Long-term association of economic inequality and mortality in adult Costa Ricans
Despite the large number of studies, mostly in developed economies, there is limited consensus on the health effects of inequality. Recently a related literature has examined the relationship between relative deprivation and health as a mechanism to explain the economic inequality and health relationship. This study evaluates the relationship between mortality and economic inequality, as measured by area-level Gini coefficients, as well as the relationship between mortality and relative deprivation, in the context of a middle-income country, Costa Rica. We followed a nationally representative prospective cohort of approximately 16,000 individuals aged 30 and over who were randomly selected from the 1984 census. These individuals were then linked to the Costa Rican National Death Registry until Dec. 31, 2007. Hazard models were used to estimate the relative risk of mortality for all-cause and cardiovascular disease mortality for two indicators: canton-level income inequality and relative deprivation based on asset ownership. Results indicate that there was an unexpectedly negative association between canton income inequality and mortality, but the relationship is not robust to the inclusion of canton fixed-effects. In contrast, we find a positive association between relative deprivation and mortality, which is robust to the inclusion of canton fixed-effects. Taken together, these results suggest that deprivation relative to those higher in a hierarchy is more detrimental to health than the overall dispersion of the hierarchy itself, within the Costa Rican context.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 74 (2012)
Issue (Month): 2 ()
|Contact details of provider:|| Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description|
|Order Information:|| Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional|
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Hildebrand, Vincent & Van Kerm, Philippe, 2005.
"Income inequality and self-rated health status: Evidence from the European Community Household Panel,"
IRISS Working Paper Series
2005-01, IRISS at CEPS/INSTEAD.
- Vincent Hildebrand & Philippe Kerm, 2009. "Income inequality and self-rated health status: Evidence from the european community household panel," Demography, Springer, vol. 46(4), pages 805-825, November.
- Vincent Hildebrand & Philippe Van Kerm, 2005. "Income Inequality and Self-Rated Health Status: Evidence from the European Community Household Panel," Social and Economic Dimensions of an Aging Population Research Papers 127, McMaster University.
- Luis Rosero-Bixby & William H. Dow, 2009. "Surprising SES Gradients in Mortality, Health, and Biomarkers in a Latin American Population of Adults," Journals of Gerontology: Series B, Gerontological Society of America, vol. 64(1), pages 105-117.
- Alesina, Alberto & Devleeschauwer, Arnaud & Wacziarg, Romain & Kurlat, Sergio & Easterly, William, 2003.
4553003, Harvard University Department of Economics.
- Wacziarg, Romain & Alesina, Alberto & Devleeschauwer, Arnaud & Easterly, William & Kurlat, Sergio, 2002. "Fractionalization," Research Papers 1744, Stanford University, Graduate School of Business.
- Alberto Alesina & Arnaud Devleeschauwer & William Easterly & Sergio Kurlat & Romain Wacziarg, 2002. "Fractionalization," Harvard Institute of Economic Research Working Papers 1959, Harvard - Institute of Economic Research.
- Alberto Alesina & Arnaud Devleeschauwer & William Easterly & Sergio Kurlat & Romain Wacziarg, 2003. "Fractionalization," NBER Working Papers 9411, National Bureau of Economic Research, Inc.
- Deaton, A., 2001.
"Health, Inequality, and Economic Development,"
200, Princeton, Woodrow Wilson School - Development Studies.
- Angus Deaton, 2002. "Health, inequality, and economic development," Working Papers 209, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- 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..
- Angus Deaton, 2001. "Health, Inequality, and Economic Development," NBER Working Papers 8318, National Bureau of Economic Research, Inc.
- Christopher J. Ruhm, 2003.
"Healthy Living in Hard Times,"
NBER Working Papers
9468, National Bureau of Economic Research, Inc.
- Li, Hongbin & Zhu, Yi, 2006.
"Income, income inequality, and health: Evidence from China,"
Journal of Comparative Economics,
Elsevier, vol. 34(4), pages 668-693, December.
- Hongbin Li & Yi Zhu, 2004. "Income, Income Inequality, and Health: Evidence from China," Discussion Papers 00006, Chinese University of Hong Kong, Department of Economics.
- Li, Hongbin & Zhu, Yi, 2006. "Income, Income Inequality, and Health: Evidence from China," Working Paper Series DP2006/07, World Institute for Development Economic Research (UNU-WIDER).
- Douglas L. Miller & Marianne E. Page & Ann Huff Stevens & Mateusz Filipski, 2009. "Why Are Recessions Good for Your Health?," American Economic Review, American Economic Association, vol. 99(2), pages 122-27, May.
- Christopher J. Ruhm, 2006.
"A Healthy Economy Can Break Your Heart,"
NBER Working Papers
12102, National Bureau of Economic Research, Inc.
- Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
- Akaike, Hirotugu, 1981. "Likelihood of a model and information criteria," Journal of Econometrics, Elsevier, vol. 16(1), pages 3-14, May.
- Subramanyam, Malavika & Kawachi, Ichiro & Berkman, Lisa & Subramanian, S.V., 2009. "Relative deprivation in income and self-rated health in the United States," Social Science & Medicine, Elsevier, vol. 69(3), pages 327-334, August.
- 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.
- Salti, Nisreen, 2010. "Relative deprivation and mortality in South Africa," Social Science & Medicine, Elsevier, vol. 70(5), pages 720-728, March.
- Christopher J. Ruhm, 2000.
"Are Recessions Good For Your Health?,"
The Quarterly Journal of Economics,
MIT Press, vol. 115(2), pages 617-650, May.
- Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
- Yitzhaki, Shlomo, 1979. "Relative Deprivation and the Gini Coefficient," The Quarterly Journal of Economics, MIT Press, vol. 93(2), pages 321-24, May.
- 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.
- Åberg Yngwe, Monica & Fritzell, Johan & Lundberg, Olle & Diderichsen, Finn & Burström, Bo, 2003. "Exploring relative deprivation: Is social comparison a mechanism in the relation between income and health?," Social Science & Medicine, Elsevier, vol. 57(8), pages 1463-1473, October.
When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:74:y:2012:i:2:p:158-166. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei)
If references are entirely missing, you can add them using this form.