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Socioeconomic determinants of health

Health and social cohesion: why care about income inequality?

Bibliographic Data

ID23375643
AuthorsIchiro Kawachi (0000-0003-3579-4456, Harvard University), Bruce P Kennedy
Year1997
Volume314
Issue7086
Pages1037
Publication date1997-04-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ (JOURNAL)
Journal identifiersISSN: 0007-1447 • E-ISSN: 0267-0623
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmj.314.7086.1037
PMID9112854
OpenAlexW2071509057
LanguageEN
Citations received279
References cited28

Throughout the world, wealth and income are becoming more concentrated. Growing evidence suggests that the distribution of income–in addition to the absolute standard of living enjoyed by the poor–is a key determinant of population health. A large gap between rich people and poor people leads to higher mortality through the breakdown of social cohesion. The recent surge in income inequality in many countries has been accompanied by a marked increase in the residential concentration of poverty and affluence. Residential segregation diminishes the opportunities for social cohesion. Income inequality has spillover effects on society at large, including increased rates of crime and violence, impeded productivity and economic growth, and the impaired functioning of representative democracy. The extent of inequality in society is often a consequence of explicit policies and public choice. Reducing income inequality offers the prospect of greater social cohesiveness and better population health.

Cohesion (chemistry) · Demographic economics · Economic growth · Economic inequality · Economics · Environmental health · Health care · Health equity · Inequality · Social determinants of health · Social inequality · Socioeconomic status · Sociology · Chemistry · Demography · Employment and Welfare Studies · Food Security and Health in Diverse Populations · Health disparities and outcomes · Mathematics · Medicine · Psychology

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Unique citing works279
Citations per year9,96
Citation span1998 - 2026 (29)
Citation velocitycurrent
Highly citedYes
Citation typesNeutral: 248

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