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Income Inequality, Economic Growth and Stroke Mortality in Brazil: Longitudinal and Regional Analysis 2002-2009

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  • Natalia Vincens
  • Martin Stafström

Abstract

Background and Purpose: Stroke accounts for more than 10% of all deaths globally and most of it occurs in low- and middle-income countries (LMIC). Income inequality and gross domestic product (GDP) per capita has been associated to stroke mortality in developed countries. In LMIC, GDP per capita is considered to be a more relevant health determinant than income inequality. This study aims to investigate if income inequality is associated to stroke mortality in Brazil at large, but also on regional and state levels, and whether GDP per capita modulates the impact of this association. Methods: Stroke mortality rates, Gini index and GDP per capita data were pooled for the 2002 to 2009 period from public available databases. Random effects models were fitted, controlling for GDP per capita and other covariates. Results: Income inequality was independently associated to stroke mortality rates, even after controlling for GDP per capita and other covariates. GDP per capita reduced only partially the impact of income inequality on stroke mortality. A decrease in 10 points in the Gini index was associated with 18% decrease in the stroke mortality rate in Brazil. Conclusions: Income inequality was independently associated to stroke mortality in Brazil.

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  • Natalia Vincens & Martin Stafström, 2015. "Income Inequality, Economic Growth and Stroke Mortality in Brazil: Longitudinal and Regional Analysis 2002-2009," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0137332
    DOI: 10.1371/journal.pone.0137332
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    1. Siddiqi, Arjumand & Jones, Marcella K. & Erwin, Paul Campbell, 2015. "Does higher income inequality adversely influence infant mortality rates? Reconciling descriptive patterns and recent research findings," Social Science & Medicine, Elsevier, vol. 131(C), pages 82-88.
    2. Bell, Andrew & Jones, Kelvyn, 2015. "Explaining Fixed Effects: Random Effects Modeling of Time-Series Cross-Sectional and Panel Data," Political Science Research and Methods, Cambridge University Press, vol. 3(1), pages 133-153, January.
    3. Pattussi, M.P. & Hardy, R. & Sheiham, A., 2006. "Neighborhood social capital and dental injuries in Brazilian adolescents," American Journal of Public Health, American Public Health Association, vol. 96(8), pages 1462-1468.
    4. Messias, E., 2003. "Income Inequality, Illiteracy Rate, and Life Expectancy in Brazil," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1294-1296.
    5. Brown, Malcolm C., 1994. "Using gini-style indices to evaluate the spatial patterns of health practitioners: Theoretical considerations and an application based on Alberta data," Social Science & Medicine, Elsevier, vol. 38(9), pages 1243-1256, May.
    6. Babones, Salvatore J., 2008. "Income inequality and population health: Correlation and causality," Social Science & Medicine, Elsevier, vol. 66(7), pages 1614-1626, April.
    7. Carlos R. Azzoni, 2001. "Economic growth and regional income inequality in Brazil," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 35(1), pages 133-152.
    8. Susser, M., 1994. "The logic in ecological: I. The logic of analysis," American Journal of Public Health, American Public Health Association, vol. 84(5), pages 825-829.
    9. Biggs, Brian & King, Lawrence & Basu, Sanjay & Stuckler, David, 2010. "Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America," Social Science & Medicine, Elsevier, vol. 71(2), pages 266-273, July.
    10. 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.
    11. Kakwani, Nanak & Neri, Marcelo Côrtes & Son, Hyun H., 2010. "Linkages Between Pro-Poor Growth, Social Programs and Labor Market: The Recent Brazilian Experience," World Development, Elsevier, vol. 38(6), pages 881-894, June.
    12. Ioana Pop & Erik Ingen & Wim Oorschot, 2013. "Inequality, Wealth and Health: Is Decreasing Income Inequality the Key to Create Healthier Societies?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 113(3), pages 1025-1043, September.
    13. Joseph L Dieleman & Tara Templin, 2014. "Random-Effects, Fixed-Effects and the within-between Specification for Clustered Data in Observational Health Studies: A Simulation Study," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-17, October.
    14. Elias, P.E.M. & Cohn, A., 2003. "Health reform in Brazil: Lessons to consider," American Journal of Public Health, American Public Health Association, vol. 93(1), pages 44-48.
    15. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    16. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
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    3. Swapnanil SenGupta, 2024. "Human Capital Impacts of Income Inequality: An Extensive Empirical Analysis from the African Continent," SAGE Open, , vol. 14(2), pages 21582440241, May.

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