Abstract
BackgroundWealth inequalities are increasing in many countries, but their relationship to health is little studied. We investigated the association between individual wealth and mortality across the adult life course in Sweden.MethodsWe studied the Swedish adult population using national registers. The amount of wealth tax paid in 1990 was the main exposure of interest and the cohort was followed up for 18 years. Relative indices of inequality (RII) summarize health inequalities across a population and were calculated for all-cause and cause-specific mortality for six different age groups, stratified by sex, using Poisson regression. Mortality inequalities by wealth were contrasted with those assessed by individual and household income. Attenuation by four other measures of socio-economic position and other covariates was investigated.ResultsLarge inequalities in mortality by wealth were observed and their association with mortality remained more stable across the adult life course than inequalities by income-based measures. Men experienced greater inequalities across all ages (e.g. the RII for wealth was 2.58 [95% confidence interval (CI) 2.54–2.63) in men aged 55–64 years compared with 2.29 (95% CI 2.24–2.34) for women aged 55–64 years), except among the over 85s. Adjustment for covariates, including four other measures of socio-economic position, led to only modest reductions in the association between wealth and mortality.ConclusionsWealth is strongly associated with mortality throughout the adult life course, including early adulthood. Income redistribution may be insufficient to narrow health inequalities—addressing the increasingly unequal distribution of wealth in high-income countries should be considered.
Highlights
Wealth inequalities are increasing in many countries, but their relationship to health is little studied
While education level and social class are widely used, these variables are indirectly related to an individual’s material resources. They may be less relevant for specific age groups—e.g. education level typically remains unchanged after early adulthood
We investigate the association between individual wealth and mortality across the adult life course in the Swedish population
Summary
Wealth inequalities are increasing in many countries, but their relationship to health is little studied. The social determinants of health underpin health inequalities—the repeated finding that socially disadvantaged groups tend to experience worse health in a way that is both unjust and avoidable.[9,10] Health inequalities research has measured socio-economic position using a range of approaches.[11,12,13,14] While education level and social class are widely used, these variables are indirectly related to an individual’s material resources They may be less relevant for specific age groups—e.g. education level typically remains unchanged after early adulthood. It is often suggested that wealth may be important in old age but not among young adults.[11]
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