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We examined the relation between infant mortality rates, gross national product, and income distribution. Our findings support the hypothesis that average measures of population health are influenced by the distribution of income within societies.
"The annual growth rates of total personal income and population in regional metropolitan and nonmetropolitan areas [of the United States] are examined for the period 1959-87, partitioned into sub periods. Statistical testing for equality of rates shows no perceptible differences in growth rates between the major categories, metro and nonmetro. Further, this study uses a model similar in scope to shift-share analysis to test for convergence of the growth rates within these categories. It was found that for both regional nonmetro and metro areas, there was a general trend toward convergence with the exception of the 1970s decade. In that decade total population growth rates in the nonmetro areas and total income and total population growth rates in the metro areas showed significant divergences."
The purpose of this study was to investigate the characteristics of female-headed households in Pakistan. "[A] sample of 680 working women will be used to analyse the economic situation of households headed by women relative to households headed by men. The paper will compare income levels, household size and composition and employment patterns in the two sets of households. Further, the study will also investigate differences in income and employment options within the subset of households headed by women." The poverty of households headed by women was generally found to reflect the disadvantaged position of women in the labor market. Comments by Nahced Aziz are included (pp. 788-90).
"The purpose of this paper is to examine some of the consequences of [U.S.] migration trends from 1970-1980, focusing on the relationship of income inequality within a state with population shifts within and across states. Furthermore, we wish to determine if the movement of wealth and the changing employment opportunities [have] had any effect on the distribution of income within the four census regions and for urban and rural populations across all fifty states." Data are from the 1970 and 1980 censuses.
This paper provides "empirical analysis of the nature of the relationship between economic development of regions and income inequality in Australian sub-state regions. It does so in the context of considering the validity of the 'augmented inverted U' hypothesis and the influence of factors such as the business cycle, political issues, and demographic trends, which are likely to cause income inequality to change over time." Data are from the Australian censuses for the years 1976 and 1981.
"This paper analyses redistribution policies that transfer income between owners of immobile factors of production and workers in a given region. The menu of income distribution possibilities attainable through tax/transfer policy in the presence of labour mobility is characterized. Simple general equilibrium analysis shows that migration can lead to Pareto-inferior outcomes in the destination region if immigrants are the beneficiaries of redistributive transfers. All residents of the destination region may gain, however, if transfer payments are also paid to workers in the source region so as to reduce the level of immigration." (SUMMARY IN FRE)
"A comparison of income inequality in different countries can be made on the basis of parametric or nonparametric approaches. Using nonparametric instead of parametric approaches may raise the validity of such comparisons in some respects. However, new sources of validity reduction may be linked with nonparametric approaches. An important source of validity reduction is the influence of the type of data grouping on inequality measures. Therefore, nonparametric approaches are not strictly preferable to parametric approaches when comparing income inequality in different countries." (SUMMARY IN ENG)
"The [purpose] of this article is to explain the main differences between the concepts and the [collection procedures] of income distribution data used in [the] 1980 demographic census and in [the] 1979 and 1981 household surveys in Brazil. The article also comments [on] some differences about the data information on income distribution produced by census and household surveys." (SUMMARY IN ENG)
BACKGROUND: Acute diabetic emergencies are potentially avoidable or amenable to timely and effective outpatient therapy. OBJECTIVE: To evaluate the relationship between socioeconomic status (SES) and acute complications of diabetes mellitus in Ontario. METHODS: We used a population-based cohort of persons with diabetes mellitus (N = 605 825) derived from hospital and physician service claims between April 1, 1992, and March 31, 1999. Socioeconomic status was estimated using neighborhood-level data from the 1996 Canadian Census. Outcome events were defined as 1 or more hospitalizations or emergency department visits for hyperglycemia or hypoglycemia. RESULTS: There was a clear inverse gradient between income level and event rates. Individuals in the lowest income quintile were 44% more likely to have an event than those in the highest quintile (16.4% vs 11.4%; P<.001) and had a greater propensity toward recurrent emergency department admissions (1.9 vs 1.6 episodes per patient; P<.001). The gradient was most marked in 45- to 64-year-olds (odds ratio [OR], 1.76; 95% confidence interval [CI], 1.69-1.82) and less apparent in children (OR, 1.06; 95% CI, 0.99-1.13). The relationship between SES and events persisted after adjusting for age, sex, urban vs rural residence, comorbidity, frequency of physician visits, continuity of care, physician specialty, and geographic region (adjusted OR, 1.09 [95% CI, 1.08-1.10] per quintile level). In contrast, admission rates for non-ambulatory care-sensitive conditions (appendicitis and hip fracture) were unaffected by SES. CONCLUSION: Even when some economic barriers to accessing care are removed, patients from low-SES neighborhoods still experience an excess number of hospitalizations for conditions that should be prevented by optimal care in the ambulatory setting.
OBJECTIVE: To evaluate the patient-perceived effects of Wegener's granulomatosis (WG) on health, function, income, and interpersonal relationships. METHODS: A self-administered questionnaire, originally designed by the authors and subsequently revised with the aid of a patient focus group, was completed by 60 patients with well-defined features of WG. Patients had WG for a median period of 5 years. RESULTS: Patients with chronic WG experienced substantial medical and functional morbidity and incurred significant socioeconomic losses. A prolonged delay in diagnosis (mean 16.8 months) and the need for multiple consultations prior to initiation of therapy may have contributed to medical morbidity. Although 73% of patients perceived their disease to be in remission following therapy, 78% of these patients required continuing immunosuppressive treatment many years after diagnosis. Eighty percent of patients reported that their normal activities of daily living were compromised. Half of those who were employed prior to diagnosis were required to modify their job or accept total disability (31%). A 26% (median) reduction in income within 1 year after diagnosis was reported. The effects of the disease on interpersonal relationships with a patient's spouse, family, and friends varied considerably. CONCLUSION: Advances in medical care have, for most patients, transformed WG from being a disease with a high potential for short-term mortality to being a chronic illness. This is the first study that has evaluated patients' assessments of the medical, socioeconomic, and quality of life effects of WG and its treatment. The effects of mortality, disability, and outpatient medical expenses indicate that the financial impact alone substantially exceeds prior estimates of $30 million per year in charges for hospitalizations in the US.
This article reports on the effect of income within race on African Americans' perception of the courts. Our findings are somewhat consistent with the previous research on black middle-class relative dissatisfaction with various American institutions. That is, unlike whites and Latirios in our study, we find that higher-income African Americans are more skeptical of the notion that blacks receive equal treatment in the courts. This same group also reported less confidence in the court's handling of specific types of cases (e.g., civil, criminal and juvenile delinquency cases.) However, better off blacks were more likely than poor blacks to have confidence in the U.S. Supreme Court and community courts. These findings point a more complex account of African American perceptions of the courts, an account that draws a distinction between diffused and specific support of the courts.
"Measures of Canadian fertility (total fertility rate and fifteen-year age-specific fertility rate...) and relative cohort size (population aged 30-64 years divided by population aged 15-29 years) show a close co-movement between 1940 and 1976 but record a marked departure since then. The application of cointegration techniques to these series (1921-1988) shows that they do not form an equilibrium relationship even over the period 1940-1976. Contrary to the expected relationship between relative cohort size and relative income, income data by age groups show that there is no tight relationship between them. The absence of an equilibrium relationship between relative cohort size and fertility, therefore, does not necessarily imply that Easterlin's hypothesis is false."
"A regression model which combines both the time cost and relative income hypotheses is estimated using Canadian data. The results indicate that the influence of relative income is greater on completed fertility and the effect of time cost is greater on timing of births. Some policy implications are derived."
Validity of case manager reports of client functioning in the community was assessed by examining the correspondence between case manager reports and client reports of several widely-used indicators of client well-being, including independent living, income, employment, family contact, and problem behaviors. Effects of how well case managers knew their clients and of using telephone interviews vs. self-administered questionnaires to gather case manager data were also investigated. Data were gathered from 6 case managers and 55 of their seriously mentally ill clients in a rural Wisconsin Community Support Program. Indicators of independent living and employment displayed reasonably good agreement and support the use of case manager reports in research. Indicators of income and problem behaviors produced lower levels of client-case manager agreement at least in part because client reports proved an inadequate criterion for these measures.
In terms of less access to private sources of care (as distinguished from hospital-public clinics) and longer travel time to usual source of care, poverty areas are at a disadvantage. Within the ten areas studied, the poor have less access than the nonpoor, with access differences even greater between the races than between income groups. Blacks generally have less than whites when income differences are taken into account. Both the type of usual source of care and travel time appear to be related to differential utilizations of ambulatory care resources: persons reporting private sources of care and persons with shorter travel time to their usual source of care tend to make more physician visits in a year. Mechanisms for public financing of health care will not likely alleviate the problems of inaccessibility presented by poverty areas. It is in these areas of low access that public responsibility to organize and locate facilities will continue even after the advent of a fairly comprehensive payment mechanism for health care among the poor.
"The purpose of this [one-page] note is to empirically investigate the impact of geographic after-tax real income differentials on geographic population growth rate differentials. The focus is on population growth rates in Florida's 67 counties over the period 1980-88." The authors conclude that "even after allowing for a variety of other location-influencing factors, including coastal access, after-tax real income differentials exercise a positive and significant impact on population growth rate differentials among Florida's counties."
"The relationship between urbanization and level of income has been the subject of considerable theoretical debate and empirical study for many years. However, little recent work has been done to determine whether or not previous findings still hold, and there has been even less multi-country analysis to explore the degree of generality. Analysis of data for metropolitan areas in the United States from 1970 to 1990 indicates per capita income increases directly with population size. For states of the United states and 113 countries for 1960 and 1980 a strong positive relationship exists and holds temporally between level of per capita Gross Domestic Product and percent of the population that is urban."
This article examines how environmental degradation of fisheries resources in the context of Mauritius is linked up with human investment in education, economic growth, and income inequality. Empirical evidence shows that public-sector investment in education promotes economic growth, but at the expense of greater inequality of income. Among the vulnerable groups affected by this type of development process lies the fisherman community. In fact, children of poor families in coastal Mauritius have constrained access to complete school education because of the persistently high opportunity cost involved. Hence, this community is caught up in a vicious circle, as its children or grandchildren would barely be redeployed elsewhere other than in the fisheries sector itself. Such exclusion might account for the overexploitation of marine resources of the island and the accompanying reduction in fish catch over recent years.