Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Public Health. 1998 Jul;88(7):1074-80.

Income inequality and mortality in metropolitan areas of the United States.

Author information

1
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor 48109-2029, USA.

Abstract

OBJECTIVES:

This study examined associations between income inequality and mortality in 282 US metropolitan areas.

METHODS:

Income inequality measures were calculated from the 1990 US Census. Mortality was calculated from National Center for Health Statistics data and modeled with weighted linear regressions of the log age-adjusted rate.

RESULTS:

Excess mortality between metropolitan areas with high and low income inequality ranged from 64.7 to 95.8 deaths per 100,000 depending on the inequality measure. In age-specific analyses, income inequality was most evident for infant mortality and for mortality between ages 15 and 64.

CONCLUSIONS:

Higher income inequality is associated with increased mortality at all per capita income levels. Areas with high income inequality and low average income had excess mortality of 139.8 deaths per 100,000 compared with areas with low inequality and high income. The magnitude of this mortality difference is comparable to the combined loss of life from lung cancer, diabetes, motor vehicle crashes, human immunodeficiency virus (HIV) infection, suicide, and homicide in 1995. Given the mortality burden associated with income inequality, public and private sector initiatives to reduce economic inequalities should be a high priority.

PMID:
9663157
PMCID:
PMC1508263
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Support Center