TAILIEUCHUNG - Social capital and Health status: a protective impact among elderly or inactive but not among active ?

Individuals are then identified as workers and nonworkers (., the unemployed and the respective dependents/ spouses of workers). Workers are assigned employer wage distribution characteristics from EDD 2007 data based on firm size and insurance offer status from their MEPS record. e firms are then statistically matched to the Employer Sponsored Insurance (ESI) data from the 2010 CEHBS, which contains additional information on the actuarial value of the health plans offered. e matched dataset is used to create synthetic firms consisting of workers and their families, who then choose to participate in different aspects of the ACA, such as taking up coverage or dropping coverage. ese decisions, once made by the firm and linked. | Social capital and Health status a protective impact among elderly or inactive but not among active Caroline Berchet Florence Jusot Université Paris Dauphine 1. Introduction The recent report of the World Health Organization s Commission on Social Determinants of Health presents a wealth of evidence identifying social determinants as the most important determinants of health beyond the traditional boundaries of the health-care sector. Therefore they constitute some good candidates for public health policies in order to close the gap in various health inequities CSDH 2008 . According to Epstein and al. 2009 one important issue addressed to economists in order to build policy implications on the work of the Commission is the assessment of the causal impact of social determinants of health and health inequalities. In fact those recommendations are supported by a large set of researches documenting the existence of differences in health according to socio-economic conditions but only few studies provide evidence of a causal impact of social determinants of health and as a consequence there is a lack of study identifying potential tools for tackling health inequities Marmot al. 2008 Epstein al. 2009 . Apart from usual socioeconomic characteristics such as education income occupational activity housing and working conditions some studies have recently stressed the importance of factors relating to social ties social cohesiveness or social exclusion to explain individual health Golberg al. 2002 Marmot Wilkinson 2006 . These determinants which refer to social integration and social interaction are closely related to the concept of social capital. In the past decade a number of evidence from many countries associates health status to social capital measured most often by social participation Debrand Sirven 2008 Jusot al. 2009 Scheffler Brown 2008 d Hombres al. 2007 Islam 2007 and it is now considered as potential explanatory factors of health status. Actually social capital

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