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International Journal of Epidemiology 2002;31:549-551
© International Epidemiological Association 2002


Reprints and Reflections

Commentary: Income inequality and health: The end of the story?

John Lyncha and George Davey Smithb

a Department of Epidemiology and Institute for Social Research, University of Michigan, 109 Observatory Street, Ann Arbor, MI 48109–2029, USA.
b Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK.

Over the last 10 years, there are few issues that have captured the imagination of public health researchers and advocates, as has the question, whether income inequality drives population health. This was indeed a ‘big idea‘1 that attracted contributions from scholars motivated by the humanitarian potential of showing how health could be improved through greater equity and social justice.2 The question facing us now is whether this idea has had its 15 minutes of academic fame? Our own work3 and several papers recently published in the British Medical Journal prompted an editorial comment by Johan Mackenbach that ‘... evidence for a correlation between income inequality and the health of the population is slowly dissipating‘.4

It is therefore timely, that the International Journal of Epidemiology has revisited Rodgers' study5 as it was the first to directly examine links between income distribution and health, although these . . . [Full Text of this Article]

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