Sigma and beta convergence in regional mortality: A case study of the Netherlands

摘要: BACKGROUND For allocation of health budgets it is important to know whether regional mortality differences tend decline or increase. Sigma convergence tests can measure the dispersion distribution has declined. Beta examine regions with a low level life expectancy have experienced stronger increase than high level. In demographic research, however, sigma and beta not been formally assessed simultaneously. OBJECTIVE We demonstrate application both study trends in for Netherlands. METHODS Using all-cause population data 40 Dutch NUTS-3 regions, by year (1988-2009), age group, sex, we assess convergence, its significance. RESULTS proved statistically significant. The lowest 1988 generally exhibited highest from 2009, vice versa. However, measures displayed no significant convergence. CONCLUSION Whereas absence shows that declined, indicates disadvantage persistent. CONTRIBUTION demonstrated added value simultaneously studying trajectories tails distribution. Where does imply disadvantaged did improve, always indicate complete due structural across regions.