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Income Inequality and Socioeconomic Gradients in Mortality

American journal of public health (1971), 2008-04, Vol.98 (4), p.699-704 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright American Public Health Association Apr 2008 ;American Journal of Public Health 2008 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2007.109637 ;PMID: 17901426 ;CODEN: AJPEAG

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Title:
Income Inequality and Socioeconomic Gradients in Mortality
Author: Wilkinson, Richard G ; Pickett, Kate E
Subjects: Adult ; Age ; Biological and medical sciences ; Breast cancer ; Cardiovascular disease ; Cross-Sectional Studies ; Diabetes ; Disease ; Disease prevention ; Epidemiology ; Family income ; General aspects ; Health disparities ; Health Services Accessibility ; Health Services Needs and Demand ; Health Status Disparities ; Households ; Humans ; Income ; Income distribution ; Income inequality ; Industrialized nations ; Infant mortality ; Life expectancy ; Liver diseases ; Medical sciences ; Middle Aged ; Miscellaneous ; Mortality ; Mortality - trends ; Population ; Poverty ; Prostate cancer ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Regression Analysis ; Research and Practice ; Respiratory system ; Social Marketing ; Socioeconomic Factors ; Studies ; United States
Is Part Of: American journal of public health (1971), 2008-04, Vol.98 (4), p.699-704
Description: We investigated whether the processes underlying the association between income inequality and population health are related to those responsible for the socioeconomic gradient in health and whether health disparities are smaller when income differences are narrower. We used multilevel models in a regression analysis of 10 age- and cause-specific US county mortality rates on county median household incomes and on state income inequality. We assessed whether mortality rates more closely related to county income were also more closely related to state income inequality. We also compared mortality gradients in more- and less-equal states. Mortality rates more strongly associated with county income were more strongly associated with state income inequality: across all mortality rates, r= -0.81; P=.004. The effect of state income inequality on the socioeconomic gradient in health varied by cause of death, but greater equality usually benefited both wealthier and poorer counties. Although mortality rates with steep socioeconomic gradients were more sensitive to income distribution than were rates with flatter gradients, narrower income differences benefit people in both wealthy and poor areas and may, paradoxically, do little to reduce health disparities.
Publisher: Washington, DC: Am Public Health Assoc
Language: English
Identifier: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2007.109637
PMID: 17901426
CODEN: AJPEAG
Source: ProQuest One Psychology
MEDLINE
PubMed Central
ProQuest Central

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Income Inequality and Socioeconomic Gradients in Mortality

2015 INIST-CNRS ;Copyright American Public Health Association Apr 2008 ;American Journal of Public Health 2008 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2007.109637 ;PMID: 17901426 ;CODEN: AJPEAG

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