ArticleLancet regional health. Americas2021
Income inequality and non-communicable disease mortality and morbidity in Brazil States: a longitudinal analysis 2002-2017.
Article in Lancet regional health. Americas, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Delayed Diagnosis and Missed Opportunities for Early Autism Identification in Brazil: An Exploratory Scoping Review.Children (Basel, Switzerland) · 2026Review
- Neighborhood factors and the geography of type 2 diabetes in Malaysia: an ecological based geospatial modelling study.BMC public health · 2026Article
- Type 2 diabetes morbidity, mortality and its associated risk factors across Brazilian regions: findings from the Global Burden of Disease Study 2021.Archives of endocrinology and metabolism · 2026Article
- Effects of social determinants of health on the landscape of kidney disease.Nature reviews. Nephrology · 2026Review
- Associations of Socioeconomic Status With Cardiorenal Metabolic Multimorbidity: Evidence From the UK Biobank Cohort.JACC. Advances · 2026Article
- HUCSR-Net: Automated Pulmonary Embolism Detection Using 3D Deep Learning.F1000Research · 2026Article
- Cross-national disparities in non-communicable disease: a universal health coverage-based service coverage index perspective, 2000-2021.Frontiers in public health · 2026Article
- Article
- Understanding economic disparities in elderly health outcomes: a decomposition analysis in Bankura district.BMC public health · 2025Article
- Socioeconomic determinants of low birth weight and its association with peripubertal obesity in Brazil.Frontiers in public health · 2025Article
- Economic and healthcare influences on circulatory diseases in Kazakhstan: a retrospective ecological study.Journal of health, population, and nutrition · 2024Article
- Association ofCurrent issues in molecular biology · 2024Article
- More than a communication disorder: inequities in the financial toxicity of post-stroke aphasia.Frontiers in stroke · 2024Article
- Behavioral and metabolic risk factors associated with periodontitis in Brazil, 1990-2019: a multidimensional analysis for the Global Burden of Disease Study 2019.Clinical oral investigations · 2023Article
- Editorial: Diet quality, socioeconomic differences, and health disparities.Frontiers in nutrition · 2023Article
- Article
- Analysing the impact of modifiable risk factors on cardiovascular disease mortality in Brazil.PloS one · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Income inequality can negatively affect population health by increasing social stress and conflict, and reducing trust, public goods and healthcare access. However there is limited evidence from low and middle-income countries (LMICs) with high levels of inequality. This study investigates the association between income inequality, morbimortality and risk factors of non-communicable diseases (NCDs) in 26 Brazilian states from 2002 to 2017. Methods: Data was acquired for men and women from the Global Health Data Exchange, the Brazilian Institute of Geography and Statistics, and the Brazilian Ministry of Health, totalling 416 state-year observations. Disability-adjusted life years (DALYs) and risk factors of NCDs were the dependent variables. Gini Index was the main independent variable. Multivariate linear panel regressions were performed, controlling for state and time fixed effects, gross domestic product per capita, population ageing, poverty and access to healthcare. Findings: A 1% increase in the Gini Index was associated with increases in alcohol abuse (of 923•4 DALYs per 100,000 people, 95%CI 217•6 to 1629•0) and diabetes mellitus morbidity (of 893•3 DALYs per 100,000 people, 95%CI 127•7 to 1659•0), and decreases in morbidity from attention disorder (of -4•0 DALYs per 100,000 people, 95%CI -7•4 to -0•5) and autism spectrum (of -2•4 DALYs per 100,000 people, 95%CI -4•3 to -0•5). These associations were greater for men, further supported by associations with alcohol use as a risk factor. Interpretation: This study provides evidence from a highly unequal LMIC, Brazil, of negative associations between income inequality and NCDs, and the importance of addressing wider social determinants of health. Funding: This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brazil (CAPES) - Finance Code 001 as a Brazilian CAPES scholarship to AZD and by the São Paulo Research Foundation (FAPESP), grant 2020/15944-8 to RSG.
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