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Do Economic Inequalities Harm Health? Evidence from Europe

By Jean-Michel Etienne, Ali Skalli and Ioannis Theodossiou


Until recently, there has been a consensus among empirical health economists that there is an association between income inequality and individual health, in line with Wilkinson’s (1992) idea that the psychosocial effects of the former are detrimental to the latter. However, using US data, Mellor and Milyo (2002) (MM) found no evidence of such association and claimed that the previously reported results are statistical artefacts, arising from the use of aggregate data. This paper uses the European Community Household Panel (ECHP) to check the robustness of MM results. It replicates the MM methodology to assess the effect of country-level income inequality on individuals’ health. It is shown that income inequality, whether measured at the regional or the national level, systematically harms individuals’ health, regardless of their positions in the income distribution. The results are also robust to a number of aspects MM do not account for. First, random effect models are estimated to account for unobserved heterogeneity. Second, self-assessed and objective measures of health status are also considered. Third, besides the traditional aggregate measures of income inequality, a further measure is constructed reflecting first, how unequal the distribution is and second the relative position of individuals in the income distribution of their own country

Topics: Income inequality, individual health status, Income Inequality Hypothesis
Year: 2007
OAI identifier:

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  1. (2000). Adult life experi e n c e s and health in early old age in Great Britai n , doi
  2. (2000). Adult life experiences and health in early old age in doi
  3. (1999). Aggr eg a t i o n and the Measure me n t of Income Inequa l i t y : Effect s on Morbidi t y ,
  4. (1999). Aggregation and the Measurement of Income Inequality: doi
  5. (1998). Are Geographic Regions with High Income Inequali t y Associat e d with Risk of Abdomin a l Weight Gain? doi
  6. (2000). Are recess i o n s good for your health? doi
  7. (2000). Are recessions good for your health?, doi
  8. (2005). Are the Healthier Wealthier or the Other Way Around?,
  9. (2002). Chri st e n s e n
  10. (1995). Commentary: Mistaken Criticisms Ignore Overwhelming Evidence, doi
  11. (2000). Deter mi n a n t s of health outco me s in industr i a l i s e d countr i e s : A pooled, crossc o u n t r y , time-s e r i e s analys i s ,
  12. (2000). Determinants of health outcomes in industrialised countries: A pooled, crosscountry, time-series analysis,
  13. (1996). Does the Variation in the Socioe c o n omi c Chara c t e r i st i c s of an Area Affec t Morta l i t y,
  14. (1996). Does the Variation in the Socioeconomic Characteristics of an Area Affect Mortality, doi
  15. (2000). Doorsl a e r
  16. (1991). Doorslae r
  17. (2002). Educa t i o n , income inequ a l i t y , and mortal i t y : a multip l e regres si o n analy si s ,
  18. (2002). Education, income inequality, and mortality: a multiple regression analysis, doi
  19. (2002). Epidemiologic evidence for the relati o n betwee n socioe c o n o mi c stat us and depress i o n , obesit y , and diabete s ,
  20. (2002). Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes, doi
  21. (2000). Equity in Health Care Finance and Delivery, doi
  22. Gr esenz (2002), Relations of income inequal i t y and fa mily income to chronic medica l condit i o n s and mental health disorders: national survey,
  23. (2000). Grobbee doi
  24. (1999). Health y bodies and thick wa llets : the dual relatio n between health and econo mi c statu s ,
  25. (1999). Healthy bodies and thick wallets: the dual relation between health and economic status, doi
  26. (2003). Healthy, wealthy, and wise? Tests for direct causal paths between health and socioeconomic status, doi
  27. (1998). How much of the rela ti o n betwee n popula t i o n mortal i t y and unequa l distri b u t i o n of income is a stat i st i c al arte fa ct?
  28. (1998). How much of the relation between population mortality and unequal distribution of income is a statistical artefact? doi
  29. (2000). Humph r i e s
  30. (1999). Income and he alth: What is the nature of the relationship? doi
  31. (1999). Income and health: What is the nature of the relationship?, doi
  32. (1979). Income and Inequal i t y as determi n a n t s of mort ali t y : an interna t i o n a l cross - s e c t i on analy si s ,
  33. (1979). Income and Inequality as determinants of mortality: an international cross-section analysis, doi
  34. (1992). Income Di stribution and Infant Mortality,
  35. (1992). Income Distri b u t i o n and Life Expect a n c y ,
  36. (1992). Income Distribution and Infant Mortality,
  37. (1992). Income Distribution and Life Expectancy, doi
  38. (1998). Income Inequa l i t y and Mortali t y in Metropo l i t a n Areas of the United States , doi
  39. (2002). Income Inequality and Health Status in the United States: Evidence from the Current Population Survey, doi
  40. (2002). Income inequality, individual income, and mortality in Danish adults: analysis of pooled data from two cohort studies, doi
  41. (1997). Income Related Inequalities in Health: Some International Comparisons, doi
  42. (2000). Income-related health inequality in Canada, doi
  43. (2000). Indivi d u a l Income , Income Inequal i t y , Health and Mortal i t y : What are the Relat i o ns h i p s ? ,
  44. (2002). Individual Income , in come distri b u t i o n , and self rated healt h in Japan : cross secti o n al analy s i s of natio n a l l y repres e n t at i v e sampl e ,
  45. (2002). Individual Income, income distribution, and self rated health in Japan: cross sectional analysis of nationally representative sample, doi
  46. (2000). Individual Income, Income Inequality, Health and Mortality: What are the Relationships?, doi
  47. (1997). Inequa l i t y , Deprivat i o n and Alcohol Use,
  48. (1996). Inequa l i t y in income and Mortal i t y in the United States : An alys i s of Mortal i t y and Poten t i al pathw ay s ,
  49. (1987). Inequalities in H ealt h : Some Inter n a t i o n a l Compa r i s o n s ,
  50. (1987). Inequalities in Health : doi
  51. (1999). Inequality and Infant Health, mimeo,
  52. (1999). Inequality and Infant Health, mimeo, Harvard Universi t y .
  53. (1996). Inequality in income and Mortality in the United States: Analysis of Mortality and Potential pathways, doi
  54. (1992). Inequality Re-examined , Oxford Univer si t y
  55. (1992). Inequality Re-examined, doi
  56. (1997). Inequality, Deprivation and Alcohol Use, doi
  57. (1993). Infant Mortali t y , Public Polic y and Inequ a l i t y- A Compa r i s o n of 18 Industrialized Countries,
  58. (1993). Infant Mortality, Public Policy and doi
  59. (1997). Kenned y
  60. (2002). M e l l o r doi
  61. (2000). Mackenb a c h doi
  62. Merr il l and T. Ribeir o (2003) , Healt h y , wealt h y , and wise? Tests for direct causal paths be twe e n healt h and socioe c o n o mi c statu s ,
  63. (1994). Morta l i t y by indica t o r s of socio e c o no mi c status among the Finni s h elderl y ,
  64. (2004). Mortalité et inégalités de revenu en France , DELTA working paper #32. doi
  65. (2004). Mortalité et inégalités de revenu en France, doi
  66. (1994). Mortality by indicators of socioeconomic status among the Finnish elderly, doi
  67. (2001). Mortality, E ducatio n , Income a nd Inequal i t y among Americ a n cohort s ,
  68. (1997). O’Donne l l
  69. (1972). On the concept of he alth capital and the dema nd for health.
  70. (1972). On the concept of health capital and the demand for health. doi
  71. (1991). On the measurement of inequalities in health, doi
  72. (1997). Prothro w - S t i t h doi
  73. (1999). Re-examining the Ecological Association between Income inequa l i t y and
  74. (1999). Re-examining the Ecological Association between Income inequality and Health”, manuscript (The College of William and Mary).
  75. (2002). Relations of income inequality and family income to chronic medical conditions and mental health disorders: national survey, doi
  76. (2003). Revenu et Mortalité: Analys e économique des inégalités sociales de santé en France , PhD dissert a t i o n ,
  77. (2003). Revenu et Mortalité: Analyse économique des inégalités sociales de santé en France, doi
  78. (1998). Social Capit a l , Inco me Inequ a l i t y and Firea r m Viole n t Crime s ,
  79. (1998). Social Conditions and SelfMa n a g e me n t Are More Powerfu l Indica t or s of Health Than Access To Care,
  80. (1998). Social Conditions and SelfManagement Are More Powerful Indicators of Health Than Access To Care,
  81. (1997). Socioeconomic determinants of health: Health and social cohesion: Why care about income inequality?, doi
  82. (2002). Standar d indicat o r s of de privat i o n : do they disadvan t a g e older people?
  83. (2002). Standard indicators of deprivation: do they disadvantage older people?, doi
  84. (2004). Status Synndrome , London , Blooms b u r y .
  85. (2004). Status Synndrome,
  86. (1992). The determi n a n t s and effects of he alth expendi t u r e in develop e d countr i e s .
  87. (1992). The determinants and effects of health expenditure in developed countries. doi
  88. (1997). Theodo s s i o u and E. Johans s o
  89. (1996). Unheal t h y Societ i e s : The Afflicti o n of Inequali t y , London: Routle d g e .
  90. (1996). Unhealthy Societies: The Affliction of Inequality, doi
  91. (1995). Wilki n s o n

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