Three Essays on Inequalities in Income and Health


Book Description

This dissertation considers several aspects of the distribution of income and income inequality. It does so by improving estimates of inequality between demographic groups, analyzing factors contributing to US income inequality trends, and estimating the impact of income on health outcomes for individuals in the lower tail of the income distribution. Most empirical studies of earnings and income inequality across demographic groups are based on data from the public use March CPS. However, censoring of high incomes in this data prevent researchers from observing the full distribution. The first essay uses internal CPS data to illustrate how topcoding results in the understatement of income and earnings gaps between men and women, Blacks and Whites, and people with and without disabilities. It also demonstrates how a new series of mean incomes for topcoded observations can be used in conjunction with public use CPS data to closely approximate these internal results. The second essay considers the factors accounting for trends in household income inequality. Using a shift-share approach, this essay analyzes whether income inequality shifts are accounted for by male and female earnings distribution changes or by changing household characteristics. It illustrates that the factors contributing to the rapid rise in household income inequality in the 1970s and 1980s differ substantially from those contributing to slower increases in the 1990s. In contrast to findings for the 1970s and 1980s, in more recent years increases in male earnings inequality largely account for household income inequality trends while declines in the correlation of spouses' earnings have mitigated household income inequality growth. The final essay shifts from considering income inequality to the impact that income has on the health of low income individuals. Health economists have long observed a positive relationship between health and income but the reason for this relationship is unclear. Using exogenous variation in income from state-level differences in the Earned Income Tax Credit, it observes the impact on morbidity of an exogenous increase in income for low income individuals. The results find only weak evidence that the increases in income result in improvements in self-reported health status or the prevalence of functional limitations.




Unequal Health


Book Description

Unequal Health contrasts popular beliefs about the relevance of such factors as sex, race, poverty, and health habits with research on those factors reported in the scientific literature. While the scientific research has burgeoned in recent years, the results are upsetting some firmly fixed beliefs regarding what people can or should do to improve their health.




Unhealthy Societies


Book Description

Book and author to be featured on Channel 4 Equinox series Author is well-known in his field internationally Breaks new ground by explaining the relationship between equality and health Argues that the amount of income equality in a society is a powerful determinant of its average life expectancy - controversial PUBLICITY TITLE










The Impact of Inequality


Book Description

In this book, pioneering social epidemiologist Richard Wilkinson, shows how inequality affects social relations and well-being. In wealthy countries, health is not simply a matter of material circumstances and access to health care; it is also how your relationships and social standing make you feel about life. Using detailed evidence from rich market democracies, the book addresses people’s experience of inequality and presents a radical theory of the psychosocial impact of class stratification. The book demonstrates how poor health, high rates of violence and low levels of social capital all reflect the stresses of inequality and explains the pervasive sense that, despite material success, our societies are sometimes social failures. What emerges is a new conception of what it means to say that we are social beings and of how the social structure penetrates our personal lives and relationships.




Health and the Income Inequality Hypothesis


Book Description

Few would take exception to the proposition that an improvement in the material well-being of the poor would enhance not only their living standards but their health as well. A number of influential recent studies, however, purport to show that inequality in income -- not poverty per se -- is bad for people's health. This "inequality hypothesis" is meant to apply to everyone, regardless of wealth or social standing, and predicts that the risk of illness depends upon whether one lives in a society that is stratified or egalitarian. Thus, according to this hypothesis, while the poor may suffer the most from inequality, the better off and even the rich suffer as well. The enthusiasm many researchers and observers feel for this theory goes well beyond what might be justified by the evidence. The inequality hypothesis too often relies upon limited or unrepresentative data, hazily expounded causality, elementary econometric fallacies, and results that cannot be replicated. A very persuasive (although less publicly heralded) body of scholarship that challenges the inequality hypothesis is currently emerging. For example, by controlling for relevant variables -- such as household income, maternal characteristics, education, and race -- the relationship between income inequality and the health of infants and adults diminishes or disappears completely. This strongly suggests that income distribution is far less powerful a determinant of population health than the inequality hypothesis holds. Book jacket.










Inequalities in Health


Book Description

Which inequalities in longevity and health among individuals, groups, and nations are unfair? And what priority should health policy attach to narrowing them? These essays by philosophers, economists, epidemiologists, and physicians attempt to determine how health inequalities should be conceptualized, measured, ranked, and evaluated.