ArticleBMC public health2025
Estimating mechanisms linking relative income to self-rated health by multilevel modeling: the moderating role of healthcare access and quality index.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed.
- Cross-Lagged Associations Between Spiritual-Religious Support and Subjective Health Across 23 Societies: Cross-Level Moderation by Healthcare Access and Quality.Journal of religion and health · 2026Article
- The relationship between social risk profile of middle-aged and older adults in the united States and circadian syndrome and all-cause mortality: evidence from NHANES 2007-2018.BMC public health · 2025Article
- Patterns of trust and subjective well-being across societies: the role of long-term versus short-term orientation.BMC psychology · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Income-health gradients vary in societies with diverse cultures and healthcare access levels, and generalized trust in unknown resources of health services may play a crucial role in these gradients. Multilevel models using a sample of 152,501 respondents from 89 societies are conducted to investigate the mediation effect of generalized trust in the correlation between relative income and self-rated health globally, and the moderating role of healthcare access in the association between relative income and self-rated health. Results show that individuals' relative income significantly and positively predicts their generalized trust, which in turn significantly and positively predicts their self-rated health. In countries and regions with higher levels of healthcare access and quality, a higher level of relative income is positively correlated with increased self-rated health. This study theoretically contributes to the literature on income-health relationships by capturing medical resource access and individual characteristics. Specific policy recommendations include fostering generalized trust, improving healthcare education, and expanding telemedicine.
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Registered trials
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