From Equidad/PAHO list
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What Have We Learned Studying Income Inequality and Population Health?

 Nancy A. Ross, Department of Geography, McGill University

Canadian Institute for Health Information (CIHI),  December 2004

 Available online as PDF file [34p.] at:
http://secure/cihi.ca/cihiweb/products/IIPH_2004_e.pdf

 60;70;.The idea that the income distribution of a place can influence the
health of the people living there has captured the imagination and
intellectual energy of epidemiologists and social scientists in countries
all over the world for more than a decade. This paper examines research on
income inequality and mortality up to the most recent international work,
which explored the relationship across 528 cities in five industrialized
countries.

 The focus of the paper then turns to a discussion of efforts to explain
some of the differences between the countries, particularly those
differences that are relevant to policy. Two of the countries52;Canada and
the United States (U.S.)52;have been the subject of an ongoing 60;natural
experiment,61; and the current state of the results of this work are
presented, particularly those comparing the nature of the urban social
ecologies of the two countries.

 The paper then discusses the theoretical debate that underlies much of the
research on income distributions and health status, and in particular,
suggests that a useful step forward may be research that considers the
mechanisms that may be involved in producing inequality (particularly that
related to early-life educational gaps) in various social contexts. The
paper concludes with a summary and an articulation of the policy
implications of the body of research that has been done to date in this
area70;.61;

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