The Negative Effects of Income Inequality on Health

BY SOFO ARCHON

income-inequality

Epidemiological studies show again and again that income inequality within a given population is having negative effects on its health. It has been found that the greater the income inequality in a society, the more likely it is that its people will suffer from disease, with those most affected being the ones low in the socioeconomic ladder, whose health is significantly worse compared to the ones high in the ladder.

Below you will read for yourself some collected excerpts from the book The Zeitgeist Movement Defined that present and explain important findings from such scientific studies, all pointing to the negative health effects of income inequality.

Income Inequality & Physiological Health

So let’s begin with this study, the results of which show a causal relationship between income and physiological health:

Professor Michael Marmot of the Department of Epidemiology and Public Health at the University College of London directed two important studies relating social status to health. Using the British civil service system as the subject group, they found that the gradient of health quality in industrialized societies is not simply just a matter of poor health for the financially disadvantaged and good health for everyone else. They found that there was also a social distribution of disease as you went from the top of the socioeconomic ladder, to the bottom and the types of diseases people would get would change on average. For example the lowest rungs of the hierarchy had a fourfold increase of heart disease based mortality, compared to the highest rungs. [1]

This isn’t the only study that found such a link. Here is another study worth mentioning:

A 2009 study in the American Journal of Epidemiology called “Life-Course Socioeconomic Position and Incidence of Coronary Heart Disease” found that the longer a person remains in poverty, the more likely he or she is to develop heart disease. [2]

And another one:

In an earlier study by epidemiologist Dr. Ralph R. Frerichs, focusing specifically on the socioeconomic divide in the city of Los Angeles, CA, found that the death rate from heart disease was 40 percent higher for poor men over all than for wealthier ones. [3]

homeless_man

Image: John Glover

As you might have already guessed, it’s not only heart disease that affects mostly people of lower socioeconomic class. In fact, research shows that there is a variety of diseases that are more likely to afflict them:

Heart disease aside, some cancers, chronic lung disease, gastrointestinal disease, back pain, obesity, high blood pressure, low life expectancy and many other problems are also now found to be linked to socioeconomic status in the broad view, not just singular risk factors. [4]

How to Explain These Findings?

But why do people of lower classes run a higher risk of developing those diseases, compared to the ones of upper classes? The answer is simple:

[…] clearly poor health habits occur in lower income environments due to the lack of funds for better nutrition [5] medical attention [6] and education. [7] For example, many of the high fat, high sodium risk factor foods leading to heart disease tend to be the most inexpensive food found in stores.

poor-vs-rich-child

Image: Pawel Kuczynski

To better understand how poverty is negatively affecting health, consider this:

[…] Our socioeconomic model produces goods based upon the purchasing power abilities of targeted demographics. The decision to produce poor quality food goods is made for the interest of profit and since the vast majority of the planet is relatively poor, it is no surprise that in order to meet that market, quality must be reduced to allow for competitive buying. In other words, there is a market for each social class and naturally the lower the class, the lower the quality. This reality is an example of a direct social system link to causality for such a disease. While education about the difference between quality food products could help the decision process of a poor person to eat better, the financial restrictions inherent to their condition could easily make that decision difficult if not impossible as, again, such goods are more expensive on average.

Income Inequality & Psychological Health

What about the negative effects of income inequality on psychological health, you might ask. Here are some research findings that show how the increasing income inequality in Britain and the US has impacted people’s health, as also written in The Zeitgeist Movement Defined:

  • A British study examining depression among people in their 20s found that it was twice as common in 1970 than it was in 1958. [8]
  • An American study of about 63,700 college students found that five times as many young adults are dealing with higher levels of anxiety than in the late 1930s. [9]
  • A 2011 study presented at the American Psychological Association showed that mental illness was more common among college students than it was a decade ago. [10]
  • Psychologist Jean Twenge of San Diego University located 269 related studies measuring anxiety in the United States sourced between 1952 and 1993 and the aggregate assessment shows a dramatically clear trend in the rise of anxiety over this period, with, for example, the conclusion that by the late 1980s the average American child was more anxious than child psychiatric patients in the 1950s. [11]
  • A 2011 NCHS report revealed that the rate of antidepressant use in America among teens and adults (people ages 12 and older) increased by almost 400% between 1988–1994 and 2005–2008. Antidepressants were the third most common prescription medication taken by Americans in 2005–2008. [12]

It’s important to mention here that, contrary to what most believe, statistically people living in developed countries aren’t considerably happier or healthier than people in “developing” countries, regardless of possessing more material wealth. [13]

sad-homeless-man

Image: D Simmonds

What about the genes?

Of course, many will rush to question those findings, thinking that it’s the different genetic makeup of people that leads them to develop depression or other mental disorders and not the environmental conditions they live in. However, as British social epidemiologist Richard Wilkinson points out,

“[A]lthough people with mental illness sometimes have changes in the levels of certain chemicals in the brain, nobody has shown that these are causes of depression, rather than changes caused by depression…although some genetic vulnerability may underlie some mental illness, this can’t by itself explain the huge rises in illness in recent decades – our genes can not change that fast.” [14]

Social Status & Psychological Well-Being

Research has shown repeatedly that our psychological health can be affected by our relative status. But it’s not only we humans that are so sensitive to social status — other primates akin to us are too.

A 2002 study performed with macaque monkeys found that those who were subordinate/lower in a given social hierarchy had less dopamine activity than the dominant ones and this relationship would change as different sets were regrouped. In other words, it had nothing to do with their specific biology – only the social arrangement that reduced or elevated their dopamine levels. It also found that lower hierarchy monkeys would use more cocaine to compensate. This is revealing as low dopamine levels in primates (including humans) are found to have a direct correlation to depression. [15]

social-status

Afterthoughts & Recommendations

These findings should concern us all, considering the extreme income inequality that prevails, with the richest 1% possessing as much wealth as the rest of the world combined. It’s time to wake up and see how destructive our current economic system is and collectively join our efforts to create a better one that will serve all people.

If you’d like to develop a deeper understanding of how income inequality is negatively impacting our well-being, I’d highly recommend you to read the exceptional book The Spirit Level. In addition, if you’re interested to open your eyes to more ugly truths concerning our economic system, and willing to comprehend what it takes to create an alternative, socially and environmentally sustainable economy, do yourself a favor and read the book The Zeitgeist Movement Defined (if you’re not willing to get a physical copy of it, you can download it as an eBook free of charge here).

Footnotes

1. Whitehall Study I & II, (http://www.ucl.ac.uk/whitehallII/) Also see: Epidemiology of socioeconomic status and health, M. Marmot (http://www.ncbi.nlm.nih.gov/pubmed/10681885)
2. Life-Course Socioeconomic Position and Incidence of Coronary Heart Disease, American Journal of Epidemiology, April 1, 2009. (http://aje.oxfordjournals.org/content/early/2009/01/29/aje.kwn403)
3. Heart Disease Tied to Poverty, New York Times, 1985 (http://www.nytimes.com/1985/02/24/us/heart-disease-tied-topoverty.html)
4. A qualifier here to note is that this phenomenon relates more so to relatively wealthy societies in general than it does to inherently poverty stricken societies.
5. Quote from the study Can Low-Income Americans Afford a Healthy Diet?: “Many nutritional professionals believe that all Americans, regardless of income, have access to a nutritious diet of whole grains, lean meats, and fresh vegetables and fruit. In reality, food prices pose a significant barrier for many consumers who are trying to balance good nutrition with affordability.” (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2847733/)
6. Reference: Medical costs push millions of people into poverty across the globe, WHO (http://www.who.int/mediacentre/news/releases/2005/pr65/en/index.html)
7. Reference: Education Gap Grows Between Rich and Poor, Studies Say, New York Times, 2012 (http://www.nytimes.com/2012/02/10/education/education-gap-growsbetween-rich-and-poor-studies-show.html?pagewanted=all)
8. Time Trends in child and adolescent mental health, Maughan, Collishaw, Goodman & Pickles, Journal of Child Psychology and Psychiatry, 2004
9. Sourcing the Anxiety Disorders Association of America, this article is a recommend summation: http://www.msnbc.msn.com/id/39335628/ns/health-mental_health/t/whyare-anxiety-disorders-among-women-rise/#.UI9PRoUpzZg
10. Depression On The Rise In College Students, NPR, 2011 (http://www.npr.org/2011/01/17/132934543/depression-on-the-rise-incollege-students)
11. The age of anxiety? Birth cohort change in anxiety and neuroticism, J.M. Twenge, Journal of Personality and Social Psychology, 2007
12. Antidepressant Use in Persons Aged 12 and Over: United States, 2005– 2008, Laura A. Pratt, NCHS, Oct 2011
13. Reference: The Dramatic Rise of Anxiety and Depression in Children and Adolescents, Peter Gray, 2012
14. The Spirit Level by Richard Wilkinson and Kate Pickett, Penguin, March 2009, p.65
15. Social dominance in monkeys: dopamine D2 receptors and cocaine self-administration, Morgan & Grant, Nature Neuroscience, 2002 5(2): p.169-74

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