IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v61y2005i6p1174-1188.html
   My bibliography  Save this article

Individual socio-economic status, community socio-economic status and stroke in New Zealand: A case control study

Author

Listed:
  • Brown, Paul
  • Guy, Melody
  • Broad, Joanna

Abstract

There is considerable debate about the association between individual socio-economic status, community socio-economic status and health. The current study examines individual data from a case-control study of stroke (n=3489) conducted in Auckland, New Zealand. The study sought to identify whether individual socio-economic status (as measured by income from lifetime occupation) and community socio-economic status (measured in a number of ways) predicts the onset of stroke both independently and after controlling for individual risk factors (e.g., smoking, obesity and hypertension). Logistic regression results show that individual socio-economic status and all of the community socio-economic status measures predict the onset of stroke before controlling for individual risk factors. However, there is a high correlation between the various measures of community socio-economic status. Stepwise regression results suggest that average household income is the measure of community-level socio-economic status with the greatest predictive power. The results suggest that individual income and average household income are significant predictors of onset of stroke both independently and after controlling for behavioural and medical risk factors. Logistic regression analysis of the pathway suggests that individual income is a significant predictor of smoking and obesity, and that community socio-economic status is a significant predictor of heart disease, heavy drinking, diabetes, smoking and obesity.

Suggested Citation

  • Brown, Paul & Guy, Melody & Broad, Joanna, 2005. "Individual socio-economic status, community socio-economic status and stroke in New Zealand: A case control study," Social Science & Medicine, Elsevier, vol. 61(6), pages 1174-1188, September.
  • Handle: RePEc:eee:socmed:v:61:y:2005:i:6:p:1174-1188
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(05)00077-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Soobader, Mah-Jabeen & LeClere, Felicia B., 1999. "Aggregation and the measurement of income inequality: effects on morbidity," Social Science & Medicine, Elsevier, vol. 48(6), pages 733-744, March.
    2. repec:bla:econom:v:59:y:1992:i:233:p:1-16 is not listed on IDEAS
    3. Angus Deaton, 2001. "Relative Deprivation, Inequality, and Mortality," NBER Working Papers 8099, National Bureau of Economic Research, Inc.
    4. Gold, R. & Connell, Frederick A. & Heagerty, Patrick & Bezruchka, Stephen & Davis, Robert & Cawthon, Mary Lawrence, 2004. "Income inequality and pregnancy spacing," Social Science & Medicine, Elsevier, vol. 59(6), pages 1117-1126, September.
    5. repec:pri:cheawb:deaton_relative_deprivation.pdf is not listed on IDEAS
    6. Diez-Roux, Ana V. & Link, Bruce G. & Northridge, Mary E., 2000. "A multilevel analysis of income inequality and cardiovascular disease risk factors," Social Science & Medicine, Elsevier, vol. 50(5), pages 673-687, March.
    7. Clarke, Philip M. & Gerdtham, Ulf-G. & Johannesson, Magnus & Bingefors, Kerstin & Smith, Len, 2002. "On the measurement of relative and absolute income-related health inequality," Social Science & Medicine, Elsevier, vol. 55(11), pages 1923-1928, December.
    8. Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220, April.
    9. Ken Judge & Iain Paterson, 2001. "Poverty, Income Inequality and Health," Treasury Working Paper Series 01/29, New Zealand Treasury.
    10. Kawachi, Ichiro & Kennedy, Bruce P., 1997. "The relationship of income inequality to mortality: Does the choice of indicator matter?," Social Science & Medicine, Elsevier, vol. 45(7), pages 1121-1127, October.
    Full references (including those not matched with items on IDEAS)

    Citations

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


    Cited by:

    1. Chen, Chun-Chih & Chen, Chin-Shyan & Liu, Tsai-Ching & Lin, Ying-Tzu, 2012. "Stock or stroke? Stock market movement and stroke incidence in Taiwan," Social Science & Medicine, Elsevier, vol. 75(11), pages 1974-1980.
    2. Kim, Eric S. & Park, Nansook & Peterson, Christopher, 2013. "Perceived neighborhood social cohesion and stroke," Social Science & Medicine, Elsevier, vol. 97(C), pages 49-55.
    3. Bécares, Laia & Cormack, Donna & Harris, Ricci, 2013. "Ethnic density and area deprivation: Neighbourhood effects on Māori health and racial discrimination in Aotearoa/New Zealand," Social Science & Medicine, Elsevier, vol. 88(C), pages 76-82.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    2. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    3. Zheng, Hui, 2009. "Rising U.S. income inequality, gender and individual self-rated health, 1972-2004," Social Science & Medicine, Elsevier, vol. 69(9), pages 1333-1342, November.
    4. Li, Hongbin & Zhu, Yi, 2006. "Income, income inequality, and health: Evidence from China," Journal of Comparative Economics, Elsevier, vol. 34(4), pages 668-693, December.
    5. Xu, Ke Tom, 2006. "State-level variations in income-related inequality in health and health achievement in the US," Social Science & Medicine, Elsevier, vol. 63(2), pages 457-464, July.
    6. Chang, Virginia W. & Christakis, Nicholas A., 2005. "Income inequality and weight status in US metropolitan areas," Social Science & Medicine, Elsevier, vol. 61(1), pages 83-96, July.
    7. Wong, Irene O.L. & Cowling, Benjamin J. & Lo, Su-Vui & Leung, Gabriel M., 2009. "A multilevel analysis of the effects of neighbourhood income inequality on individual self-rated health in Hong Kong," Social Science & Medicine, Elsevier, vol. 68(1), pages 124-132, January.
    8. Jones, Andrew M. & Wildman, John, 2008. "Health, income and relative deprivation: Evidence from the BHPS," Journal of Health Economics, Elsevier, vol. 27(2), pages 308-324, March.
    9. Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income inequality and health: Lessons from a refugee residential assignment program," Journal of Health Economics, Elsevier, vol. 31(4), pages 617-629.
    10. Paula K. Lorgelly & Joanne Lindley, 2008. "What is the relationship between income inequality and health? Evidence from the BHPS," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 249-265, February.
    11. Jennifer M. Mellor & Jeffrey Milyo, 2002. "Income Inequality and Health Status in the United States: Evidence from the Current Population Survey," Journal of Human Resources, University of Wisconsin Press, vol. 37(3), pages 510-539.
    12. Masako Horino & Sze Yan Liu & Eun-Young Lee & Ichiro Kawachi & Roman Pabayo, 2020. "State-level income inequality and the odds for meeting fruit and vegetable recommendations among US adults," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-15, September.
    13. Barnett, Ross & Pearce, Jamie & Moon, Graham, 2009. "Community inequality and smoking cessation in New Zealand, 1981-2006," Social Science & Medicine, Elsevier, vol. 68(5), pages 876-884, March.
    14. Hou, Feng & Myles, John, 2005. "Neighbourhood inequality, neighbourhood affluence and population health," Social Science & Medicine, Elsevier, vol. 60(7), pages 1557-1569, April.
    15. Rambotti, Simone, 2015. "Recalibrating the spirit level: An analysis of the interaction of income inequality and poverty and its effect on health," Social Science & Medicine, Elsevier, vol. 139(C), pages 123-131.
    16. B. d'Hombres & L. Rocco & M. Suhrcke & M. McKee, 2010. "Does social capital determine health? Evidence from eight transition countries," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 56-74, January.
    17. Laporte, Audrey & Ferguson, Brian S., 2003. "Income inequality and mortality: time series evidence from Canada," Health Policy, Elsevier, vol. 66(1), pages 107-117, October.
    18. Ken Judge & Iain Paterson, 2001. "Poverty, Income Inequality and Health," Treasury Working Paper Series 01/29, New Zealand Treasury.
    19. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    20. Tilman Tacke & Robert J. Waldmann, 2013. "Infant mortality, relative income and public policy," Applied Economics, Taylor & Francis Journals, vol. 45(22), pages 3240-3254, August.

    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:eee:socmed:v:61:y:2005:i:6:p:1174-1188. 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.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    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.