Long-term association of economic inequality and mortality in adult Costa Ricans

dc.contributor.authorModrek, Sepideh
dc.contributor.authorDow, William H.
dc.contributor.authorRosero Bixby, Luis
dc.date.accessioned2021-11-22T19:10:30Z
dc.date.accessioned2022-03-18T03:45:05Z
dc.date.available2021-11-22T19:10:30Z
dc.date.available2022-03-18T03:45:05Z
dc.date.issued2012
dc.description.abstractDespite the large number of studies, mostly in developed economies, there is limited consensus on the health effects of inequality. Recently a related literature has examined the relationship between relative deprivation and health as a mechanism to explain the economic inequality and health relationship. This study evaluates the relationship between mortality and economic inequality, as measured by area-level Gini coefficients, as well as the relationship between mortality and relative deprivation, in the context of a middle-income country, Costa Rica. We followed a nationally representative prospective cohort of approximately 16,000 individuals aged 30 and over who were randomly selected from the 1984 census. These individuals were then linked to the Costa Rican National Death Registry until Dec. 31, 2007. Hazard models were used to estimate the relative risk of mortality for all-cause and cardiovascular disease mortality for two indicators: canton-level income inequality and relative deprivation based on asset ownership. Results indicate that there was an unexpectedly negative association between canton income inequality and mortality, but the relationship is not robust to the inclusion of canton fixed-effects. In contrast, we find a positive association between relative deprivation and mortality, which is robust to the inclusion of canton fixed-effects. Taken together, these results suggest that deprivation relative to those higher in a hierarchy is more detrimental to health than the overall dispersion of the hierarchy itself, within the Costa Rican context.es_CR
dc.description.pages196-201es_CR
dc.description.urihttps://sibdi.ucr.ac.cr/formularios/formulario-transferencia-ccp.php
dc.identifier.issn0277-9536
dc.identifier.urihttps://repositorio.sibdi.ucr.ac.cr/handle/123456789/17012
dc.language.isoenges_CR
dc.publisherSocial Science & Medicine; Volumen 74, Número 2es_CR
dc.subjectMORTALIDADes_CR
dc.subjectADULTOSes_CR
dc.subjectDESIGUALDADES EN SALUDes_CR
dc.subjectDESIGUALDAD DE INGRESOSes_CR
dc.titleLong-term association of economic inequality and mortality in adult Costa Ricanses_CR
dc.typeArticlees_CR

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