Evidence map›Paper›PMID 17901426›Full record

ArticleAmerican journal of public health2008

Income inequality and socioeconomic gradients in mortality.

Richard G Wilkinson, Kate E Pickett

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in American journal of public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03436706 (Pre-adolescent Stress and Health Study), which is not on this map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
–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.

NCT03436706 withdrawnnot on this mapstarted 2019, after this paper: background citation

Pre-adolescent Stress and Health Study

TypeobservationalSponsorPenn State UniversityRan2019 to 2024Enrolled0ConditionsStressArmsexposure
3 · Its place in the literature

Who cites it

60 citing papers in PubMed.

  1. Article
  2. Article
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  4. Observational
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  14. Communities for Wellness Equity: Implementing a Partnered Symposium to Identify Social Determinants of Health Priorities.Progress in community health partnerships : research, education, and action · 2022
    Article
  15. Article
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  17. Article
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  19. Review
  20. Can Health Disparity Be Eliminated? The Role of Family Doctor Played in Shanghai, China.International journal of environmental research and public health · 2020
    Article
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

2 authors.

Richard G WilkinsonDivision of Epidemiology and Public Health, University of Nottingham Medical School, Nottingham NG7 2UH, UK. richard.wilkinson@nottingham.ac.uk
Kate E Pickett

Funding

Department of Health CSA/03/07/014
6 · The paper itself

Abstract

objectivesWe investigated whether the processes underlying the association between income inequality and population health are related to those responsible for the socioeconomic gradient in health and whether health disparities are smaller when income differences are narrower.

methodsWe used multilevel models in a regression analysis of 10 age- and cause-specific US county mortality rates on county median household incomes and on state income inequality. We assessed whether mortality rates more closely related to county income were also more closely related to state income inequality. We also compared mortality gradients in more- and less-equal states.

resultsMortality rates more strongly associated with county income were more strongly associated with state income inequality: across all mortality rates, r= -0.81; P=.004. The effect of state income inequality on the socioeconomic gradient in health varied by cause of death, but greater equality usually benefited both wealthier and poorer counties.

conclusionsAlthough mortality rates with steep socioeconomic gradients were more sensitive to income distribution than were rates with flatter gradients, narrower income differences benefit people in both wealthy and poor areas and may, paradoxically, do little to reduce health disparities.

Indexed as

Health Services AccessibilityHealth Status DisparitiesIncomePovertyAdultCross-Sectional StudiesHealth Services Needs and DemandHumansMiddle AgedMortalityPublic HealthRegression AnalysisSocial MarketingSocioeconomic FactorsUnited States

Identifiers

PMID17901426
PMCPMC2376999

What OpenQuestion holds

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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.