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Health and the Income Inequality Hypothesis

Author: Nick Eberstadt

Publisher: American Enterprise Institute

Published: 2004

Total Pages: 60

ISBN-13: 9780844771694

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Few would take exception to the proposition that an improvement in the material well-being of the poor would enhance not only their living standards but their health as well. A number of influential recent studies, however, purport to show that inequality in income -- not poverty per se -- is bad for people's health. This "inequality hypothesis" is meant to apply to everyone, regardless of wealth or social standing, and predicts that the risk of illness depends upon whether one lives in a society that is stratified or egalitarian. Thus, according to this hypothesis, while the poor may suffer the most from inequality, the better off and even the rich suffer as well. The enthusiasm many researchers and observers feel for this theory goes well beyond what might be justified by the evidence. The inequality hypothesis too often relies upon limited or unrepresentative data, hazily expounded causality, elementary econometric fallacies, and results that cannot be replicated. A very persuasive (although less publicly heralded) body of scholarship that challenges the inequality hypothesis is currently emerging. For example, by controlling for relevant variables -- such as household income, maternal characteristics, education, and race -- the relationship between income inequality and the health of infants and adults diminishes or disappears completely. This strongly suggests that income distribution is far less powerful a determinant of population health than the inequality hypothesis holds. Book jacket.

Book Synopsis Health and the Income Inequality Hypothesis by : Nick Eberstadt

Download or read book Health and the Income Inequality Hypothesis written by Nick Eberstadt and published by American Enterprise Institute. This book was released on 2004 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Few would take exception to the proposition that an improvement in the material well-being of the poor would enhance not only their living standards but their health as well. A number of influential recent studies, however, purport to show that inequality in income -- not poverty per se -- is bad for people's health. This "inequality hypothesis" is meant to apply to everyone, regardless of wealth or social standing, and predicts that the risk of illness depends upon whether one lives in a society that is stratified or egalitarian. Thus, according to this hypothesis, while the poor may suffer the most from inequality, the better off and even the rich suffer as well. The enthusiasm many researchers and observers feel for this theory goes well beyond what might be justified by the evidence. The inequality hypothesis too often relies upon limited or unrepresentative data, hazily expounded causality, elementary econometric fallacies, and results that cannot be replicated. A very persuasive (although less publicly heralded) body of scholarship that challenges the inequality hypothesis is currently emerging. For example, by controlling for relevant variables -- such as household income, maternal characteristics, education, and race -- the relationship between income inequality and the health of infants and adults diminishes or disappears completely. This strongly suggests that income distribution is far less powerful a determinant of population health than the inequality hypothesis holds. Book jacket.

Health and the Income Inequality Hypothesis

Author: Nick Eberstadt

Publisher:

Published: 2004

Total Pages: 45

ISBN-13:

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Book Synopsis Health and the Income Inequality Hypothesis by : Nick Eberstadt

Download or read book Health and the Income Inequality Hypothesis written by Nick Eberstadt and published by . This book was released on 2004 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Explaining Divergent Levels of Longevity in High-Income Countries

Author: National Research Council

Publisher: National Academies Press

Published: 2011-06-27

Total Pages: 194

ISBN-13: 0309217105

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During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

Book Synopsis Explaining Divergent Levels of Longevity in High-Income Countries by : National Research Council

Download or read book Explaining Divergent Levels of Longevity in High-Income Countries written by National Research Council and published by National Academies Press. This book was released on 2011-06-27 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

Social Capital and Health

Author: Ichiro Kawachi

Publisher: Springer Science & Business Media

Published: 2008

Total Pages: 295

ISBN-13: 0387713107

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As interest in social capital has grown over the past decade—particularly in public health —so has the lack of consensus on exactly what it is and what makes it worth studying. Ichiro Kawachi, a widely respected leader in the field, and 21 contributors (including physicians, economists, and public health experts) discuss the theoretical origins of social capital, the strengths and limitations of current methodologies of measuring it, and salient examples of social capital concepts informing public health practice. Among the highlights: Measurement methods: survey, sociometric, ethnographic, experimental The relationship between social capital and physical health and health behaviors: smoking, substance abuse, physical activity, sexual activity Social capital and mental health: early findings Social capital and the aging community Social capital and disaster preparedness Social Capital and Health is certain to inspire a new generation of research on this topic, and will be of interest to researchers and advanced students in public health, health behavior, and social epidemiology.

Book Synopsis Social Capital and Health by : Ichiro Kawachi

Download or read book Social Capital and Health written by Ichiro Kawachi and published by Springer Science & Business Media. This book was released on 2008 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: As interest in social capital has grown over the past decade—particularly in public health —so has the lack of consensus on exactly what it is and what makes it worth studying. Ichiro Kawachi, a widely respected leader in the field, and 21 contributors (including physicians, economists, and public health experts) discuss the theoretical origins of social capital, the strengths and limitations of current methodologies of measuring it, and salient examples of social capital concepts informing public health practice. Among the highlights: Measurement methods: survey, sociometric, ethnographic, experimental The relationship between social capital and physical health and health behaviors: smoking, substance abuse, physical activity, sexual activity Social capital and mental health: early findings Social capital and the aging community Social capital and disaster preparedness Social Capital and Health is certain to inspire a new generation of research on this topic, and will be of interest to researchers and advanced students in public health, health behavior, and social epidemiology.

New Horizons in Health

Author: National Research Council

Publisher: National Academies Press

Published: 2001-03-09

Total Pages: 225

ISBN-13: 0309072964

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New Horizons in Health discusses how the National Institutes of Health (NIH) can integrate research in the social, behavioral, and biomedical sciences to better understand the causes of disease as well as interventions that promote health. It outlines a set of research priorities for consideration by the Office of Behavioral and Social Sciences Research (OBSSR), with particular attention to research that can support and complement the work of the National Institutes of Health. By addressing the range of interactions among social settings, behavioral patterns, and important health concerns, it highlights areas of scientific opportunity where significant investment is most likely to improve nationalâ€"and globalâ€"health outcomes. These opportunities will apply the knowledge and methods of the behavioral and social sciences to contemporary health needs, and give attention to the chief health concerns of the general public.

Book Synopsis New Horizons in Health by : National Research Council

Download or read book New Horizons in Health written by National Research Council and published by National Academies Press. This book was released on 2001-03-09 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: New Horizons in Health discusses how the National Institutes of Health (NIH) can integrate research in the social, behavioral, and biomedical sciences to better understand the causes of disease as well as interventions that promote health. It outlines a set of research priorities for consideration by the Office of Behavioral and Social Sciences Research (OBSSR), with particular attention to research that can support and complement the work of the National Institutes of Health. By addressing the range of interactions among social settings, behavioral patterns, and important health concerns, it highlights areas of scientific opportunity where significant investment is most likely to improve nationalâ€"and globalâ€"health outcomes. These opportunities will apply the knowledge and methods of the behavioral and social sciences to contemporary health needs, and give attention to the chief health concerns of the general public.

Oxford Textbook of Global Public Health

Author: Roger Detels

Publisher: Oxford University Press

Published: 2017

Total Pages: 1717

ISBN-13: 019881013X

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Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline

Book Synopsis Oxford Textbook of Global Public Health by : Roger Detels

Download or read book Oxford Textbook of Global Public Health written by Roger Detels and published by Oxford University Press. This book was released on 2017 with total page 1717 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline

Relative Deprivation, Inequality, and Mortality

Author: Angus Deaton

Publisher:

Published: 2001

Total Pages: 60

ISBN-13:

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I present a model of mortality and income that integrates the 'gradient, ' the negative relationship between income and mortality, with the Wilkinson hypothesis, that income inequality poses a risk to health. Individual health is negatively affected by relative deprivation within a reference group, defined as the ratio to group mean income of the total 'weight' of incomes of group members better-off than the individual. I argue that such a model is consistent with what we know about the way in which social status affects health, based on both animal and human models. The theory predicts: (a) within reference groups, which may be as large as whole populations, mortality declines with income, but at a decreasing rate; the mortality to income relationship is monotone decreasing and convex. (b) If the upper tail of the income distribution is Pareto then, among the rich, there will be a negative liriear relationship between the logarithm of the probability of death and the logarithm of income, whose slope is larger the larger is Pareto's constant, itself often interpreted as a measure of equality. (c) A mean-preserving increase in the spread of incomes raises the risk of mortality for everyone. Between reference groups (e.g. states or countries) mortality is independent of the level of average income, but depends on the gini coefficient of income inequality, as does actual aggregate mortality across US states. Individual data from the National Longitudinal Mortality Study show that the relative deprivation theory provides a good account of the mortality gradient within states, but actually fails to account for interstate correlation between mortality and income inequality. Further analysis of the aggregate data shows that the effect of income inequality is not robust to the inclusion of other controls, particularly the fraction of blacks in the population. The fraction black is positively associated with white (male) mortality in both the individual and aggregate data and, once the fraction black is controlled for, there is no effect of income inequality on either male or female mortality. No explanation is offered for why white mortality should be higher in states with a higher proportion of blacks in the population.

Book Synopsis Relative Deprivation, Inequality, and Mortality by : Angus Deaton

Download or read book Relative Deprivation, Inequality, and Mortality written by Angus Deaton and published by . This book was released on 2001 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: I present a model of mortality and income that integrates the 'gradient, ' the negative relationship between income and mortality, with the Wilkinson hypothesis, that income inequality poses a risk to health. Individual health is negatively affected by relative deprivation within a reference group, defined as the ratio to group mean income of the total 'weight' of incomes of group members better-off than the individual. I argue that such a model is consistent with what we know about the way in which social status affects health, based on both animal and human models. The theory predicts: (a) within reference groups, which may be as large as whole populations, mortality declines with income, but at a decreasing rate; the mortality to income relationship is monotone decreasing and convex. (b) If the upper tail of the income distribution is Pareto then, among the rich, there will be a negative liriear relationship between the logarithm of the probability of death and the logarithm of income, whose slope is larger the larger is Pareto's constant, itself often interpreted as a measure of equality. (c) A mean-preserving increase in the spread of incomes raises the risk of mortality for everyone. Between reference groups (e.g. states or countries) mortality is independent of the level of average income, but depends on the gini coefficient of income inequality, as does actual aggregate mortality across US states. Individual data from the National Longitudinal Mortality Study show that the relative deprivation theory provides a good account of the mortality gradient within states, but actually fails to account for interstate correlation between mortality and income inequality. Further analysis of the aggregate data shows that the effect of income inequality is not robust to the inclusion of other controls, particularly the fraction of blacks in the population. The fraction black is positively associated with white (male) mortality in both the individual and aggregate data and, once the fraction black is controlled for, there is no effect of income inequality on either male or female mortality. No explanation is offered for why white mortality should be higher in states with a higher proportion of blacks in the population.

Social Epidemiology

Author: Lisa F. Berkman

Publisher: Oxford University Press

Published: 2000-03-09

Total Pages: 428

ISBN-13: 9780195083316

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This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.

Book Synopsis Social Epidemiology by : Lisa F. Berkman

Download or read book Social Epidemiology written by Lisa F. Berkman and published by Oxford University Press. This book was released on 2000-03-09 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book shows the important links between social conditions and health and begins to describe the processes through which these health inequalities may be generated. It reviews a range of methodologies that could be used by health researchers in this field and proposes innovative future research directions.