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International Journal of Epidemiology 2002;31:546-549
© International Epidemiological Association 2002


Reprints and Reflections

Commentary: The convoluted story of international studies of inequality and health

Angus Deaton

Center for Health and Wellbeing, Woodrow Wilson School, Princeton University, Princeton, NJ 08544, USA. E-mail: deaton@princeton.edu

Content and context

Rodgers' paper on income inequality as a determinant of population health starts, like so much else, from Preston's paper on international patterns of income and health, published in the same journal four years previously.1,2 Preston showed that life expectancy increased with income across countries, but at a rate that became progressively lower as income increased— there are diminishing health returns to income—and noted that, if similar relationships between income and health held within countries, a country with a more equal distribution of income would have higher life expectancy, other things being equal. Rodgers tested Preston's conjecture using a sample of 56 (unnamed) developed and developing countries, and found, indeed, that the Gini coefficient of income inequality had a significant negative effect in a (non-linear) relationship between average income and life expectancy (and infant mortality). In the life-expectancy regressions, the coefficient on the Gini coefficient varied with the specification, but was . . . [Full Text of this Article]

Data problems: are the results reliable?

Was Rodgers wrong? Where to from here?

References


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