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Examining the lag time between state-level income inequality and individual disabilities: A multilevel analysis

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  • Gadalla, T.M.
  • Fuller-Thomson, E.

Abstract

State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between exposure to inequality and eventual health outcome. We used the 2006 American Community Survey to examine the association of state-level income inequality and 2 types of physical disabilities. We used 6 different lag times, ranging between 0 and 25 years, on the total sample and on those who resided in their state of birth. Income inequality in 1986 had the strongest correlation with 2006 disability levels. Odds ratios were consistently 10% higher for those born in the same state compared withthe total population.

Suggested Citation

  • Gadalla, T.M. & Fuller-Thomson, E., 2008. "Examining the lag time between state-level income inequality and individual disabilities: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2187-2190.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.134940_6
    DOI: 10.2105/AJPH.2008.134940
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    Cited by:

    1. Petri Böckerman, 2013. "Top Income Shares and Mortality: Evidence from Advanced Countries," Journal of Income Distribution, Ad libros publications inc., vol. 22(1), pages 57-69, March.
    2. Montez, Jennifer Karas & Hayward, Mark D. & Wolf, Douglas A., 2017. "Do U.S. states' socioeconomic and policy contexts shape adult disability?," Social Science & Medicine, Elsevier, vol. 178(C), pages 115-126.
    3. Chen, Zhuo & Gotway Crawford, Carol A., 2012. "The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities," Social Science & Medicine, Elsevier, vol. 75(6), pages 1022-1031.
    4. Mathieu Philibert & Robert Pampalon & Mark Daniel, 2015. "Conceptual and Operational Considerations in Identifying Socioenvironmental Factors Associated with Disability among Community-Dwelling Adults," IJERPH, MDPI, vol. 12(4), pages 1-21, April.
    5. Jesse J Plascak & James L Fisher, 2013. "Area-Based Socioeconomic Position and Adult Glioma: A Hierarchical Analysis of Surveillance Epidemiology and End Results Data," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-9, April.

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