IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i7p1099-1106.html
   My bibliography  Save this article

Multilevel analysis of income, income inequalities and health in Spain

Author

Listed:
  • Karlsdotter, Kristina
  • Martín Martín, José J.
  • López del Amo González, M. Puerto

Abstract

The aim of this study is to test the influence of personal income (absolute income hypothesis), income inequalities and welfare (relative income hypothesis) on health. A multilevel cross-sectional logit model is used with two alternative specifications of the dependent variable: self-perceived health and chronic illnesses, and six specifications of the income inequality: three positive and three normative. This study incorporates lagged values of the regional variables and interactions between the individual and the regional variables. The data is drawn from the Spanish Life Conditions Survey for 2007 and consists of 28,023 individuals over 16 from 17 Autonomous Communities.

Suggested Citation

  • Karlsdotter, Kristina & Martín Martín, José J. & López del Amo González, M. Puerto, 2012. "Multilevel analysis of income, income inequalities and health in Spain," Social Science & Medicine, Elsevier, vol. 74(7), pages 1099-1106.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:7:p:1099-1106
    DOI: 10.1016/j.socscimed.2011.12.020
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612000391
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2011.12.020?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
    ---><---

    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. Hugh Gravelle & Matt Sutton, 2009. "Income, relative income, and self‐reported health in Britain 1979–2000," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 125-145, February.
    2. McLeod, C.B. & Lavis, J.N. & Mustard, C.A. & Stoddart, G.L., 2003. "Income Inequality, Household Income, and Health Status in Canada: A Prospective Cohort Study," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1287-1293.
    3. Craig, Neil, 2005. "Exploring the generalisability of the association between income inequality and self-assessed health," Social Science & Medicine, Elsevier, vol. 60(11), pages 2477-2488, June.
    4. Sen, Amartya, 1973. "On Economic Inequality," OUP Catalogue, Oxford University Press, number 9780198281931.
    5. Regidor, Enrique & Calle, M. Elisa & Navarro, Pedro & Domínguez, Vicente, 2003. "Trends in the association between average income, poverty and income inequality and life expectancy in Spain," Social Science & Medicine, Elsevier, vol. 56(5), pages 961-971, March.
    6. 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.
    7. Goerlich Gisbert Francisco J. & Villar Notario Antonio, 2009. "Desigualdad y bienestar social: de la teoría a la práctica," Books, Fundacion BBVA / BBVA Foundation, edition 0, number 201190, October.
    8. 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.
    9. Wen, Ming & Browning, Christopher R. & Cagney, Kathleen A., 2003. "Poverty, affluence, and income inequality: neighborhood economic structure and its implications for health," Social Science & Medicine, Elsevier, vol. 57(5), pages 843-860, September.
    10. Karlsson, Martin & Nilsson, Therese & Lyttkens, Carl Hampus & Leeson, George, 2010. "Income inequality and health: Importance of a cross-country perspective," Social Science & Medicine, Elsevier, vol. 70(6), pages 875-885, March.
    11. Hou, Feng & Myles, John, 2005. "Neighbourhood inequality, neighbourhood affluence and population health," Social Science & Medicine, Elsevier, vol. 60(7), pages 1557-1569, April.
    12. Atkinson, Anthony B., 1970. "On the measurement of inequality," Journal of Economic Theory, Elsevier, vol. 2(3), pages 244-263, September.
    13. Jen, Min Hua & Jones, Kelvyn & Johnston, Ron, 2009. "Global variations in health: Evaluating Wilkinson's income inequality hypothesis using the World Values Survey," Social Science & Medicine, Elsevier, vol. 68(4), pages 643-653, February.
    14. Babones, Salvatore J., 2008. "Income inequality and population health: Correlation and causality," Social Science & Medicine, Elsevier, vol. 66(7), pages 1614-1626, April.
    15. Olsen, Karen M. & Dahl, Svenn-Åge, 2007. "Health differences between European countries," Social Science & Medicine, Elsevier, vol. 64(8), pages 1665-1678, April.
    16. Blakely, Tony A. & Lochner, Kimberly & Kawachi, Ichiro, 2002. "Metropolitan area income inequality and self-rated health--a multi-level study," Social Science & Medicine, Elsevier, vol. 54(1), pages 65-77, January.
    17. Subramanian, S. V. & Kawachi, Ichiro & Kennedy, Bruce P., 2001. "Does the state you live in make a difference? Multilevel analysis of self-rated health in the US," Social Science & Medicine, Elsevier, vol. 53(1), pages 9-19, July.
    18. Wildman, John, 2003. "Modelling health, income and income inequality: the impact of income inequality on health and health inequality," Journal of Health Economics, Elsevier, vol. 22(4), pages 521-538, July.
    19. Oshio, Takashi & Kobayashi, Miki, 2009. "Income inequality, area-level poverty, perceived aversion to inequality, and self-rated health in Japan," Social Science & Medicine, Elsevier, vol. 69(3), pages 317-326, August.
    20. Groot, Wim, 2000. "Adaptation and scale of reference bias in self-assessments of quality of life," Journal of Health Economics, Elsevier, vol. 19(3), pages 403-420, May.
    21. Gunasekara, Fiona Imlach & Carter, Kristie & Blakely, Tony, 2011. "Change in income and change in self-rated health: Systematic review of studies using repeated measures to control for confounding bias," Social Science & Medicine, Elsevier, vol. 72(2), pages 193-201, January.
    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. Nigel Kragten & Jesper Rözer, 2017. "The Income Inequality Hypothesis Revisited: Assessing the Hypothesis Using Four Methodological Approaches," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 131(3), pages 1015-1033, April.
    2. Loree, Jacob, 2015. "State Level Income Inequality and Individual Self-Reported Health Status: Evidence from the United States," MPRA Paper 72638, University Library of Munich, Germany.
    3. Nádia Simões & Nuno Crespo & Sandrina B. Moreira & Celeste A. Varum, 2016. "Measurement and determinants of health poverty and richness: evidence from Portugal," Empirical Economics, Springer, vol. 50(4), pages 1331-1358, June.

    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. Rostila, Mikael & Kölegård, Maria L. & Fritzell, Johan, 2012. "Income inequality and self-rated health in Stockholm, Sweden: A test of the ‘income inequality hypothesis’ on two levels of aggregation," Social Science & Medicine, Elsevier, vol. 74(7), pages 1091-1098.
    2. Loree, Jacob, 2015. "State Level Income Inequality and Individual Self-Reported Health Status: Evidence from the United States," MPRA Paper 72638, University Library of Munich, Germany.
    3. Roberta Torre & Mikko Myrskylä, 2014. "Income inequality and population health: An analysis of panel data for 21 developed countries, 1975-2006," Population Studies, Taylor & Francis Journals, vol. 68(1), pages 1-13, March.
    4. Lhila, Aparna, 2009. "Does government provision of healthcare explain the relationship between income inequality and low birthweight?," Social Science & Medicine, Elsevier, vol. 69(8), pages 1236-1245, October.
    5. 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.
    6. 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.
    7. 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.
    8. Chen, Zhuo & Gotway Crawford, Carol A., 2012. "The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities," Social Science & Medicine, Elsevier, vol. 75(6), pages 1022-1031.
    9. Chen, Zhuo & Meltzer, David, 2008. "Beefing up with the Chans: Evidence for the effects of relative income and income inequality on health from the China Health and Nutrition Survey," Social Science & Medicine, Elsevier, vol. 66(11), pages 2206-2217, June.
    10. Takashi Oshio & Miki Kobayashi, 2011. "Area-Level Income Inequality and Individual Happiness: Evidence from Japan," Journal of Happiness Studies, Springer, vol. 12(4), pages 633-649, August.
    11. Jon Erik Finnvold, 2019. "How Income Inequality and Immigrant Background Affect children’s Use of Mental Healthcare Services in Oslo, Norway," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(6), pages 1881-1896, December.
    12. Furnée, Carina A. & Pfann, Gerard A., 2010. "Individual vulnerability and the nurturing state: The case of self-reported health and relative income," Social Science & Medicine, Elsevier, vol. 71(1), pages 125-133, July.
    13. Masood Gheasi & Noriko Ishikawa & Karima Kourtit & Peter Nijkamp, 2019. "A meta-analysis of human health differences in urban and rural environments," Letters in Spatial and Resource Sciences, Springer, vol. 12(3), pages 167-186, December.
    14. Zhong, Hai, 2009. "A multivariate analysis of the distribution of individual's welfare in China: What is the role of health?," Journal of Health Economics, Elsevier, vol. 28(6), pages 1062-1070, December.
    15. Cristina Blanco Pérez & Xavier Ramos, 2010. "Polarization And Health," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 56(1), pages 171-185, March.
    16. Mansyur, Carol & Amick, Benjamin C. & Harrist, Ronald B. & Franzini, Luisa, 2008. "Social capital, income inequality, and self-rated health in 45 countries," Social Science & Medicine, Elsevier, vol. 66(1), pages 43-56, January.
    17. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    18. Semyonov, Moshe & Lewin-Epstein, Noah & Maskileyson, Dina, 2013. "Where wealth matters more for health: The wealth–health gradient in 16 countries," Social Science & Medicine, Elsevier, vol. 81(C), pages 10-17.
    19. Wang, Shaobin & Ren, Zhoupeng & Liu, Xianglong & Yin, Qian, 2022. "Spatiotemporal trends in life expectancy and impacts of economic growth and air pollution in 134 countries: A Bayesian modeling study," Social Science & Medicine, Elsevier, vol. 293(C).
    20. Wei Zheng & Patrick Paul Walsh, 2018. "Air pollution and health - A provincial level analysis of China," Working Papers 201819, Geary Institute, University College Dublin.

    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:74:y:2012:i:7:p:1099-1106. 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.