ArticleJournal of epidemiology and community health2004
The politics of preventable deaths: local spending, income inequality, and premature mortality in US cities.
Article in Journal of epidemiology and community health, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between income inequality and adult mental health at the subnational level-a systematic review.Social psychiatry and psychiatric epidemiology · 2022Pooled it
- Florida Health and Health Care: A Status Report.Southern medical journal · 2026Review
- Unincorporation in counties as a political determinant of health: An exploration of five states.SSM - population health · 2024Article
- Heterogenous Effects of Local Government Spending on Mortality Across Racial Groups Among Working-Age Adults in the U.S.AJPM focus · 2023Article
- Local Welfare Systems and Health Inequalities: The Effects of Institutional Overlapping and Local Variations.International journal of environmental research and public health · 2022Article
- Social Spending and Educational Gaps in Infant Health in the United States, 1998-2017.Demography · 2022Article
- Inequality in physical activity, global trends by income inequality and gender in adults.The international journal of behavioral nutrition and physical activity · 2020Article
- Inequality within a community at the neighborhood level and the incidence of mood disorders in Japan: a multilevel analysis.Social psychiatry and psychiatric epidemiology · 2019Article
- The Contribution of Health Care and Other Interventions to Black-White Disparities in Life Expectancy, 1980-2007.Population research and policy review · 2014Article
- Racial segregation, income inequality, and mortality in US metropolitan areas.Journal of urban health : bulletin of the New York Academy of Medicine · 2011Article
- Income inequality, trust, and population health in 33 countries.American journal of public health · 2010Article
- Maternal social support and neighborhood income inequality as predictors of low birth weight and preterm birth outcome disparities: analysis of South Carolina Pregnancy Risk Assessment and Monitoring System survey, 2000-2003.Maternal and child health journal · 2010Article
- Mapping and measuring social disparities in premature mortality: the impact of census tract poverty within and across Boston neighborhoods, 1999-2001.Journal of urban health : bulletin of the New York Academy of Medicine · 2006Article
- Income distribution, public services expenditures, and all cause mortality in US States.Journal of epidemiology and community health · 2005Article
- County Health Factors Associated with Avoidable Deaths from Cardiovascular Disease in the United States, 2006-2010.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveTo examine the association between (1) local political party, (2) urban policies, measured by spending on local programmes, and (3) income inequality with premature mortality in large US cities.
designCross sectional ecological study. OUTCOME MEASURES: All cause death rates and death rates attributable to preventable or immediate causes for people under age 75. PREDICTOR MEASURES: Income inequality, city spending, and social factors.
settingAll central cities in the US with population equal to or greater than 100 000.
resultsIncome inequality is the most significant social variable associated with preventable or immediate death rates, and the relation is very strong: a unit increase in the Gini coefficient is associated with 37% higher death rates. Spending on police is associated with 23% higher preventable death rates compared with 14% lower death rates in cities with high spending on roads.
conclusionsCities with high income inequality and poverty are so far unable to reduce their mortality through local expenditures on public goods, regardless of the mayoral party. Longitudinal data are necessary to determine if city spending on social programmes reduces mortality over time.
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