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Social Determinants of Health

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Subject:
Is Income Inequality a Determinant of Population Health?
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Wed, 30 Mar 2005 14:45:02 -0500
Content-Type:
text/plain
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This is a follow-up to "Is Income Inequality a Determinant of Population
Health? Part 1. A Systematic Review, published in the Milbank Quarterly,
82, 5-99.

The Milbank Quarterly
Volume 82 Issue 2 Page 355  - June 2004

Is Income Inequality a Determinant of Population Health? Part 2. U.S.
National and Regional Trends in Income Inequality and Age- and
Cause-Specific Mortality

JOHN LYNCH, GEORGE DAVEY SMITH, SAM HARPER, and MARIANNE HILLEMEIER

This article describes U.S. income inequality and 100-year national and
30-year regional trends in age- and cause-specific mortality. There is
little congruence between national trends in income inequality and age- or
cause-specific mortality except perhaps for suicide and homicide. The
variable trends in some causes of mortality may be associated regionally
with income inequality. However, between 1978 and 2000 those regions
experiencing the largest increases in income inequality had the largest
declines in mortality (r= 0.81, p< 0.001). Understanding the social
determinants of population health requires appreciating how broad
indicators of social and economic conditions are related, at different
times and places, to the levels and social distribution of major risk
factors for particular health outcomes.

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