Search Results (42)

Background/Objectives: This study examines individual perceptions of national healthcare system efficiency before and after the COVID-19 pandemic across 18 countries grouped into three clusters (the Anglo-world, Europe, East Asia). This paper aims to identify the demographic, socioeconomic, health-related, and macroeconomic healthcare drivers of public assessments, and explain changes in attitudes between 2011–2013 and 2021–2023. Methods: Using individual-level data from the International Social Survey Programme (ISSP) for 2011–2013 and 2021–2023, logistic regression models of perceived healthcare inefficiency are estimated. In addition, the Oaxaca–Blinder decomposition model is adopted in order to decompose the assessment gap between the two periods. Models include a range of individual demographic and socioeconomic characteristics and national healthcare controls (healthcare expenditure, potential years of life lost). Results: Health-related factors, especially self-assessed health and trust in doctors, consistently emerge as predictors of more favourable evaluations across regions and periods. Higher national healthcare expenditure is associated with more positive public views and is the single largest contributor to the improved assessments in 2021–2023. Demographic and socioeconomic variables show smaller regionally and temporally heterogeneous effects. Decomposition indicates that both changes in observed characteristics (notably, expenditure and trust) and unobserved behavioural, cultural, or institutional shifts account for the gap in public healthcare assessments between the two time periods. Conclusions: Public assessments of healthcare systems are primarily shaped by individual health status, trust in providers, and national spending rather than differential demographic and socioeconomic traits. Therefore, policymakers should couple targeted investments in the healthcare sector in order to address adequately public healthcare needs, and strengthen doctor–patient relationships in order to sustain public support. Future research should focus on disentangling the cultural and behavioural pathways influencing healthcare attitudes. Full article

Objective: Although information technology’s impact on social inequality has attracted widespread attention, existing research remains divided on whether technology generates “digital dividends” or exacerbates the “digital divide”. Most studies assume uniform effects across all life domains; yet, the mechanisms through which technology affects different aspects of social stratification may vary substantially. Method: Using data from the 2023 Chinese General Social Survey (CGSS) covering 5332 respondents, we examine information technology’s differential effects on economic income and health outcomes between urban and rural residents through multiple regression, interaction analysis and Blinder–Oaxaca decomposition. Result: Our findings reveal that information technology significantly enhances both income and health status, validating the digital dividend hypothesis. However, technology effects exhibit domain-specific patterns: urban–rural differences are modest in economic domains but pronounced in health domains, where rural residents benefit significantly more than urban counterparts. Information technology contributes 10.8% to urban–rural income gaps but plays larger roles in health disparities. Conclusion: We propose a digital dividend differentiation theory, whereby technology effects tend toward homogenization in standardized economic domains governed by market logic while exhibiting compensatory functions in health domains dependent on geographic proximity. These findings challenge the assumptions of technological uniformity and provide foundations for differentiated digital development policies. Moreover, by revealing how digital technologies can reduce structural inequalities in income and health, this study advances the understanding of digital inclusion as a core driver of sustainable urban–rural development, offering both academic contributions to sustainability scholarship and practical guidance for achieving inclusive development goals. Full article

Saudi Vision 2030 seeks to improve social sustainability in the Kingdom through comprehensive economic and social reforms. This study investigates whether these reforms are associated with changes in subjective well-being (SWB), commonly understood as individuals’ experienced quality of life. Using Gallup World Poll data from 2013 to 2023 on Cantril ladder scores and affect balance in Saudi Arabia, we find increases in SWB following the implementation of Vision 2030 reforms, particularly for the affective component of SWB. While positive changes in SWB are observed across the entire population, the gains in affective well-being are especially pronounced among women. Blinder–Oaxaca decompositions show that improvements are associated with enhanced community basics, followed by greater income sufficiency, improved perceptions of social life, and an increased sense of personal freedom. Full article

This article introduces a novel approach to decomposing the Blinder–Oaxaca gender wage gap using pseudo-panel data. In many developing countries, panel data are not available; however, understanding the evolution of the gender wage gap over time requires tracking individuals longitudinally. When individuals change across time periods, estimators tend to be inconsistent and inefficient. To address this issue, and building upon the traditional Blinder–Oaxaca methodology, we propose an alternative procedure that follows cohorts over time rather than individuals. This approach enables the estimation of both the explained and unexplained components—“endowment effect” and “remuneration effect”—of the wage gap, along with their respective standard errors, even in the absence of true panel data. We apply this methodology to the case of Colombia, finding a gender wage gap of approximately 15% in favor of male cohorts. This gap comprises a −5.6% explained component and a 20% unexplained component without controls. When we control by informality, size of the firm and sector the gap comprises a −3.5% explained component and a 18.7% unexplained component. Full article

The paper analyses the relationship between human capital formation and income growth in Burkina Faso using data from household surveys conducted in 2009 and 2018. By combining estimates from multiple linear regressions of the impact of human capital variables on income with variance decomposition techniques, this paper quantifies the contribution of education, health, underemployment, and dietary diversity to income growth. It distinguishes between the shares related to the effects of increasing capital factor endowments and those related to the returns on these endowments. The results demonstrate that an increase in human capital endowment is a key factor in determining workers’ income growth. Furthermore, the impact of human capital on income growth is greater when the endowment and return effects of these factors are both positive and high. These results also indicate that a significant improvement in household income is more likely to be achieved by interventions focused on both increasing human capital endowments and improving human capital outcomes. Full article

This paper establishes a theoretical link between actuarial neutrality and the Oaxaca–Blinder decomposition to empirically assess vertical equity in public defined-benefit schemes. We demonstrate how this approach can be generalized to non-linear functions, point systems, and notional accounts. We use an aligned dynamic microsimulation model to apply this method to the first pillar of the Swiss pension system and highlight the following three key effects: (1) the impact of the accrual rate on vertical equity; (2) the assessment of actuarial neutrality through the comparison of migrants with the non-migrant population; and (3) vertical equity across marital statuses. Our findings indicate that changing societal trends, such as increased migration, female labor participation, and the rise in non-marital unions, may alter the extent of vertical equity. This has significant implications for actuarial risk management, as a higher degree of vertical equity is associated with increased pension expenses, thereby raising the financial sustainability risk of the pension system. Future research should explore these dynamics to ensure that pension systems remain both equitable and financially sustainable in the face of evolving societal trends. Full article

Considering refugees’ employment challenges in their host countries, they often need to create jobs by starting ventures and embracing self-employment. However, this requires financing. This study seeks to assess the roles of formal and informal financing in self-employment while also looking at the drivers of financing decisions and self-employment among refugees in an urban setting. Using the extension of the Blinder–Oaxaca decomposition pioneered by Fairlie, this study found informal financing to be significantly associated with an individual’s decision to be self-employed, while formal financing is not. Male refugees who access informal financing have a higher probability of embracing self-employment than refugee women and Kenyan nationals; this calls for actions that encourage forming community-based organizations that promote affirmative action and steer the use of informal finance. Full article

The integration or resettlement efforts aimed at self-reliance of refugees are requisite for their adaptation to social and economic shocks and consequently to their human development and contribution to economic growth. This study analyses the drivers of financial inclusion and social integration and estimates the respective gender gap among households in Kakuma Refugee Camp, Kenya. Based on a 2019 socio-economic survey dataset, the study constructs indices to reveal the extent of financial inclusion and social integration. Using the ordered logistic regression, factors such as earning wages, asset accumulation, food security, social capital, education, and access to information demonstrate significant explanatory power for financial inclusion and social integration. The Blinder-Oaxaca decomposition technique for measuring the gender gap reveals that women are significantly better off with respect to financial inclusion compared to men. These results suggest that gendered financial inclusive and social integration programs can build refugee self-reliance. Accordingly, government and development partners should promote gender-inclusive strategies for refugees in Kenya. This study contributes to the literature on refugee financial inclusion and social integration by offering gender-specific insights into their barriers and enablers in protracted displacement contexts. Full article

Educational institutions are grappling with declining enrollments and low mathematical achievements. This study investigates how a math placement exam (ALEKS) influences enrollment in Calculus 1 and student persistence, taking into account academic preparation and demographic factors. It also evaluates the effects of remedial math courses for students near the placement cutoff. Using Astin’s input–environment–outcome model, this study analyzed data from 3380 students employing a Kitagawa-Oaxaca-Blinder decomposition and fuzzy regression discontinuity. These methods were used to identify unexplained differences across demographic groups and capture outcomes near the math placement cutoff. Based on the findings, a cutoff of 80% for the ALEKS exam is appropriate. This study underscores the role of math placement exams in shaping engineering enrollment and student success. These findings prompt reevaluating placement strategies and support mechanisms, particularly for URM, first-generation, and female students, to enhance equity and retention in engineering. Full article

(1) Hidden workers include those who are unemployed or underemployed or discouraged workers. This study analyses the probabilities of becoming a hidden worker between males and females in three age groups (youth, young adults, and mid-life) and identifies the extent to which these factors explain the gender gap among hidden workers in Australia. (2) Using the Oaxaca–Blinder decomposition approach, this study aims to contribute to the discussion by highlighting the impact of gender on the hidden worker population, further illustrating how the explained and unexplained impacts on hidden workers differ between the gender groups. (3) Results: Age not only raises the likelihood of being a hidden worker in both gender groups but also contributes to the widening gender gap among hidden workers, especially those in the child-rearing stage of their life. Human capital, including education, health endowment, and social capital, is negatively associated with the likelihood of being a hidden worker and reduces the gender gap. Childcare responsibilities and other care duties are associated with a greater likelihood of being a hidden worker for females and are among the greatest contributors to the gender gap. Local resources are associated with the likelihood of being a hidden worker and widen the gender gap within the 45–64-year old group. (4) Conclusions: The gender gap among hidden workers is widened by care responsibilities and locally available socio-economic resources. On the other hand, it is narrowed by education, individual health endowment, and social capital. The findings of this study corroborate the fact that a wide extent of the gender gap among hidden workers in Australia is socially and politically produced and is thus potentially avoidable through public policy. Greater attention from researchers and policy makers regarding hidden workers should be devoted to reducing this gender gap to prevent further social implications. Full article

To achieve sustainable development, the improvement of villagers’ subjective well-being has become the main policy goal of urban village renewal. However, the mechanism of how urban village renewal affects subjective well-being remains untested in previous research. Utilizing the survey data on 414 resettled households in the urban village renewal through a random sample method in Wuhan, China, we adopted the intermediary model to test the mechanism of how urban village renewal affects the resettled villagers’ subjective well-being. We explored the contribution rate of each intermediary variable to subjective well-being through Oaxaca–Blinder decomposition and, consequently, proposed corresponding policy suggestions. The results show that the renewal of urban villages can improve the economic conditions, housing conditions, social security status, and living environments of residents and significantly enhance the subjective well-being of the resettled villagers and households. The multi-dimensional changes resulting from the renewal of urban villages increase subjective well-being through complete mediation. The Oaxaca–Blinder decomposition results demonstrate that improvement of the living environment has the strongest influence on subjective well-being, with a contribution rate of 69.81%. In the future, the renewal of urban villages should focus on environmental improvement, protect neighborhood networks, and promote community engagement, so as to realize the sustainable redevelopment of urban villages. Full article

Background: Among Australia’s older population, the burden of oral disease is disproportionality borne by culturally and linguistically diverse (CALD) communities. This study aims to examine changes in untreated decay surfaces (DS) between 2004–2006 and 2017–2018 among older CALD and non-CALD Australians. Methods: Data were sourced Australian national oral health surveys conducted in 2004–2006 and 2017–2018. An Oaxaca–Blinder decomposition analysis was used to assess the contribution of socio-demographics and dental behaviours. Results: A total of 246 CALD and 2853 non-CALD dentate participants aged 60+ years took part in 2004–2006, and 363 and 4278 in 2017–2018, respectively. There were increases in mean DS for both CALD (0.74 to 1.42) and non-CALD (0.72 to 1.50) groups between 2004–2006 and 2017–2018. The decomposition model showed that, for CALD participants in 2004–2006 with untreated DS, 40% of the contribution was from not having dental insurance; nearly three-quarters of the contribution was from last dental visit being over one year ago (72.9%) in 2017–2018. Among non-CALD participants in 2017–2018 with untreated DS, 42.5% of the contribution was from the last dental visit being over one year ago. Conclusions: Our findings suggest that social determinants, including increased access to dental insurance, could mitigate the oral health inequities observed. Full article

There exist significant gaps in nutritional status between urban and rural populations in China. The previous literature has shown that more knowledge and usage of nutrition labels are instrumental in improving diet quality and health. The aim of the study is to analyze: (1) Are there urban–rural disparities in consumer knowledge, use and perceived benefits of nutrition labels in China; (2) If so, what are the magnitudes of the disparities; (3) What can explain the disparities, and how can the disparities be reduced? The Oaxaca–Blinder (O-B) decomposition is utilized to analyze the predictors of urban–rural disparities in nutrition labels based on a self-conducted study of Chinese individuals. The information from a total of 1635 individuals (aged 11–81 years) across China in 2016 was collected in the survey. We find that rural respondents have less knowledge, lower usage and perceived benefits of nutrition labels than their urban counterparts. Demographics, focus on food safety, frequent shopping locations and income jointly explain 98.9% of the disparity in the knowledge of nutrition labels. Nutrition label knowledge is the predictor which contributes most to urban–rural disparity in label use—accounting for 29.6% of the disparity. Nutrition label knowledge and use are the two biggest predictors of disparities in perceived benefits—accounting for 29.7% and 22.8% of the disparity in perceived benefits, respectively. Our study suggests that policies aiming to improve income and education, as well as raising awareness of food safety in rural areas, are promising in closing the urban–rural disparities in nutrition labels knowledge, use, diet quality and health in China. Full article

We use the 2018 survey data from the Household, Income, and Labour Dynamic (HILDA) in Australia and the Household Economic Survey (HES) in New Zealand to investigate the retirement income sufficiency in Australia and New Zealand. Our baseline results indicate that the annuitized net wealth is greater for Australian retirees than for New Zealand retirees. However, New Zealand retirees enjoy a higher level of life satisfaction than Australian retirees. Further analysis reveals a significant greater pre- and postretirement income for the top 10% of wealthy Australian retirees, mainly due to the higher level of homeownership in Australia within this group. Our study fills the gap in the existing literature, which studies the macro- and microlevel influences on Australia and New Zealand retirees, and it also offers important policy implications. Full article

The economic and social effects of the COVID-19 pandemic have been widespread but unevenly distributed among genders. The pandemic may have also affected men’s and women’s mental health differently. This study examined whether the pandemic had stronger adverse effects on women’s mental health than on that of men given that the decline of the labor market was greater for women than for men. Using data from South Korea (June/September/December 2020, N = 3000), we investigated the gender gap in mental health during the first year of the COVID-19 pandemic and its association with gender differences in labor market experiences. We employ the Blinder–Oaxaca decomposition method for this analysis. Although depression and anxiety increased among employed women and men during COVID-19, women showed lower levels of mental health than men. A significant portion of this gender gap is explained by women experiencing greater job loss, income reduction, and prohibition of remote work than men. We also find that women in their 30s experienced greater mental health problems than men of the same age even after controlling for other conditions. Overall, our findings show that a greater proportion of employed women than men experienced poor labor market conditions and increased family burdens during the COVID-19 pandemic, which contributed to women reporting worse mental health than men. Full article