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International Journal of Epidemiology 2002;31:538-543
© International Epidemiological Association 2002

Reprints and Reflections

Commentary: Liberty, fraternity, equality

Richard Wilkinson

Division of Public Health Sciences, University of Nottingham Medical School, Nottingham NG7 2UH, UK. E-mail: Richard.Wilkinson@Nottingham.ac.uk

The relationship between income inequality and health has been independently discovered several times by people who appeared not to know of each other's work.1,2 When I first published on the subject3 I too was unaware of Rodgers' paper4 until George Davey Smith pointed it out to me.

Rodgers introduced an income distribution term into his regressions simply to take account of the well-known curvature of the international relation between gross national product (GNP) per capita and life expectancy as countries go through the so-called epidemiological transition. In contrast, I came to the subject through an interest in health inequalities within Britain. While using occupational incomes and death rates to discover whether death rates were responsive to changes in incomes for which people were not self-selected,3,5 I also wanted to know whether the shape of the individual relation between income and mortality within Britain was linear or curvilinear. My interest in . . . [Full Text of this Article]

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