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Trading Equality for Health? Evaluating the Trade-off and Institutional Hypotheses on Health Inequalities in the Global South

Bibliographic Data

ID2316632
AuthorsBenjamin Sosnaud (0000-0001-7794-9458, Trinity University, San Antonio, TX, USA, corresponding author), J Beckfield (0000-0002-2538-3672, Harvard University Press)
Year2017
Volume58
Issue3
Pages340-356
Publication date2017-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health and Social Behavior (JOURNAL)
Journal identifiersISSN: 0022-1465 • E-ISSN: 2150-6000
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/0022146517721950
PMID29164947
OpenAlexW2739572577
LanguageEN
Citations received6
References cited60

It has been suggested that as medicine advances and mortality declines, socioeconomic disparities in health outcomes will grow. Yet, most research on this topic uses data from affluent Western democracies, where mortality is declining in small increments. We argue that the Global South represents the ideal setting to study this issue in a context of rapid mortality decline. We evaluate two competing hypotheses: (1) there is a trade-off between population health and health inequality such that reductions in under-five mortality are linked to higher levels of social inequality in health; and (2) institutional interventions that improve under-five mortality, like the expansion of educational systems and public health expenditure, are associated with reductions in inequalities. We test these hypotheses using data on 1,369,050 births in 34 low-income countries in the Demographic and Health Surveys from 1995 to 2012. The results show little evidence of a health-for-equality trade-off and instead support the institutional hypothesis

Context (archaeology) · Demographic economics · Development economics · Economic growth · Economic inequality · Economics · Geography · Global health · Health care · Health equity · Inequality · Population · Population health · Public health · Social determinants of health · Social inequality · Socioeconomic status · Sociology · Demography · Global Health Care Issues · Global Maternal and Child Health · Health disparities and outcomes · Medicine

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Unique citing works6
Citations per year0,86
Citation span2019 - 2023 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6
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