Is income inequality a determinant of population health? Part 2. US national and regional trends in income inequality and age- and cause-specific mortality

被引:108
作者
Lynch, J
Smith, GD
Harper, S
Hillemeier, M
机构
[1] Univ Michigan, Ctr Social Epidemiol & Populat Hlth, Ann Arbor, MI 48104 USA
[2] Univ Bristol, Bristol BS8 1TH, Avon, England
[3] Penn State Univ, University Pk, PA 16802 USA
关键词
D O I
10.1111/j.0887-378X.2004.00312.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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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页码:355 / +
页数:48
相关论文
共 122 条
[1]  
[Anonymous], POVERTY INEQUALITY H
[2]  
[Anonymous], NATL VITAL STAT REPO
[3]  
[Anonymous], 1992, HLTH TRANSITION REV
[4]  
[Anonymous], 1855, MODE COMMUNICATION C
[5]  
BACKLUND E, 2003, UNPUB INCOME INEQUAL
[6]   Local increases in coronary heart disease mortality among blacks and whites in the United States, 1985-1995 [J].
Barnett, E ;
Halverson, J .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2001, 91 (09) :1499-1506
[7]  
Beaglehole R, 1999, J CARDIOVASC RISK, V6, P63
[8]   The search for new risk factors for coronary heart disease: occupational therapy for epidemiologists? [J].
Beaglehole, R ;
Magnus, P .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2002, 31 (06) :1117-1122
[9]   A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives [J].
Ben-Shlomo, Y ;
Kuh, D .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2002, 31 (02) :285-293
[10]  
Bernstein J., 2002, Pulling Apart: A State-by-State Analysis of Income Trends