Abstract

We compare survey responses for two self-reported health measures - hypertension and lung disease - with their corresponding objective measures, using a sample of over 45 year-old individuals from the pilot survey of the Longitudinal Aging Survey of India (LASI). For both conditions, self-reported rates are a fraction of the actual prevalence rates in the sample. We show that the attenuation bias from using self-reports instead of the corresponding objective measures is sizable for both conditions. In analyzing the characteristics associated with false negative reporting, we find no evidence of an income gradient for either disease. Women are less likely to misreport hypertension but not lung disease. We find a big, negative and significant effect of education on misreporting for lung disease but not for hypertension. Our findings suggest that self-reported health measures underestimate true disease burden in the population substantially.

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