Early origins of the gradient: The relationship between socioeconomic status and infant mortality in the United States

Early origins of the gradient: The relationship between socioeconomic status and infant mortality in the United States
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DOI:
10.1353/dem.2003.0033
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发表时间:
2003-11-01
期刊:
影响因子:
3.5
通讯作者:
Finch, BK
Finch, BK
中科院分区:
法学1区
文献类型:
--
作者:
Finch, BK

文献摘要

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虽然社会条件与健康之间的关系已经记录了几个世纪,但在过去几十年中,大多数发达国家的健康和死亡率出现了社会经济梯度。这些梯度表明,社会经济地位越高,健康状况越好,尽管这种改善的程度会降低。为了最大限度地减少反向因果关系的问题,我测试了观察到的婴儿死亡率结果的社会经济梯度的相互竞争的假设。我发现没有支持收入不平等假说和职业等级假说的支持微不足道。结果表明,绝对物质条件是社会经济对婴儿死亡风险影响的最重要决定因素,而贫困对风险的影响最明显,收入在大多数死亡率梯度中是有益的。
Although relationships between social conditions and health have been documented for centuries, the past few decades have witnessed the emergence of socioeconomic gradients in health and mortality in most developed countries. These gradients indicate that health improves, although decreasingly so, at higher levels of socioeconomic status. To minimize problems with reverse causality, I tested competing hypotheses for observed socioeconomic gradients for infant mortality outcomes. I found no support for the income-inequality hypothesis and negligible support for the occupational grade hypothesis. The results indicate that absolute material conditions are the most important determinants of socioeconomic effects on the risk of infant mortality and that while poverty has the most pronounced effect on risk, income is decreasingly salutary across the majority of the mortality gradient.