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Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach

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  • Choi, HwaJung
  • Burgard, Sarah
  • Elo, Irma T.
  • Heisler, Michele

Abstract

We assessed the potential contextual effect of income inequality on health by: 1) comparing individuals with similar socioeconomic status (SES) but who reside in counties with different levels of income inequality; and 2) examining whether the potential effect of county-level income inequality on health varies across SES groups. We used the Health and Retirement Study, a nationally representative study of Americans over the age of 50. Using propensity score matching, we selected SES-comparable individuals living in high-income inequality counties and in low-income inequality counties. We examined differences in self-rated overall health outcomes and in other specific physical/mental health outcomes between the two groups using logistic regression (n = 34,994) and imposing different sample restrictions based on residential duration in the area. We then used logistic regression with interactions to assess whether, and if so how, health outcomes differed among participants of different SES groups defined by wealth, income, and education. In bivariate analyses of the unmatched full sample, adults living in high-income inequality counties have worse health outcomes for most health measures. After propensity score matching, adults in high-income inequality counties had worse self-rated health status (AOR = 1.12; 95% CI 1.04–1.19) and were more likely to report diagnosed psychiatric problems (AOR = 1.08; 95% CI 0.99–1.19) than their matched counterparts in low-income inequality counties. These associations were stronger with longer-term residents in the area. Adverse health outcomes associated with living in high-income inequality counties were significant particularly for individuals in the 30th or greater percentiles of income/wealth distribution and those without a college education. In summary, after using more precise matching methods to compare individuals with similar characteristics and addressing measurement error by excluding more recently arrived county residents, adults living in high-income inequality counties had worse reported overall physical and mental health than adults living in low-income inequality counties.

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  • Choi, HwaJung & Burgard, Sarah & Elo, Irma T. & Heisler, Michele, 2015. "Are older adults living in more equal counties healthier than older adults living in more unequal counties? A propensity score matching approach," Social Science & Medicine, Elsevier, vol. 141(C), pages 82-90.
    • Handle: RePEc:eee:socmed:v:141:y:2015:i:c:p:82-90
    DOI: 10.1016/j.socscimed.2015.07.020
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    1. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    2. Barbara Sianesi, 2010. "An introduction to matching methods for causal inference and their implementation in Stata," German Stata Users' Group Meetings 2010 02, Stata Users Group.
    3. LeClere, F.B. & Soobader, M.-J., 2000. "The effect of income inequality on the health of selected US demographic groups," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1892-1897.
    4. Deaton, Angus & Lubotsky, Darren, 2009. "Income inequality and mortality in U.S. cities: Weighing the evidence. A response to Ash," Social Science & Medicine, Elsevier, vol. 68(11), pages 1914-1917, June.
    5. James Banks & Alastair Muriel & James Smith, 2010. "Disease prevalence, disease incidence, and mortality in the United States and in England," Demography, Springer;Population Association of America (PAA), vol. 47(1), pages 211-231, March.
    6. Deaton, Angus & Lubotsky, Darren, 2003. "Mortality, inequality and race in American cities and states," Social Science & Medicine, Elsevier, vol. 56(6), pages 1139-1153, March.
    7. repec:pri:cheawb:deaton_lubotsky_response_to_ash_ssm_2009.pdf is not listed on IDEAS
    8. William Rogers, 1994. "Regression standard errors in clustered samples," Stata Technical Bulletin, StataCorp LP, vol. 3(13).
    9. Richard Williams, 2012. "Using the margins command to estimate and interpret adjusted predictions and marginal effects," Stata Journal, StataCorp LP, vol. 12(2), pages 308-331, June.
    10. Soobader, Mah-Jabeen & LeClere, Felicia B., 1999. "Aggregation and the measurement of income inequality: effects on morbidity," Social Science & Medicine, Elsevier, vol. 48(6), pages 733-744, March.
    11. Wilkinson, R.G. & Pickett, K.E., 2008. "Income inequality and socioeconomic gradients in mortality," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 699-704.
    12. Babones, Salvatore J., 2008. "Income inequality and population health: Correlation and causality," Social Science & Medicine, Elsevier, vol. 66(7), pages 1614-1626, April.
    13. Ash, Michael & Robinson, Dean E., 2009. "Inequality, race, and mortality in U.S. cities: A political and econometric review of Deaton and Lubotsky (56:6, 1139-1153, 2003)," Social Science & Medicine, Elsevier, vol. 68(11), pages 1909-1913, June.
    14. Briana Mezuk & Amy S. B. Bohnert & Scott Ratliff & Kara Zivin, 2011. "Job Strain, Depressive Symptoms, and Drinking Behavior Among Older Adults: Results From the Health and Retirement Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 66(4), pages 426-434.
    15. Patrick Royston, 2009. "Multiple imputation of missing values: Further update of ice, with an emphasis on categorical variables," Stata Journal, StataCorp LP, vol. 9(3), pages 466-477, September.
    16. Lynch, J.W. & Kaplan, G.A. & Pamuk, E.R. & Cohen, R.D. & Heck, K.E. & Balfour, J.L. & Yen, I.H., 1998. "Income inequality and mortality in metropolitan areas of the United States," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1074-1080.
    17. Jessica Y. Ho & Samuel H. Preston, 2010. "US Mortality in an International Context: Age Variations," Population and Development Review, The Population Council, Inc., vol. 36(4), pages 749-773, December.
    18. Lochner, K. & Pamuk, E. & Makuc, D. & Kennedy, B.P. & Kawachi, I., 2001. "State-level income inequality and individual mortality risk: A prospective, multilevel study," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 385-391.
    19. Subramanian, S. V. & Kawachi, Ichiro & Kennedy, Bruce P., 2001. "Does the state you live in make a difference? Multilevel analysis of self-rated health in the US," Social Science & Medicine, Elsevier, vol. 53(1), pages 9-19, July.
    20. repec:pri:cheawb:deaton_lubotsky_response_to_ash_ssm_2009 is not listed on IDEAS
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