Income and economic exclusion: Do they measure the same concept?
Authors: Emilie Renahy, Beatriz Alvarado-Llano, Maria Koh, and Amélie Quesnel-Vallée
Introduction In this paper, we create an index of economic exclusion based on validated questionnaires of economic hardship and material deprivation, and examine its association with health in Canada. The main study objective is to determine the extent to which income and this index of economic exclusion index are overlapping measurements of the same concept. Methods We used the Canadian Household Panel Survey Pilot and performed multilevel analysis using a sample of 1588 individuals aged 25 to 64, nested within 975 households. Results While economic exclusion is inversely correlated with both individual and household income, these are not perfectly overlapping constructs. Indeed, not only these indicators weakly correlated, but they also point to slightly different sociodemographic groups at risk of low income and economic exclusion. Furthermore, the respective associations with health are of comparable magnitude, but when these income and economic exclusion indicators are included together in the same model, they point to independent and cumulative, not redundant effects. Conclusions We explicitly distinguish, both conceptually and empirically, between income and economic exclusion, one of the main dimensions of social exclusion. Our results suggest that the economic exclusion index we use measures additional aspects of material deprivation that are not captured by income, such as the effective hardship or level of economic ‘well-being’.
Please note that abstracts only appear in the language of the publication and might not have a translation.
Gerry Veenstra (2011).
Race, gender, class, and sexual orientation: intersecting axes of inequality and self-rated health in Canada
International Journal for Equity in Health , 3
Alexander Levesque and Amélie Quesnel-Vallée (2019).
Gender variations in the relationship between social capital and mental health outcomes among the Indigenous populations of Canada
International Journal for Equity in Health
Jasmin Bhawra, Martin J. Cooke, Rhona Hanning, Piotr Wilk, and Shelley L. H. Gonneville (2015).
Community perspectives on food insecurity and obesity: Focus groups with caregivers of Métis and off-reserve First Nations children
International Journal for Equity in Health , 10-Jan
Andrée-Anne Fafard St-Germain and Valerie Tarasuk (2020).
Homeownership status and risk of food insecurity: Examining the role of housing debt, housing expenditure and housing asset using a cross-sectional population-based survey of Canadian households
International Journal for Equity in Health , 12-Jan
Rajdeep S. Padwal, Hsui-Ju Chang, Scott Klarenbach, Arya M. Sharma, and Sumit R. Majumdar (2012).
Characteristics of the population eligible for and receiving publicly funded bariatric surgery in Canada
International Journal for Equity in Health , 54
Lindsay McLaren, Shayla Heidinger, Daniel J. Dutton, Valerie Tarasuk, and Norman R Campbell (2014).
A repeated cross-sectional study of socio-economic inequities in dietary sodium consumption among Canadian adults: Implications for national sodium reduction strategies
International Journal for Equity in Health , 14-Jan