Evidence map›Paper›PMID 15016244›Full record

SynthesisThe Milbank quarterly2004

Is income inequality a determinant of population health? Part 1. A systematic review.

John Lynch, George Davey Smith, Sam Harper, Marianne Hillemeier, Nancy Ross, George A Kaplan, Michael Wolfson

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in The Milbank quarterly, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04107506 (RCT of FIND Video Coaching Intervention for Caregivers Facing Economic Adversity), which is not on this map. Cited by 221 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
221citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04107506 nacompletednot on this mapstarted 2019, after this paper: background citation

RCT of FIND Video Coaching Intervention for Caregivers Facing Economic Adversity

TypeinterventionalSponsorUniversity of OregonRan2019 to 2025Enrolled160ConditionsChild Behavior, Parent-Child RelationsArmsFilming Interactions to Nurture Development, The Healthy Toddler Program
3 · Its place in the literature

Who cites it

221 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Trial
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  11. IGEMS: The Consortium on Interplay of Genes and Environment Across Multiple Studies - An Update.Twin research and human genetics : the official journal of the International Society for Twin Studies · 2019
    Trial
  12. Internet use, browsing, and the urban poor: implications for cancer control.Journal of the National Cancer Institute. Monographs · 2013
    Trial
  13. Racial Climate on Willingness to Participate in Clinical Research.Journal of racial and ethnic health disparities · 2026
    Article
  14. Article
  15. Article
  16. Income inequality and life expectancy in Canada: New evidence from province-level panel regression, 1996-2019.Canadian journal of public health = Revue canadienne de sante publique · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Article

161 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John LynchCenter for Social Epidemiology and Population Health, University of Michigan, Ann Arbor, 48104-2548, USA. jwlynch@umich.edu
George Davey Smith
Sam Harper
Marianne Hillemeier
Nancy Ross
George A Kaplan
Michael Wolfson

Funding

PHS HHS S1091
6 · The paper itself

Abstract

This article reviews 98 aggregate and multilevel studies examining the associations between income inequality and health. Overall, there seems to be little support for the idea that income inequality is a major, generalizable determinant of population health differences within or between rich countries. Income inequality may, however, directly influence some health outcomes, such as homicide in some contexts. The strongest evidence for direct health effects is among states in the United States, but even that is somewhat mixed. Despite little support for a direct effect of income inequality on health per se, reducing income inequality by raising the incomes of the most disadvantaged will improve their health, help reduce health inequalities, and generally improve population health.

Indexed as

Health StatusIncomeMortalityPopulation SurveillanceAgedDeveloped CountriesGlobal HealthHumansLife ExpectancyMiddle AgedPovertySocioeconomic FactorsUnited States

Identifiers

PMID15016244
PMCPMC2690209

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.