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A multilevel analysis of income inequality and cardiovascular disease risk factors

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  • Diez-Roux, Ana V.
  • Link, Bruce G.
  • Northridge, Mary E.
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    Abstract

    Recent research has suggested that inequality in the distribution of income is associated with increased mortality, even after accounting for average income levels. Using data from the Behavioral Risk Factor Surveillance System (BRFSS), we investigated whether inequality in the distribution of income within US states is related to the prevalence of four cardiovascular disease risk factors (body mass index (BMI), history of hypertension, sedentarism, and smoking). Multilevel models (including both state-level and individual-level variables) were used to examine associations of state inequality with risk factor levels before and after adjustment for individual-level income. For three of the four risk factors investigated (BMI, hypertension, and sedentarism), state inequality was associated with increased risk factor levels, particularly at low income levels (annual household incomes

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 50 (2000)
    Issue (Month): 5 (March)
    Pages: 673-687

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    Handle: RePEc:eee:socmed:v:50:y:2000:i:5:p:673-687

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    Keywords: Income inequality Cardiovascular diseases Cardiovascular risk factors Socioeconomic factors;

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    Cited by:
    1. Böckerman, Petri & Johansson, Edvard & Helakorpi, Satu & Uutela, Antti, 2007. "Economic Inequality and Health: Looking Beyond Aggregate Indicators," MPRA Paper 5640, University Library of Munich, Germany.
    2. Weatherspoon, Dave D. & Oehmke, James F. & Coleman, Marcus A. & Weatherspoon, Lorraine J., 2014. "Understanding Consumer Preferences for Nutritious Foods: Retailing Strategies in a Food Desert," International Food and Agribusiness Management Review, International Food and Agribusiness Management Association (IAMA), vol. 17(A).
    3. Sabel, C.E. & Kihal, W. & Bard, D. & Weber, C., 2013. "Creation of synthetic homogeneous neighbourhoods using zone design algorithms to explore relationships between asthma and deprivation in Strasbourg, France," Social Science & Medicine, Elsevier, vol. 91(C), pages 110-121.
    4. Leonor Gallardo & Pablo Burillo & Marta García-Tascón & Juan Salinero, 2009. "The Ranking of the Regions With Regard to Their Sports Facilities to Improve Their Planning in Sport: The Case of Spain," Social Indicators Research, Springer, vol. 94(2), pages 297-317, November.

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