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Regional mortality inequalities in the Netherlands and the role of internal migration

Hoeven, Ernst, van der (2021) Regional mortality inequalities in the Netherlands and the role of internal migration. Master thesis.

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Abstract

Identifying regional differences in life expectancy across the Netherlands is important to policy makers, especially for the allocation of regional health budgets. Internal migration can cause selection effects, leading to a distortion in the observed regional mortality. I use mortality and population data for the period 2015-2019 to calculate and analyse life expectancy in the 40 NUTS-3 regions of the Netherlands. I use aggregated data as an approach for this analysis. I assess what drives the spatial inequalities in life expectancy in the Netherlands, accounting for the role of internal migrants. By creating a hypothetical ‘no-migration’ scenario, potential selection effects are tested. Additionally, I compare life expectancy outcomes for in-migrants, out-migrants and stayers. Finally, using linear regressions, I investigate the relationship between regional characteristics and regional life expectancy outcomes. I demonstrate that regional life expectancy inequalities exist in the Netherlands, for both males and females. In contrast to the hypotheses and existing literature, results show that selection effects barely impact regional life expectancy differences and that non-migrants show a structurally higher life expectancy than migrants in almost all COROP regions, for both males and females. There is a positive linear relationship between the average prosperity of a region and life expectancy, suggesting the importance of regional welfare on life expectancy outcomes.

Item Type: Thesis (Master)
Degree programme: Population Studies
Supervisor: Remund, A.P.P.
Date Deposited: 10 May 2021 19:45
Last Modified: 10 May 2021 19:45
URI: https://frw.studenttheses.ub.rug.nl/id/eprint/3467

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