Income is more protective against pain in more equal countries

It is empirically well-established that the rich suffer less pain on average than the poor. However, much less is known about the factors that moderate the size of the income gradient of pain. Using data from over 1 million adults from 127 countries worldwide, this article conducts a systematic test...

Full description

Bibliographic Details
Main Authors: Tang, Cheng Keat, Macchia, Lucía, Powdthavee, Nattavudh
Other Authors: School of Social Sciences
Format: Journal Article
Language:English
Published: 2024
Subjects:
Online Access:https://hdl.handle.net/10356/174183
_version_ 1811681297212375040
author Tang, Cheng Keat
Macchia, Lucía
Powdthavee, Nattavudh
author2 School of Social Sciences
author_facet School of Social Sciences
Tang, Cheng Keat
Macchia, Lucía
Powdthavee, Nattavudh
author_sort Tang, Cheng Keat
collection NTU
description It is empirically well-established that the rich suffer less pain on average than the poor. However, much less is known about the factors that moderate the size of the income gradient of pain. Using data from over 1 million adults from 127 countries worldwide, this article conducts a systematic test on whether income inequality moderates the pain gap between the rich and the poor. While pain is negatively associated with income in all but one country, there is strong evidence to suggest that an increase in income is much more protective against pain in countries where the income distribution is relatively more equal. The results are robust to using different measures of income inequality, removing outliers, and accounting for country and year fixed effects. We explain our results through the lens of income rank effects on health outcomes. Overall, our findings suggest that pain-reducing policies through income redistribution may need to take income inequality into consideration when evaluating their effectiveness.
first_indexed 2024-10-01T03:38:42Z
format Journal Article
id ntu-10356/174183
institution Nanyang Technological University
language English
last_indexed 2024-10-01T03:38:42Z
publishDate 2024
record_format dspace
spelling ntu-10356/1741832024-03-24T15:30:27Z Income is more protective against pain in more equal countries Tang, Cheng Keat Macchia, Lucía Powdthavee, Nattavudh School of Social Sciences Social Sciences Pain Income It is empirically well-established that the rich suffer less pain on average than the poor. However, much less is known about the factors that moderate the size of the income gradient of pain. Using data from over 1 million adults from 127 countries worldwide, this article conducts a systematic test on whether income inequality moderates the pain gap between the rich and the poor. While pain is negatively associated with income in all but one country, there is strong evidence to suggest that an increase in income is much more protective against pain in countries where the income distribution is relatively more equal. The results are robust to using different measures of income inequality, removing outliers, and accounting for country and year fixed effects. We explain our results through the lens of income rank effects on health outcomes. Overall, our findings suggest that pain-reducing policies through income redistribution may need to take income inequality into consideration when evaluating their effectiveness. Published version 2024-03-19T01:43:09Z 2024-03-19T01:43:09Z 2023 Journal Article Tang, C. K., Macchia, L. & Powdthavee, N. (2023). Income is more protective against pain in more equal countries. Social Science & Medicine, 333, 116181-. https://dx.doi.org/10.1016/j.socscimed.2023.116181 0277-9536 https://hdl.handle.net/10356/174183 10.1016/j.socscimed.2023.116181 37611460 2-s2.0-85168509865 333 116181 en Social Science & Medicine © 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). application/pdf
spellingShingle Social Sciences
Pain
Income
Tang, Cheng Keat
Macchia, Lucía
Powdthavee, Nattavudh
Income is more protective against pain in more equal countries
title Income is more protective against pain in more equal countries
title_full Income is more protective against pain in more equal countries
title_fullStr Income is more protective against pain in more equal countries
title_full_unstemmed Income is more protective against pain in more equal countries
title_short Income is more protective against pain in more equal countries
title_sort income is more protective against pain in more equal countries
topic Social Sciences
Pain
Income
url https://hdl.handle.net/10356/174183
work_keys_str_mv AT tangchengkeat incomeismoreprotectiveagainstpaininmoreequalcountries
AT macchialucia incomeismoreprotectiveagainstpaininmoreequalcountries
AT powdthaveenattavudh incomeismoreprotectiveagainstpaininmoreequalcountries