Do wealth and inequality associate with health in a small-scale subsistence society?

In high-income countries, one’s relative socio-economic position and economic inequality may affect health and well-being, arguably via psychosocial stress. We tested this in a small-scale subsistence society, the Tsimane, by associating relative household wealth (n = 871) and community-level wealth...

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Autores principales:	Adrian V Jaeggi, Aaron D Blackwell, Christopher von Rueden, Benjamin C Trumble, Jonathan Stieglitz, Angela R Garcia, Thomas S Kraft, Bret A Beheim, Paul L Hooper, Hillard Kaplan, Michael Gurven
Formato:	article
Lenguaje:	EN
Publicado:	eLife Sciences Publications Ltd 2021
Materias:	social determinants of health biopsychosocial socio-economic status hierarchy mismatch tradeoffs Medicine R Science Q Biology (General) QH301-705.5
Acceso en línea:	https://doaj.org/article/5d23e88c6fbf486e84922e742c0f4217
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spelling	oai:doaj.org-article:5d23e88c6fbf486e84922e742c0f42172021-11-23T12:53:42ZDo wealth and inequality associate with health in a small-scale subsistence society?10.7554/eLife.594372050-084Xe59437https://doaj.org/article/5d23e88c6fbf486e84922e742c0f42172021-05-01T00:00:00Zhttps://elifesciences.org/articles/59437https://doaj.org/toc/2050-084XIn high-income countries, one’s relative socio-economic position and economic inequality may affect health and well-being, arguably via psychosocial stress. We tested this in a small-scale subsistence society, the Tsimane, by associating relative household wealth (n = 871) and community-level wealth inequality (n = 40, Gini = 0.15–0.53) with a range of psychological variables, stressors, and health outcomes (depressive symptoms [n = 670], social conflicts [n = 401], non-social problems [n = 398], social support [n = 399], cortisol [n = 811], body mass index [n = 9,926], blood pressure [n = 3,195], self-rated health [n = 2523], morbidities [n = 1542]) controlling for community-average wealth, age, sex, household size, community size, and distance to markets. Wealthier people largely had better outcomes while inequality associated with more respiratory disease, a leading cause of mortality. Greater inequality and lower wealth were associated with higher blood pressure. Psychosocial factors did not mediate wealth-health associations. Thus, relative socio-economic position and inequality may affect health across diverse societies, though this is likely exacerbated in high-income countries.Adrian V JaeggiAaron D BlackwellChristopher von RuedenBenjamin C TrumbleJonathan StieglitzAngela R GarciaThomas S KraftBret A BeheimPaul L HooperHillard KaplanMichael GurveneLife Sciences Publications Ltdarticlesocial determinants of healthbiopsychosocialsocio-economic statushierarchymismatchtradeoffsMedicineRScienceQBiology (General)QH301-705.5ENeLife, Vol 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	social determinants of health biopsychosocial socio-economic status hierarchy mismatch tradeoffs Medicine R Science Q Biology (General) QH301-705.5
spellingShingle	social determinants of health biopsychosocial socio-economic status hierarchy mismatch tradeoffs Medicine R Science Q Biology (General) QH301-705.5 Adrian V Jaeggi Aaron D Blackwell Christopher von Rueden Benjamin C Trumble Jonathan Stieglitz Angela R Garcia Thomas S Kraft Bret A Beheim Paul L Hooper Hillard Kaplan Michael Gurven Do wealth and inequality associate with health in a small-scale subsistence society?
description	In high-income countries, one’s relative socio-economic position and economic inequality may affect health and well-being, arguably via psychosocial stress. We tested this in a small-scale subsistence society, the Tsimane, by associating relative household wealth (n = 871) and community-level wealth inequality (n = 40, Gini = 0.15–0.53) with a range of psychological variables, stressors, and health outcomes (depressive symptoms [n = 670], social conflicts [n = 401], non-social problems [n = 398], social support [n = 399], cortisol [n = 811], body mass index [n = 9,926], blood pressure [n = 3,195], self-rated health [n = 2523], morbidities [n = 1542]) controlling for community-average wealth, age, sex, household size, community size, and distance to markets. Wealthier people largely had better outcomes while inequality associated with more respiratory disease, a leading cause of mortality. Greater inequality and lower wealth were associated with higher blood pressure. Psychosocial factors did not mediate wealth-health associations. Thus, relative socio-economic position and inequality may affect health across diverse societies, though this is likely exacerbated in high-income countries.
format	article
author	Adrian V Jaeggi Aaron D Blackwell Christopher von Rueden Benjamin C Trumble Jonathan Stieglitz Angela R Garcia Thomas S Kraft Bret A Beheim Paul L Hooper Hillard Kaplan Michael Gurven
author_facet	Adrian V Jaeggi Aaron D Blackwell Christopher von Rueden Benjamin C Trumble Jonathan Stieglitz Angela R Garcia Thomas S Kraft Bret A Beheim Paul L Hooper Hillard Kaplan Michael Gurven
author_sort	Adrian V Jaeggi
title	Do wealth and inequality associate with health in a small-scale subsistence society?
title_short	Do wealth and inequality associate with health in a small-scale subsistence society?
title_full	Do wealth and inequality associate with health in a small-scale subsistence society?
title_fullStr	Do wealth and inequality associate with health in a small-scale subsistence society?
title_full_unstemmed	Do wealth and inequality associate with health in a small-scale subsistence society?
title_sort	do wealth and inequality associate with health in a small-scale subsistence society?
publisher	eLife Sciences Publications Ltd
publishDate	2021
url	https://doaj.org/article/5d23e88c6fbf486e84922e742c0f4217
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Do wealth and inequality associate with health in a small-scale subsistence society?

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