Dear Colleagues, 

I have a dependent variable for health services use over a period of time as ; 

[0=Never 1=Rare 2=Sometimes  3=Always]

While finding the interpretation of dependent variable complex, I would like to change the 4-point Likert variable to a dichotomous variable?  For example, 0=Never 1=Yes [For rare, Sometimes and Always]. Can it be justified from the literature ? If yes, then please oblige me by suggesting literature which has followed this procedure. Thanks 

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