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收入不平等与人口健康:一项政治经济学研究议程。

Income inequality and population health: a political-economic research agenda.

作者信息

Dunn James R, Park Gum-Ryeong, Brydon Robbie, Wolfson Michael, Veall Michael, Rolheiser Lyndsey, Siddiqi Arjumand, Ross Nancy A

机构信息

Department of Health, Aging and Society, McMaster University Faculty of Social Sciences, Hamilton, Ontario, Canada

MAP Centre for Urban Health Solutions, St Michael's Hospital, Toronto, Ontario, Canada.

出版信息

J Epidemiol Community Health. 2022 Jun 8. doi: 10.1136/jech-2022-219252.

Abstract

There is more than 30 years of research on relationships between income inequality and population health. In this article, we propose a research agenda with five recommendations for future research to refine existing knowledge and examine new questions. First, we recommend that future research prioritise analyses with broader time horizons, exploring multiple temporal aspects of the relationship. Second, we recommend expanding research on the effect of public expenditures on the inequality-health relationship. Third, we introduce a new area of inquiry focused on interactions between social mobility, income inequality and population health. Fourth, we argue the need to examine new perspectives on 21st century capitalism, specifically the population health impacts of inequality in income from capital (especially housing), in contrast to inequality in income from labour. Finally, we propose that this research broaden beyond all-cause mortality, to cause-specific mortality, avoidable mortality and subcategories thereof. We believe that such a research agenda is important for policy to respond to the changes following the COVID-19 pandemic.

摘要

关于收入不平等与人口健康之间的关系已有30多年的研究。在本文中,我们提出了一个研究议程,包含五条未来研究建议,以完善现有知识并探讨新问题。第一,我们建议未来研究优先进行具有更广阔时间跨度的分析,探索该关系的多个时间维度。第二,我们建议扩大关于公共支出对不平等与健康关系影响的研究。第三,我们引入一个新的研究领域,专注于社会流动、收入不平等与人口健康之间的相互作用。第四,我们认为有必要审视关于21世纪资本主义的新视角,特别是与劳动收入不平等相比,资本(尤其是住房)收入不平等对人口健康的影响。最后,我们提议这项研究应从全因死亡率扩展到特定原因死亡率、可避免死亡率及其子类别。我们认为这样一个研究议程对于政策应对新冠疫情后的变化很重要。

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