Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1992 Aug;82(8):1082–1084. doi: 10.2105/ajph.82.8.1082

National mortality rates: the impact of inequality?

R G Wilkinson 1
PMCID: PMC1695749  PMID: 1636827

Abstract

Although health is closely associated with income differences within each country there is, at best, only a weak link between national mortality rates and average income among the developed countries. On the other hand, there is evidence of a strong relationship between national mortality rates and the scale of income differences within each society. These three elements are coherent if health is affected less by changes in absolute material standards across affluent populations than it is by relative income or the scale of income differences and the resulting sense of disadvantage within each society. Rather than socioeconomic mortality differentials representing a distribution around given national average mortality rates, it is likely that the degree of income inequality indicates the burden of relative deprivation on national mortality rates.

Full text

PDF
1082

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Feldman J. J., Makuc D. M., Kleinman J. C., Cornoni-Huntley J. National trends in educational differentials in mortality. Am J Epidemiol. 1989 May;129(5):919–933. doi: 10.1093/oxfordjournals.aje.a115225. [DOI] [PubMed] [Google Scholar]
  2. Fingerhut L. A., MaKuc D. M. Mortality among minority populations in the United States. Am J Public Health. 1992 Aug;82(8):1168–1170. doi: 10.2105/ajph.82.8.1168. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Kehrer B. H., Wolin C. M. Impact of income maintenance on low birth weight: evidence from the Gary Experiment. J Hum Resour. 1979 Fall;14(4):434–462. [PubMed] [Google Scholar]
  4. Keil J. E., Sutherland S. E., Knapp R. G., Tyroler H. A. Does equal socioeconomic status in black and white men mean equal risk of mortality? Am J Public Health. 1992 Aug;82(8):1133–1136. doi: 10.2105/ajph.82.8.1133. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Marmot M. G., McDowall M. E. Mortality decline and widening social inequalities. Lancet. 1986 Aug 2;2(8501):274–276. doi: 10.1016/s0140-6736(86)92085-4. [DOI] [PubMed] [Google Scholar]
  6. Marmot M. G., Smith G. D. Why are the Japanese living longer? BMJ. 1989 Dec 23;299(6715):1547–1551. doi: 10.1136/bmj.299.6715.1547. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Nelson M. D., Jr Socioeconomic status and childhood mortality in North Carolina. Am J Public Health. 1992 Aug;82(8):1131–1133. doi: 10.2105/ajph.82.8.1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Sen A. Public action and the quality of life in developing countries. Oxf Bull Econ Stat. 1981 Nov;43(4):287–319. doi: 10.1111/j.1468-0084.1981.mp43004001.x. [DOI] [PubMed] [Google Scholar]
  9. Slater C. H., Lorimor R. J., Lairson D. R. The independent contributions of socioeconomic status and health practices to health status. Prev Med. 1985 May;14(3):372–378. doi: 10.1016/0091-7435(85)90063-5. [DOI] [PubMed] [Google Scholar]
  10. Smith G. D., Bartley M., Blane D. The Black report on socioeconomic inequalities in health 10 years on. BMJ. 1990 Aug 18;301(6748):373–377. doi: 10.1136/bmj.301.6748.373. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Vågerö D., Lundberg O. Health inequalities in Britain and Sweden. Lancet. 1989 Jul 1;2(8653):35–36. doi: 10.1016/s0140-6736(89)90266-3. [DOI] [PubMed] [Google Scholar]
  12. Wilkinson R. G. Class mortality differentials, income distribution and trends in poverty 1921-1981. J Soc Policy. 1989 Jul;18(3):307–335. doi: 10.1017/s0047279400017591. [DOI] [PubMed] [Google Scholar]
  13. Wilkinson R. G. Income distribution and life expectancy. BMJ. 1992 Jan 18;304(6820):165–168. doi: 10.1136/bmj.304.6820.165. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES