Katikireddi, S. V. , Niedzwiedz, C. L. , Dundas, R. , Kondo, N., Leyland, A. H. and Rostila, M. (2020) Inequalities in all-cause and cause-specific mortality across the life course by wealth and income in Sweden: a register-based cohort study. International Journal of Epidemiology, 49(3), pp. 917-925. (doi: 10.1093/ije/dyaa053) (PMID:32380544) (PMCID:PMC7394946)
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Abstract
Background: Wealth inequalities are increasing in many countries, but their relationship to health is little studied. We investigated the association between individual wealth and mortality across the adult life course in Sweden. Methods: We studied the Swedish adult population using national registers. The amount of wealth tax paid in 1990 was the main exposure of interest and the cohort was followed up for 18 years. Relative indices of inequality (RII) summarize health inequalities across a population and were calculated for all-cause and cause-specific mortality for six different age groups, stratified by sex, using Poisson regression. Mortality inequalities by wealth were contrasted with those assessed by individual and household income. Attenuation by four other measures of socio-economic position and other covariates was investigated. Results: Large inequalities in mortality by wealth were observed and their association with mortality remained more stable across the adult life course than inequalities by income-based measures. Men experienced greater inequalities across all ages (e.g. the RII for wealth was 2.58 [95% confidence interval (CI) 2.54–2.63) in men aged 55–64 years compared with 2.29 (95% CI 2.24–2.34) for women aged 55–64 years), except among the over 85s. Adjustment for covariates, including four other measures of socio-economic position, led to only modest reductions in the association between wealth and mortality. Conclusions: Wealth is strongly associated with mortality throughout the adult life course, including early adulthood. Income redistribution may be insufficient to narrow health inequalities—addressing the increasingly unequal distribution of wealth in high-income countries should be considered.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Katikireddi, Professor Vittal and Leyland, Professor Alastair and Niedzwiedz, Dr Claire and Dundas, Professor Ruth |
| Authors: | Katikireddi, S. V., Niedzwiedz, C. L., Dundas, R., Kondo, N., Leyland, A. H., and Rostila, M. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing |
| Journal Name: | International Journal of Epidemiology |
| Publisher: | Oxford University Press |
| ISSN: | 0300-5771 |
| ISSN (Online): | 1464-3685 |
| Published Online: | 07 May 2020 |
| Copyright Holders: | Copyright © 2020 The Authors |
| First Published: | First published in International Journal of Epidemiology 49(3): 917-925 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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