Journal of Public Policy

Table of Contents - 2004 - Volume 24, Issue 03  

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Is Equality Good Medicine? Determinants of Life Expectancy in Industrialized Democracies

MARKUS M. L.  CREPAZ a1 1 and NICOLE  CREPAZ a2
a1 International Affairs, University of Georgia
a2 HIV/AIDS Prevention, US Centers for Disease Control and Prevention

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Abstract

The association between income inequality which creates psycho-social stress and longevity is of a curvilinear, concave nature. Low levels of income inequality are connected with shorter life expectancy. As inequality increases so does life expectancy until a point is reached where further increases in inequality lead to decreases in life expectancy. This finding is consistent with general theories of the effects of stress on performance as found in the fields of social psychology and sports medicine. In addition, we found that the life expectancy of populations is driven by factors such as perceived political control, the generosity of the welfare state, life-styles, GDP per capita and the poverty rate. Independently of which measure of income inequality was used or which statistical method was applied, these findings remained robust even when a number of alternative explanations were controlled for.


Footnotes

1 We would like to express our sincere gratitude to Andrei Ogrezeanu for expert research assistance and critical reading of this article and to colleagues and friends Chris Allen and Robert Grafstein for their incisive questions and creative reflections on such grave issues as longevity.