and index shift. The method is illustrated using Canadian National Population Health Survey data. The McMaster Health Utility Index (HUI) is used as a more objective health measure than the simple 5-point scale of self-assessed health. We find clear evidence of index shifting and cut-point shifting for age and gender, but not for income, education or language. KW - index shift KW - health measurement KW - hierarchical ordered probit KW - cut-point shift KW - Canada ER -