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Income inequality and health: lessons from a refugee residential assignment program

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  • Grönqvist, Hans

    (Swedish Institute for Social Research (SOFI))

  • Johansson, Per

    (IFAU - Institute for Evaluation of Labour Market and Education Policy)

  • Niknami, Susan

    (Swedish Institute for Social Research (SOFI))

Abstract

This paper examines the effect of income inequality on health for a group of particularly disadvantaged individuals: refugees. Our analysis draws on longitudinal hospitalization records coupled with a settlement policy where Swedish authorities assigned newly arrived refugees to their first area of residence. The policy was implemented in a way that provides a source of plausibly random variation in initial location. The results reveal no statistically significant effect of income inequality on the risk of being hospitalized. This finding holds also for most population subgroups and when separating between different types of diagnoses. Our estimates are precise enough to rule out large effects of income inequality on health.

Suggested Citation

  • Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income inequality and health: lessons from a refugee residential assignment program," Working Paper Series 2012:11, IFAU - Institute for Evaluation of Labour Market and Education Policy.
  • Handle: RePEc:hhs:ifauwp:2012_011
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    1. Jennifer M. Mellor & Jeffrey D. Milyo, 2001. "Income inequality and health," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 20(1), pages 151-155.
    2. Per-Anders Edin & Peter Fredriksson & Olof Åslund, 2003. "Ethnic Enclaves and the Economic Success of Immigrants—Evidence from a Natural Experiment," The Quarterly Journal of Economics, Oxford University Press, vol. 118(1), pages 329-357.
    3. Ulf-G. Gerdtham & Magnus Johannesson, 2004. "Absolute Income, Relative Income, Income Inequality, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
    4. 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.
    5. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    6. Eiji Mangyo & Albert Park, 2011. "Relative Deprivation and Health: Which Reference Groups Matter?," Journal of Human Resources, University of Wisconsin Press, vol. 46(3), pages 459-481.
    7. Hugh Gravelle & Matt Sutton, 2009. "Income, relative income, and self‐reported health in Britain 1979–2000," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 125-145, February.
    8. Olof Åslund & Per-Anders Edin & Peter Fredriksson & Hans Grönqvist, 2011. "Peers, Neighborhoods, and Immigrant Student Achievement: Evidence from a Placement Policy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(2), pages 67-95, April.
    9. Hesselius, Patrik & Johansson, Per & Nilsson, Peter, 2009. "Sick of your colleagues' absence?," Working Paper Series 2009:2, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    10. Aaberge, Rolf, et al, 2002. "Income Inequality and Income Mobility in the Scandinavian Countries Compared to the United States," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 48(4), pages 443-469, December.
    11. Leigh, Andrew & Jencks, Christopher, 2007. "Inequality and mortality: Long-run evidence from a panel of countries," Journal of Health Economics, Elsevier, vol. 26(1), pages 1-24, January.
    12. Olof Åslund & Per-Anders Edin & Peter Fredriksson & Hans Grönqvist, 2011. "Peers, Neighborhoods, and Immigrant Student Achievement: Evidence from a Placement Policy," American Economic Journal: Applied Economics, American Economic Association, vol. 3(2), pages 67-95, April.
    13. Miller, Douglas L. & Paxson, Christina, 2006. "Relative income, race, and mortality," Journal of Health Economics, Elsevier, vol. 25(5), pages 979-1003, September.
    14. Niknami, Susan, 2010. "Intergenerational Transmission of Education among Immigrant Mothers and their Daughters in Sweden," Working Paper Series 7/2010, Stockholm University, Swedish Institute for Social Research.
    15. Deaton, Angus & Lubotsky, Darren, 2003. "Mortality, inequality and race in American cities and states," Social Science & Medicine, Elsevier, vol. 56(6), pages 1139-1153, March.
    16. Mark E. Votruba & Jeffrey R. Kling, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    17. Christine Eibner & William N. Evans, 2005. "Relative Deprivation, Poor Health Habits, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 40(3).
    18. Judge, Ken & Mulligan, Jo-Ann & Benzeval, Michaela, 0. "Income inequality and population health," Social Science & Medicine, Elsevier, vol. 46(4-5), pages 567-579, February.
    19. Angus Deaton, 2001. "Relative Deprivation, Inequality, and Mortality," NBER Working Papers 8099, National Bureau of Economic Research, Inc.
    20. 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.
    21. Lance Lochner & Enrico Moretti, 2004. "The Effect of Education on Crime: Evidence from Prison Inmates, Arrests, and Self-Reports," American Economic Review, American Economic Association, vol. 94(1), pages 155-189, March.
    22. Jeffrey R. Kling & Mark E. Votruba, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    23. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588.
    24. Marianne Bertrand & Erzo F. P. Luttmer & Sendhil Mullainathan, 2000. "Network Effects and Welfare Cultures," The Quarterly Journal of Economics, Oxford University Press, vol. 115(3), pages 1019-1055.
    25. Rolf Aaberge & Anders Björklund & Markus Jäntti & Mårten Palme & Peder J. Pedersen & Nina Smith & Tom Wennemo, 2002. "Income Inequality and Income Mobility in the Scandinavian Countries Compared to the United States," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 48(4), pages 443-469, December.
    26. 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.
    27. Roland Benabou, 2000. "Unequal Societies: Income Distribution and the Social Contract," American Economic Review, American Economic Association, vol. 90(1), pages 96-129, March.
    28. Englund, Peter, 1999. "The Swedish Banking Crisis: Roots and Consequences," Oxford Review of Economic Policy, Oxford University Press, vol. 15(3), pages 80-97, Autumn.
    29. Robert J. Waldmann, 1992. "Income Distribution and Infant Mortality," The Quarterly Journal of Economics, Oxford University Press, vol. 107(4), pages 1283-1302.
    30. repec:pri:cheawb:deaton_relative_deprivation.pdf is not listed on IDEAS
    31. Olof Åslund & Dan-Olof Rooth, 2007. "Do when and where matter? initial labour market conditions and immigrant earnings," Economic Journal, Royal Economic Society, vol. 117(518), pages 422-448, March.
    32. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2004. "How Much Should We Trust Differences-In-Differences Estimates?," The Quarterly Journal of Economics, Oxford University Press, vol. 119(1), pages 249-275.
    33. Bjorklund, Anders & Jantti, Markus, 1997. "Intergenerational Income Mobility in Sweden Compared to the United States," American Economic Review, American Economic Association, vol. 87(5), pages 1009-1018, December.
    34. Paula K. Lorgelly & Joanne Lindley, 2008. "What is the relationship between income inequality and health? Evidence from the BHPS," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 249-265, February.
    35. Jeffrey R Kling & Jeffrey B Liebman & Lawrence F Katz, 2007. "Experimental Analysis of Neighborhood Effects," Econometrica, Econometric Society, vol. 75(1), pages 83-119, January.
    36. Gottschalk, Peter & Smeeding, Timothy M., 2000. "Empirical evidence on income inequality in industrialized countries," Handbook of Income Distribution, in: A.B. Atkinson & F. Bourguignon (ed.), Handbook of Income Distribution, edition 1, volume 1, chapter 5, pages 261-307, Elsevier.
    37. Lynch, J.W. & Kaplan, G.A. & Pamuk, E.R. & Cohen, R.D. & Heck, K.E. & Balfour, J.L. & Yen, I.H., 1998. "Income inequality and mortality in metropolitan areas of the United States," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1074-1080.
    38. Atkinson, Anthony B., 1970. "On the measurement of inequality," Journal of Economic Theory, Elsevier, vol. 2(3), pages 244-263, September.
    39. Jennifer M. Mellor & Jeffrey Milyo, 2002. "Income Inequality and Health Status in the United States: Evidence from the Current Population Survey," Journal of Human Resources, University of Wisconsin Press, vol. 37(3), pages 510-539.
    40. Lochner, K. & Pamuk, E. & Makuc, D. & Kennedy, B.P. & Kawachi, I., 2001. "State-level income inequality and individual mortality risk: A prospective, multilevel study," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 385-391.
    41. Gravelle, Hugh & Wildman, John & Sutton, Matthew, 2002. "Income, income inequality and health: what can we learn from aggregate data?," Social Science & Medicine, Elsevier, vol. 54(4), pages 577-589, February.
    42. 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.
    43. Wildman, John, 2003. "Modelling health, income and income inequality: the impact of income inequality on health and health inequality," Journal of Health Economics, Elsevier, vol. 22(4), pages 521-538, July.
    44. 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.
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    Cited by:

    1. Jonathan Wadsworth, 2013. "Mustn't Grumble: Immigration, Health and Health Service Use in the UK and Germany," Fiscal Studies, Institute for Fiscal Studies, vol. 34(1), pages 55-82, March.
    2. Nekby, Lena & Pettersson-Lidbom, Per, 2012. "Revisiting the Relationship between Ethnic Diversity and Preferences for Redistribution," Research Papers in Economics 2012:9, Stockholm University, Department of Economics.
    3. Beine, Michel & Bertinelli, Luisito & Cömertpay, Rana & Litina, Anastasia & Maystadt, Jean-François, 2021. "A gravity analysis of refugee mobility using mobile phone data," Journal of Development Economics, Elsevier, vol. 150(C).
    4. Michel Beine & Luisito Bertinelli & rana Comertpay & Anastasia Litina & Jean-François Maystadt & Benteng Zou, 2019. "Refugee Mobility: Evidence from Phone Data in Turkey," DEM Discussion Paper Series 19-01, Department of Economics at the University of Luxembourg.
    5. Thomas Schober & Katrin Zocher, 2018. "Health care utilization of refugees," CDL Aging, Health, Labor working papers 2018-08, The Christian Doppler (CD) Laboratory Aging, Health, and the Labor Market, Johannes Kepler University Linz, Austria.
    6. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    7. Nisar Ahmad & Shahbaz Khan, 2021. "Impact of Income Inequality on Health Status in South Asian Countries: A Panel Data Analysis," International Journal of Economics & Business Administration (IJEBA), International Journal of Economics & Business Administration (IJEBA), vol. 0(2), pages 205-219.
    8. Keloharju, Matti & Knüpfer, Samuli & Tåg, Joacim, 2020. "CEO Health," Working Paper Series 1326, Research Institute of Industrial Economics, revised 30 May 2022.
    9. Matz Dahlberg & Madhinee Valeyatheepillay, 2019. "On the Anatomy of a Refugee Dispersal Policy: Neighborhood Integration and Dynamic Sorting," ifo Working Paper Series 285, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    10. Lena Nekby & Per Pettersson‐Lidbom, 2017. "Revisiting the Relationship between Ethnic Diversity and Preferences for Redistribution: Comment," Scandinavian Journal of Economics, Wiley Blackwell, vol. 119(2), pages 268-287, April.
    11. Michel Beine & Luisito Bertinelli & Rana Cömertpay & Anastasia Litina & Jean-François Maystadt, 2020. "The Gravity Model of Forced Displacement Using Mobile Phone Data," DEM Discussion Paper Series 20-13, Department of Economics at the University of Luxembourg.
    12. Jonathan Wadsworth, 2012. "Musn’t Grumble. Immigration, Health and Health Service Use in the UK and Germany," CReAM Discussion Paper Series 1221, Centre for Research and Analysis of Migration (CReAM), Department of Economics, University College London.
    13. Grönqvist, Hans & Niknami, Susan & Robling, P-O, 2015. "Childhood Exposure to Segregation and Long-Run Criminal Involvement - Evidence from the “Whole of Sweden” Strategy#," Working Paper Series 1/2015, Stockholm University, Swedish Institute for Social Research.
    14. Björkegren, Evelina, 2018. "Neighborhoods and youth health: Everybody needs good neighbors?," Working Paper Series 2018:10, IFAU - Institute for Evaluation of Labour Market and Education Policy.

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    More about this item

    Keywords

    Income inequality; Immigration; Quasi-experiment;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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