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Exploring the generalisability of the association between income inequality and self-assessed health

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  • Craig, Neil
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    A growing between- and within-country literature suggests that the association between income inequality and health reflects individual- or area-level characteristics with which income inequality is associated, rather than the effects of income inequality per se. These studies also suggest that the association between income inequality and health is country-specific. Unresolved methodological issues include the geographical level at which to model the effects of income inequality, and the appropriate statistical methods to use. This study compares the results of single-level and multi-level logistic regression models estimating the association between income inequality and self-assessed health in local authorities in Scotland. The results suggest that there is a significant positive association between income inequality and health across local authorities in Scotland, even after adjusting for individual-level socio-economic status. They also suggest that there is significant local authority-level variation in self-assessed health, but this is small compared to the variation at the individual level. Income and other measures of individuals' socio-economic status are more strongly associated with self-assessed health than income inequality. This study provides further evidence that the income inequality:health association is place-specific. It also suggests that methodological choices regarding the ways of estimating the association between self-assessed health, individual-level socio-economic status and area-level income inequality may not make a substantive difference to the results when contextual effects are small. Further work is required to test the sensitivity of these conclusions to alternative levels of geographical aggregation.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(04)00563-5
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 60 (2005)
    Issue (Month): 11 (June)
    Pages: 2477-2488

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    Handle: RePEc:eee:socmed:v:60:y:2005:i:11:p:2477-2488
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    1. Angus Deaton, 2002. "Health, inequality, and economic development," Working Papers 270, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    2. van Doorslaer, Eddy & Wagstaff, Adam & Bleichrodt, Han & Calonge, Samuel & Gerdtham, Ulf-G. & Gerfin, Michael & Geurts, Jose & Gross, Lorna & Hakkinen, Unto & Leu, Robert E., 1997. "Income-related inequalities in health: some international comparisons," Journal of Health Economics, Elsevier, vol. 16(1), pages 93-112, February.
    3. Ken Judge & Iain Paterson, 2001. "Poverty, Income Inequality and Health," Treasury Working Paper Series 01/29, New Zealand Treasury.
    4. Subramanian, S. V., 2004. "The relevance of multilevel statistical methods for identifying causal neighborhood effects," Social Science & Medicine, Elsevier, vol. 58(10), pages 1961-1967, May.
    5. Angus Deaton, 2001. "Relative deprivation, inequality, and mortality," Working Papers 275, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    6. Ettner, Susan L., 1996. "New evidence on the relationship between income and health," Journal of Health Economics, Elsevier, vol. 15(1), pages 67-85, February.
    7. 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.
    8. repec:pri:cheawb:deaton_relative_deprivation.pdf is not listed on IDEAS
    9. Anonymous, 2003. "The Feedback Loop: Responding to Client Needs," Practice Notes 23740, University of Sussex, Imp-Act: Improving the Impact of Microfinance on Poverty: Action Research Program.
    10. Angus Deaton & Darren Lubotsky, 2002. "Mortality, inequality and race in American cities and states," Working Papers 204, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    11. Oecd, 2003. "Broadband Driving Growth: Policy Responses," OECD Digital Economy Papers 75, OECD Publishing.
    12. Benzeval, Michaela & Judge, Ken, 2001. "Income and health: the time dimension," Social Science & Medicine, Elsevier, vol. 52(9), pages 1371-1390, May.
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