Citation

Szwarcwald CL, Bastos FI, Esteves MA, de Andrade CL, Paez MS, Medici EV, Derrico M. Cad. Saude Publica 1999; 15(1): 15-28.

Vernacular Title

Desigualdade de renda e situacao de saude: o caso do Rio de Janeiro.

Affiliation

Departamento de Informações em Saúde, Centro de Informação Científica e Tecnológica, Fundação Oswaldo Cruz, Av. Brasil, 4365, Rio de Janeiro, RJ, 21045-900, Brasil.

Copyright

(Copyright © 1999, Escola Nacional De Saude Publica)

DOI

unavailable

PMID

10203443

Abstract

This ecological analysis addresses the association between income inequality and health status in the municipality of Rio de Janeiro. Data were analyzed using geo-processing and multiple regression techniques. The following health indicators were used: infant mortality rate; standardized mortality rate; life expectancy at birth; and homicide rate among 15-29-year-old males. Patterns of income inequality were assessed through income distribution indicators: Gini index, Robin Hood index, and top 10 %/bottom 40% average income ratio. The results indicate significant correlations between income distribution indicators and health indicators, providing additional empirical evidence of the association between health status and income inequality. For the homicide rate, the effect of the indicator "density of slum residents" was also relevant, suggesting that further deterioration in health standards may be due to social disruption of deprived communities and the resultant increase in criminal activity. The geo-epidemiological analysis presented here highlights the association between adverse health outcomes and residential concentration of poverty. Social policies focused on slum residents are needed to reduce the harmful effects of relative deprivation.

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