ArticleJournal of epidemiology and community health1998
A higher prevalence of health problems in low income groups: does it reflect relative deprivation?
Article in Journal of epidemiology and community health, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Coronary artery bypass graft surgery: socioeconomic inequalities in access and in 30 day mortality. A population-based study in Rome, Italy.Journal of epidemiology and community health · 2000Trial
- Reconsidering the context in the relationship between material deprivation and self-rated health among older people in Italy.PloS one · 2026Article
- Prevalence of self-reported symptoms of diabetic autonomic dysfunction in the North Denmark Region: a population-based survey.Acta diabetologica · 2025Article
- Using Social Media Platforms to Raise Health Awareness and Increase Health Education in Pakistan: Structural Equation Modeling Analysis and Questionnaire Study.JMIR human factors · 2025Article
- Health inequalities for China's low-income population: trends, subgroup differences, and influencing factors, 2010-2022.Frontiers in public health · 2025Article
- Article
- Reach of Individuals at Risk for Cardiovascular Disease by Proactive Recruitment Strategies in General Practices, Job Centers, and Health Insurance.International journal of behavioral medicine · 2017Article
- Socioeconomic inequalities in current daily smoking in five Turkish regions.International journal of public health · 2014Article
- Financial hardship and self-rated health among low-income housing residents.Health education & behavior : the official publication of the Society for Public Health Education · 2013Article
- Beyond income: material resources among drug users in economically-disadvantaged New York City neighborhoods.Drug and alcohol dependence · 2012Article
- Income or living standard and health in Germany: different ways of measurement of relative poverty with regard to self-rated health.International journal of public health · 2011Article
- The social determinants of child health: variations across health outcomes - a population-based cross-sectional analysis.BMC pediatrics · 2009Article
- Upstream solutions: does the supplemental security income program reduce disability in the elderly?The Milbank quarterly · 2008Article
- Giving everyone the health of the educated: an examination of whether social change would save more lives than medical advances.American journal of public health · 2007Article
- When home is where the stress is: expanding the dimensions of housing that influence asthma morbidity.Archives of disease in childhood · 2006Review
- Income as mediator of the effect of occupation on the risk of myocardial infarction: does the income measurement matter?Journal of epidemiology and community health · 2005Article
- Socioeconomic position and self-rated health: the contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources.American journal of public health · 2005Article
- Reports of financial disability predict functional decline and death in older patients discharged from the hospital.Journal of general internal medicine · 2005Article
- Trends in socioeconomic health inequalities in the Netherlands, 1981-1999.Journal of epidemiology and community health · 2002Article
- The socioeconomic status of older adults: how should we measure it in studies of health inequalities?Journal of epidemiology and community health · 2001Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveAlthough it has frequently been suggested that income affects health, there is hardly any research in which this issue has been explored directly. The aim of this study was, firstly, to examine whether income is independently associated with health, secondly, to assess the extent to which this association reflects high levels of deprivation in low income groups, and thirdly, to examine which specific components of deprivation contribute most to the link between income and health. Health indicators used were the prevalence of chronic conditions, health complaints and less than "good" perceived general health.
settingRegion in the south east of the Netherlands.
participantsA population of 2567 men and women who participated in an oral interview, aged 15-74.
designData were obtained from the baseline of a prospective cohort study aimed at the explanation of socioeconomic inequalities in health.
resultsLarge inequalities in health by (equivalent) income after differences in other socioeconomic indicators had been controlled for were observed. For example, among those in the lowest income group the risk of bad perceived health was three times as high as among people in the highest income group. The prevalence of deprivation (basic, housing, social) increased with decreasing income to approximately 50-60% in the lowest income group. A substantial part of the increased health risks of the lowest income groups could statistically be accounted for by the higher prevalence of deprivation in these groups. The components that are likely to influence health indirectly, through a psychological or behavioural mechanism, accounted for most of the effect.
conclusionsThese analyses provide evidence to suggest that a low income has detrimental health effects through relative deprivation. Moreover, the results indicate an indirect link between deprivation and health problems involving psychological or behavioural factors.
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