Income and health: what is the nature of the relationship?
Income and health: what is the nature of the relationship?
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DOI：
10.1016/s0277-9536(98)00385-2
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发表时间：
1999-03-01
影响因子：
5.4
通讯作者：
Smith, GD
中科院分区：
文献类型：
--
作者：
Ecob, R;Smith, GD
本文的目的是研究控制其他社会经济变量之前和之后的收入和发病率之间的关系。我们使用健康和生活方式调查（第一波）的数据，这是 1984 年至 1985 年在英格兰、威尔士和苏格兰对 18 岁以上成年人进行的全国抽样调查。总共进行了 9003 次采访。我们研究了家庭等效收入与身高、腰臀比、呼吸功能（FEV1）、不适、限制长期疾病之间关系的形状。这些发病指数，无论是自我报告的还是测量的，都与收入的对数近似线性相关。除了极高和极低收入之外（这意味着收入增加与健康状况改善相关，但收入水平较高时收益递减）。收入翻倍会对健康产生类似的影响，无论这种情况发生在什么时候，只要它位于收入分配的中间部分（10-90%）。收入对健康指标的影响与其他社会经济变量的综合影响相当。收入与健康之间的关系形态与收入不平等程度较大的国家的健康状况恶化是一致的，无需假设收入不平等本身有任何直接影响。 (C) 1999 Elsevier Science Ltd. 保留所有权利。
The aim of this article is to examine the relationship between income and morbidity, both before and after controlling for other socio-economic variables. We use data from the Health and Lifestyle Survey (first wave), a national sample survey of adults, aged 18 upwards, in England, Wales and Scotland, conducted in 1984-1985. In total, 9003 interviews were achieved. We examine the shape of the relationship between household equivalised income and height, waist-hip ratio, respiratory function (FEV1), malaise, limiting longterm illness.These indices of morbidity, both self-reported and measured, are approximately linearly related to the logarithm of income. in all except very high and low incomes (this means that increasing income is associated with better health, but that there are diminishing returns at higher levels of income). A doubling of income is associated with a similar effect on health, regardless of the point at which this occurs, providing this is within the central portion (10-90%) of the income distribution. The effect of income on the health measures is comparable to that of the other socio-economic variables in combination. The shape of the relationship found between income and health is compatible with worse health in countries with greater income inequality, without the need to postulate any direct effect of income inequality itself. (C) 1999 Elsevier Science Ltd. All rights reserved.