Abstract：
OBJECTIVES:To examine prospectively the association between US state income inequality and incidence of heart attack. METHODS:We used data from the National Epidemiologic Survey on Alcohol and Related Conditions (n = 34,445). Respondents completed interviews at baseline (2001-2002) and follow-up (2004-2005). Weighted multilevel modeling was used to determine if US state-level income inequality (measured by the Gini coefficient) at baseline was a predictor of heart attack during follow-up, controlling for individual-level and state-level covariates. RESULTS:In comparison to residents of US states in the lowest quartile of income inequality, those living in the second [Adjusted Odds Ratio (AOR) = 1.71, 95 % CI 1.16-2.53)], third (AOR = 1.81, 95 % CI 1.28-2.57), and fourth (AOR = 2.04, 95 % CI 1.26-3.29) quartiles were more likely to have a heart attack. Similar findings were obtained when we excluded those who had a heart attack prior to baseline. CONCLUSIONS:This study is one of the first to empirically show the longitudinal relationship between income inequality and coronary heart disease. Living in a state with higher income inequality increases the risk for heart attack among US adults.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Pabayo R,Kawachi I,Gilman SEdoi
10.1007/s00038-015-0678-7subject
Has Abstractpub_date
2015-07-01 00:00:00pages
573-88issue
5eissn
1661-8556issn
1661-8564journal_volume
60pub_type
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journal_title：International journal of public health
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