Ronzio, C. R., E. Pamuk, et al. (2004). The politics of preventable
deaths: local spending, income inequality, and premature mortality in US
cities. J Epidemiol Community Health 58(3): 175-179.

Objective: To examine the association between (1) local political party,
(2) urban policies, measured by spending on local programmes, and (3)
income inequality with premature mortality in large US cities.  Design:
Cross sectional ecological study.  Outcome measures: All cause death rates
and death rates attributable to preventable or immediate causes for people
under age 75.  Predictor measures: Income inequality, city spending, and
social factors.  Setting: All central cities in the US with population
equal to or greater than 100 000.  Results: Income inequality is the most
significant social variable associated with preventable or immediate death
rates, and the relation is very strong: a unit increase in the Gini
coefficient is associated with 37% higher death rates. Spending on police
is associated with 23% higher preventable death rates compared with 14%
lower death rates in cities with high spending on roads.  Conclusions:
Cities with high income inequality and poverty are so far unable to reduce
their mortality through local expenditures on public goods, regardless of
the mayoral party. Longitudinal data are necessary to determine if city
spending on social programmes reduces mortality over time.

http://jech.bmjjournals.com/cgi/content/abstract/58/3/175?ct

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]

To unsubscribe, send the following message to [log in to unmask]
SIGNOFF SDOH

For a list of SDOH members, send the following message to [log in to unmask]
REV SDOH

To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to: http://listserv.yorku.ca/archives/sdoh.html