Citation
Hajat, Anjum; Kaufman, Jay S.; Rose, Kathryn M.; Siddiqi, Arjumand A.; & Thomas, James C. (2011). Long-Term Effects of Wealth on Mortality and Self-Rated Health Status. American Journal of Epidemiology, 173(2), 192-200. PMCID: PMC3139960Abstract
Epidemiologic studies seldom include wealth as a component of socioeconomic status. The authors investigated the relations between wealth and 2 broad outcome measures: mortality and self-rated general health status. Data from the longitudinal Panel Study of Income Dynamics, collected in a US population between 1984 and 2005, were used to fit marginal structural models and to estimate relative and absolute measures of effect. Wealth was specified as a 6-category variable: those with ≤0 wealth and quintiles of positive wealth. There were a 16%–44% higher risk and 6–18 excess cases of poor/fair health (per 1,000 persons) among the less wealthy relative to the wealthiest quintile. Less wealthy men, women, and whites had higher risk of poor/fair health relative to their wealthy counterparts. The overall wealth–mortality association revealed a 62% increased risk and 4 excess deaths (per 1,000 persons) among the least wealthy. Less wealthy women had between a 24% and a 90% higher risk of death, and the least wealthy men had 6 excess deaths compared with the wealthiest quintile. Overall, there was a strong inverse association between wealth and poor health status and between wealth and mortality.URL
http://dx.doi.org/10.1093/aje/kwq348Reference Type
Journal ArticleYear Published
2011Journal Title
American Journal of EpidemiologyAuthor(s)
Hajat, AnjumKaufman, Jay S.
Rose, Kathryn M.
Siddiqi, Arjumand A.
Thomas, James C.