ArticleJournal of epidemiology and community health2003
Labour market income inequality and mortality in North American metropolitan areas.
Article in Journal of epidemiology and community health, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is income inequality a determinant of population health? Part 1. A systematic review.The Milbank quarterly · 2004Pooled it
- Heterogeneity in disparities by income in cardiovascular risk factors across 209 US metropolitan areas.Preventive medicine reports · 2024Article
- Racial residential segregation and economic disparity jointly exacerbate COVID-19 fatality in large American cities.Annals of the New York Academy of Sciences · 2021Article
- Examining the capacities of municipal governments to reduce health inequities: a survey of municipal actors' perceptions in Metro Vancouver.Canadian journal of public health = Revue canadienne de sante publique · 2013Article
- The joint influence of area income, income inequality, and immigrant density on adverse birth outcomes: a population-based study.BMC public health · 2009Article
- HIV prevalence rates among injection drug users in 96 large US metropolitan areas, 1992-2002.Journal of urban health : bulletin of the New York Academy of Medicine · 2009Article
- Self-rated health trajectories in the United States and the United Kingdom: a comparative study.American journal of public health · 2007Article
- Metropolitan income inequality and working-age mortality: a cross-sectional analysis using comparable data from five countries.Journal of urban health : bulletin of the New York Academy of Medicine · 2005Article
- Has the relation between income inequality and life expectancy disappeared? Evidence from Italy and top industrialised countries.Journal of epidemiology and community health · 2005Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate relations between labour market income inequality and mortality in North American metropolitan areas.
methodsAn ecological cross sectional study of relations between income inequality and working age (25-64 years) mortality in 53 Canadian (1991) and 282 US (1990) metropolitan areas using four measures of income inequality. Two labour market income concepts were used: labour market income for households with non-trivial attachment to the labour market and labour market income for all households, including those with zero and negative incomes. Relations were assessed with weighted and unweighted bivariate and multiple regression analyses.
resultsUS metropolitan areas were more unequal than their Canadian counterparts, across inequality measures and income concepts. The association between labour market income inequality and working age mortality was robust in the US to both the inequality measure and income concept, but the association was inconsistent in Canada. Three of four inequality measures were significantly related to mortality in Canada when households with zero and negative incomes were included. In North American models, increases in earnings inequality were associated with hypothetical increases in working age mortality rates of between 23 and 33 deaths per 100 000, even after adjustment for median metropolitan incomes.
conclusionsThis analysis of labour market inequality provides more evidence regarding the robust nature of the relation between income inequality and mortality in the US. It also provides a more refined understanding of the nature of the relation in Canada, pointing to the role of unemployment in generating Canadian metropolitan level health inequalities.
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