IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2013.301496_0.html
   My bibliography  Save this article

Income inequality and mortality: Results from a longitudinal study of older residents of São Paulo, Brazil

Author

Listed:
  • Pabayo, R.
  • Chiavegatto Filho, A.D.P.
  • Lebrão, M.L.
  • Kawachi, I.

Abstract

Objectives. We determined whether community-level income inequality was associated with mortality among a cohort of older adults in São Paulo, Brazil. Methods. We analyzed the Health, Well-Being, and Aging (SABE) survey, a sample of community-dwelling older adults in São Paulo (2000-2007).We used survival analysis to examine the relationship between income inequality and risk for mortality among older individuals living in 49 districts of São Paulo. Results. Compared with individuals living in the most equal districts (lowest Gini quintile), rates of mortality were higher for those living in the second (adjusted hazard ratio [AHR] = 1.44, 95% confidence interval [CI] = 0.87, 2.41), third (AHR = 1.96, 95% CI = 1.20, 3.20), fourth (AHR = 1.34, 95% CI = 0.81, 2.20), and fifth quintile (AHR = 1.74, 95% CI = 1.10, 2.74). When we imputed missing data and used poststratification weights, the adjusted hazard ratios for quintiles 2 through 5 were 1.72 (95% CI = 1.13, 2.63), 1.41 (95% CI = 0.99, 2.05), 1.13 (95% = 0.75, 1.70) and 1.30 (95% CI = 0.90, 1.89), respectively. Conclusions. We did not find a dose-response relationship between area-level income inequality and mortality. Our findings could be consistent with either a threshold association of income inequality and mortality or little overall association.

Suggested Citation

  • Pabayo, R. & Chiavegatto Filho, A.D.P. & Lebrão, M.L. & Kawachi, I., 2013. "Income inequality and mortality: Results from a longitudinal study of older residents of São Paulo, Brazil," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 43-49.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301496_0
    DOI: 10.2105/AJPH.2013.301496
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2013.301496
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2013.301496?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Plümper, Thomas & Neumayer, Eric, 2014. "Income Inequality, Redistribution and their Effect on Inequality in Longevity," CAGE Online Working Paper Series 210, Competitive Advantage in the Global Economy (CAGE).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301496_0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.