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257
Top income
share and
mortality:
Evidence from
advanced
countries
Petri Böckerman
PALKANSAAJIEN TUTKIMUSLAITOS •TYÖPAPEREITA
LABOUR INSTITUTE FOR ECONOMIC RESEARCH • DISCUSSION PAPERS
* Labour Institute for Economic Research and University of Tampere.
Pitkänsillanranta 3A, 6. krs. FIN-00530 Helsinki, FINLAND.
Phone: +358-9-25357330. Fax: +358-9-25357332.
E-mail: petri.bockerman@labour.fi
Helsinki 2010
257
Top income
shares and
mortality:
Evidence from
advanced
countries
Petri Böckerman*
ISBN 978−952−209−076–8
ISSN 1795−1801
3
TIIVISTELMÄ
Tutkimuksessa tarkastellaan huipputulo-osuuksien vaikutusta kuolleisuuteen yhdeksän maan paneeli-
aineistolla vuosina 1952-1998. Tulosten mukaan huipputulojen osuudella ei ole yhteyttä kuolleisuu-
teen.
ABSTRACT
The paper examines the effect of top income shares on the crude death and infant mortality rates. We
use balanced panel data that covers nine advanced countries over the period 1952-1998. Top income
shares are measured as the shares of pre-tax income going to the richest 0.1%, 1% and 10% of the
population. We also estimate separate effects on both female and male mortality rates. The most
important finding is that there is no overall relationship between top income shares and mortality. If
anything, the estimates based on gender breakdown show that there is evidence that an increase in
income inequality is associated with a decrease in the crude death rate for males.
JEL Classification: I12; N30
KEY WORDS: income inequality; top income shares; mortality
1. INTRODUCTION
Increasing income inequality is said to be associated with increased morbidity and premature
mortality (see Wilkinson, 1996; Wagstaff and van Doorslaer, 2000; Subramanian and Kawachi, 2004;
Wilkinson and Pickett, 2006; Leigh et al., 2009, for surveys). However, the robustness of this
relationship has been questioned (e.g. Judge et al., 1998; Deaton, 2001; Gravelle et al., 2001; Deaton
and Lubotsky, 2003; Gerdtham and Johannesson, 2004; Lorgelly and Lindley, 2008). Most of the
literature has used cross-sectional data sets that do not allow controlling for unobservable
heterogeneity that is associated with regions/countries and years. In contrast, by using panel data on
countries it is possible to hold constant both stable country-to-country differences and annual changes
in the outcome of interest that affect all countries similarly in the same year (Leigh and Jencks, 2007).
There are earlier studies on income inequality and various domains of health that have used a panel
4
data approach, but they typically rely on a relatively short time dimension (e.g. Gravelle and Sutton,
2008; Kravdal, 2008; Hildebrand and Van Kerm, 2009).1
The paper examines the effect of top income shares on the crude death and infant mortality rates. We
use balanced panel data that covers nine advanced countries over the period 1952-1998. The most
important advantage of the measures of top income shares from tax registers is that they are available
for a much longer time period than other measures of income inequality. There is earlier research that
has used the measures of top income shares to examine the effect of income inequality on mortality
(Waldmann, 1992; Leigh and Jencks, 2007). Our paper differs from earlier research that has used
income tax data. First, we use three different measures of top income shares. These are the shares of
pre-tax income going to the richest 0.1%, 1% and 10% of the population.2
This is a crucial extension
of the literature, because the use of several different measures of top income shares allows us to detect
whether there exists a systematic, robust relationship between top income shares and mortality.
Second, we estimate separate effects on both female and male mortality rates. This is important,
because the overall effects can mask different effects on the mortality rates by gender. It is
particularly interesting to explore the potential gender differences in the relationship between income
inequality and mortality, because experimental evidence points out that gender differences exist in the
perception of equality and fairness (e.g. Eckel and Grossman, 2008). Females are generally more
sensitive to deviations from equality and fairness than males are. This implies that income inequality
may have stronger negative effects on females’ health. Third, we perform some robustness checks of
the relationship that have not been considered in this particular strand of research earlier. This is
essential, because the patterns that are based on the use of country aggregates on income inequality
and mortality can be fragile, at least to some degree. Lastly, we use a balanced panel from nine
advanced countries for the period 1952-1998. Thus, we do not use the pre-Second World War
observations on top income shares, because they often contain more measurement error (see e.g.
Roine et al., 2009). Neither do we use observations that cover the period of the Second World War,
because the shock of war may have had different idiosyncratic effects on the advanced countries that
are difficult to control for. Furthermore, it is useful to note that the parameters of interest are not
necessarily stable over the very long time period that would cover most of the twentieth century.
Because we focus on the analysis of a balanced panel, there is also no need to interpolate and/or
extrapolate for missing observations. This arguably reduces measurement error in the variables and
therefore produces more precise estimates with tighter confidence intervals.
1
Babones (2008) finds evidence for the positive relationship between income inequality and mortality by using
panel data on countries over the period 1970-1995.
2
Leigh and Jencks (2007) use only the income share of the richest 10%.
5
2. DATA
We use data on mortality and top income shares for the period 1952-1998. The nine countries are the
following: Australia, Canada, France, Japan, New Zealand, Sweden, the Netherlands, the United
States and the United Kingdom. The time period and the countries have been selected in order to
construct a balanced panel of advanced countries.
The dependent variables of the models are based on the World Health Organization Mortality
Database.3
The database includes deaths by country from 1950, classified according to the
International Classification of Diseases System (ICD7-ICD10). In this paper, we use two measures of
mortality. These are the natural logarithm of the crude death rate (i.e. log of the total number of deaths
per year per 1000 inhabitants) and the natural logarithm of the infant mortality rate (i.e. log of the
number of deaths of children less than 1 year old per 1000 live births). Both measures of mortality are
also calculated separately for females and males by using the corresponding population shares.
The explanatory variables of interest are various measures of top income shares. Therefore, top
income shares are used as measures of income inequality. Collective research effort has constructed a
database on top income shares covering most of the twentieth century (Atkinson and Piketty, 2007;
2010).4
These measures are based on historical income tax statistics and common methodology across
countries.5
Top income shares are calculated by comparing the amount of income reported to the tax
authorities by the richest X% of individuals/households with an estimate of total personal income in
the same year from each country’s national accounts. In this paper, we use the shares of pre-tax
income going to the richest 0.1%, 1% and 10% of the population.6
Capital gains are not included in
the top income shares whenever they are separately reported, following Atkinson and Piketty (2010).
Piketty and Saez (2003:5-6) argue that capital gains should not be included in the top income shares,
because they are realized in a lumpy fashion. Hence, capital gains form a very volatile component of
income with a large variation from year to year. The income share of the richest 10% is not available
for Japan. Thus, the models that use the income share of the richest 10% are estimated for eight
advanced countries. As a control variable in the baseline specifications, we use the natural logarithm
3
The data are available at http://www.who.int/healthinfo/morttables/en/index.html
4
Piketty and Saez (2003) and Saez (2005) describe the trends in top income shares in the United States and
Canada.
5
Atkinson and Brandolini (2001) discuss about the drawbacks of the commonly used “secondary” data sources
on income inequality in detail.
6
The data on top income shares are described in Roine et al. (2009). The data that are used in the estimations are
available at http://www.ifn.se/web/danielw.aspx
6
of the real GDP per capita (measured in 1990 international Geary-Khamis dollars), based on
Maddison (2003).7
Table I provides descriptive statistics of the variables.
Table I here
3. EMPIRICAL APPROACH
We estimate models of the following type:
jttititiit GXY ελβα ++++= (1)
where Y is the outcome (log of the crude death rate or log of the infant mortality rate) for country i in
year t. X represents control variables. The variable of our interest is Git, which is a measure of top
income share for country i in year t. ε is an error term. iα and tλ represent fixed effects associated
with the country and the year. The most important advantage of the fixed effects approach is that we
are able to control for unobservable heterogeneity that is associated with countries and years.8
Thus,
in this fixed effects set-up, the effects of income inequality on mortality are identified by intra-
country variations, relative to the corresponding changes in other countries. Standard errors for the
estimates are clustered at the country level in all specifications to take into account the possible
within-country serial correlation, following Leigh and Jencks (2007).
7
The data are available at http://www.ggdc.net/maddison/
8
Kravdal (2008:216-218) discusses about the fixed effects approach in detail. Böckerman et al. (2009) have also
used the fixed effects approach to examine the relationship between income inequality and various subjective
and objective measures of health.
7
4. RESULTS
4.1. Baseline estimates
We include the fixed effects for countries and years in the baseline specifications, because a full set of
indicators for countries and years is statistically significant.9
For comparison, it is useful to note that
the point estimate of the income share of the richest 1% on the crude death rate is -0.0078 (with a
robust standard error of 0.0179, clustered at the country level) in the specification that does not
include a full set of indicators for countries (and years) (Table II, Panel B, Column 1). Even more
interestingly, the estimate of the income share of the richest 1% on the infant mortality rate is 0.0505
(0.0261) in the model without a full set of indicators for countries (and years) (Table II, Panel B,
Column 3). Therefore, the estimate suggests that an increase in income inequality increases infant
mortality. This result is in accordance with the cross-country estimates in Waldmann (1992) and the
specifications that do not include a full set of indicators for countries and years in Leigh and Jencks
(2007:11) and the cross-country correlations in Wilkinson and Pickett (2009:82). The most important
point regarding the appropriate model specification is that if the inclusion of the indicators for the
countries changes the estimate for income inequality, it means that the time-invariant unobserved
country characteristics are correlated with income inequality. This implies that a model specification
with a random term in order to capture unobserved country characteristics (or a simpler model
without such a term) would not be appropriate, because a model with a random term is based on the
assumption that the time-invariant unobserved country characteristics are not correlated with income
inequality, following the argument in Kravdal (2008:216-220). In our case the inclusion of a full set
of indicators for the countries (i.e. fixed country effects) clearly changes the estimates for income
inequality (Table II, Panels A-C, Columns 2 and 4). The change in the estimate for income inequality
is particularly significant for the infant mortality rate (Table II, Panels A-C, Columns 3-4). This
pattern prevails for all measures of top income shares. Thus, the fixed effects approach is the most
appropriate modelling approach in our case, based on the importance of fixed country effects.
Table II here
The most important finding from the baseline specifications is that there is no overall relationship
between top income shares and mortality among nine advanced countries over the period 1952-1998
(Table III, Panels A-C, Columns 1-2). The non-existence of a relationship between the income share
of the richest 10% and mortality is in accordance with the results in Leigh and Jencks (2007). Only in
9
Leigh and Jencks (2007:11) also find that the indicators for countries and years are highly statistically
significant.
8
the specification that uses the share of income going to the richest 1% is there evidence of a negative
relationship at the 10% significance level between income inequality and the crude death rate (Table
III, Panel B, Column 1). For the infant mortality rate not even this relationship prevails. However, the
mortality rates that are calculated separately for females and males reveal an interesting additional
pattern. There is evidence that an increase in income inequality is associated with a decrease in the
crude death rate for males.10
This pattern prevails for all three measures of income inequality (Table
III, Panels A-C, Column 5). The 95% confidence intervals for these estimates indicate that zero is
generally not included in them. For example, the confidence intervals for the point estimate of the
income share of the richest 1% on the crude death rate for males (Table III, Panel B, Column 5) range
from -0.0485 to -0.0074. In contrast, for females there is no evidence whatsoever that income
inequality is related to mortality (Table III, Panels A-C, Columns 3-4).
Table III here
4.2. Robustness checks
To examine the robustness of the baseline estimates, we have estimated several additional
specifications.11
First, we have dropped one country at a time from the panel and re-estimated the
models. This allows us to detect whether the overall pattern in Table III is driven by the observations
that are related to one country only. None of these specifications indicates that there is evidence for
the positive relationship between top income shares and mortality. For example, the point estimates
for the income share of the richest 1% on the crude death rate (Table III, Panel B, Column 1) vary
from -0.0771 (with a robust standard error of 0.0211, clustered at the country level) to -0.0210
(0.0297) when one country at a time is dropped from the panel. We have also estimated separate
models for the Anglo-Saxon countries, because one of the best known stylized facts of the
development of top income shares is their diverging evolution in the Anglo-Saxon countries vs.
continental Europe (Atkinson and Piketty, 2007).12
The non-existence of the relationship between
income inequality and mortality remains. Second, we have estimated separate models for the periods
1950-1973 and 1973-1998, following the classification of growth phases in the advanced countries by
Maddison (1991). These results suggest that the relationship between top income shares and mortality
has changed over the period 1950-1998. In particular, there is evidence that a negative relationship
prevails over the period 1950-1973, but this relationship disappears over the period 1973-1998. For
10
Leigh and Jencks (2007) obtain some evidence for the positive coefficient for the income share of the richest
10% in the specifications for life expectancy at birth, but their estimates are generally not statistically significant.
11
The results of all robustness checks are available upon request.
12
We classify Australia, Canada, New Zealand, the UK, and the US as the Anglo-Saxon countries, following
e.g. Roine et al. (2009).
9
example, the point estimates of the income share of the richest 1% on the crude death rate (Table III,
Panel B, Column 1) are -0.0334 (with a robust standard error of 0.0165, clustered at the country level)
over the period 1950-1973 and -0.0145 (0.0102) for the period 1973-1998.
Third, we have added the estimates of the average number of years of total schooling among the adult
population to the set of control variables for the period 1960-1995, because education is a potential
determinant of health (Cutler and Lleras-Muney, 2008). The data is based on de la Fuente and
Doménech (2006).13
The data contain the estimated number of years of schooling for every five years
over the period 1960-1995. We have interpolated linearly the missing observations for each country
separately. The results reveal that the number of years of schooling is not statistically significant in
these models at conventional levels (not reported). The most likely reason for this is that the number
of years of schooling is rather imprecisely measured. Thus, the baseline results for the effects of top
income shares remain almost unchanged. For example, the point estimate of the income share of the
richest 1% on the crude death rate (Table III, Panel B, Column 1) is -0.0214 (with a robust standard
error of 0.0126, clustered at the country level) for the period 1960-1995 when one includes the
number of years of schooling in the set of control variables.
Fourth, we have added the square of GDP per capita to the set of control variables, because there is
earlier evidence according to which the relationship between GDP and mortality is quadratic (Preston,
1975). These specifications reinforce the earlier finding for the existence of a negative relationship
between income inequality and mortality when one uses the income share of the richest 1% (Table IV,
Panel B, Column 1). However, the quantitative magnitude of the estimate remains rather small. The
coefficient of -0.0231 implies that a 10 percentage point increase in the income share of the richest
1% decreases the crude death rate by ~0.2 percentages. In contrast to the results of the baseline
specifications (Table III, Panel A, Column 1), the income share of the richest 0.1% has also a
statistically significant negative effect on the crude death rate (Table IV, Panel A, Column 1).
However, by using the income share of the richest 10% there is no evidence for the statistically
significant relationship (Table IV, Panel C, Column 1). The results for the square of GDP (not
reported) reveal that the negative effect of additional GDP on the crude death rate decreases as GDP
rises. This finding is similar to the one in Leigh and Jencks (2007). Fifth, we have estimated the fixed
effects models, allowing for the first order autocorrelation terms. These models also produce
statistically significant evidence for the negative relationship between the variables of interest (not
reported). However, the statistical significance of these estimates is probably partly driven by the fact
that it is technically not possible to cluster standard errors at the country level at the same time when
one allows for the first order autocorrelation terms to be applied to the models.
13
The data are available at http://iei.uv.es/~rdomenec/human/human.html
10
Table IV here
Sixth, we have estimated the specifications by using 5-year averages of the data for the period 1952-
1998 (the last time period covers the years 1992-1998), because the relationship between income
inequality and mortality may not be instantaneous. Instead, the negative effects of income inequality
on health may take several years to develop (e.g. Gadalla and Fuller-Thomson, 2008). The use of 5-
year averages removes a substantial amount of temporary fluctuations from the variables of interest.
This approach has also been used earlier in the literature on income inequality and economic growth
(e.g. Voitchovsky, 2005). The data that is used to estimate these models consists of 81 observations,
because we have nine countries and nine time periods. These results point out that there is no
statistically significant relationship between top income shares and mortality (Table IV, Panels A-C,
Columns 3-4). The pattern is identical for all three measures of top income shares. Furthermore, we
have estimated specifications by using 10-year averages of the data. (The last time period covers the
years 1992-1998.) The results remain the same (Table IV, Panels A-C, Columns 5-6).
Lastly, we have estimated models for the mortality rates that are calculated separately for males by
using 5-year and 10-year averages of the data, because the baseline estimates (Table III, Panels, A-C,
Column 5) showed that an increase in income inequality seems to be associated with a decrease in the
crude death rate for males. These specifications reveal that the earlier effect prevails by using the
income shares of the richest 0.1% and 1% for both 5- and 10-year averages of the data, but it
disappears by using the income share of the richest 10%. (The results obtained by using 10-year
averages of the data are documented in Columns 7-8 of Table IV.) This pattern is consistent with the
fact that the relationship was statistically weakest in the baseline estimates too when the income share
of the richest 10% was used (Table III, Panel C, Column 5). Also, in accordance with the baseline
estimates, we find that income inequality is not related to infant mortality for males through the use of
10-year averages of the data (Table IV, Panels A-C, Column 8).
5. CONCLUSIONS
The paper uses top income shares measured as the shares of pre-tax income going to the richest 0.1%,
1% and 10% of the population to examine the relationship between income inequality and mortality.
We find that there is no overall relationship between top income shares and mortality in the balanced
panel of nine advanced countries over the period 1952-1998. If anything, the estimates based on
gender breakdown show that there is evidence that an increase in income inequality is associated with
a decrease in the crude death rate for males. This finding is related to earlier research that has found
differences in the effect of income inequality on mortality between genders (e.g. Lochner et al. 2001;
11
Materia et al., 2005). These studies generally find stronger effects of income inequality on mortality
for females.
The most important limitation of the study is arguably the use of the measures of top income shares as
measures of income inequality. Top income shares capture the changes at the top end of the income
distribution and the changes in the Gini coefficient well (Leigh, 2007). However, they do not describe
the changes at the bottom end of the income distribution well. That being said, it is important to note
that, according to Leigh and Jencks (2007:20), almost all of the theoretical arguments for the
existence of a positive relationship between income inequality and mortality should also be valid
when one is measuring income inequality through top income shares.
ACKNOWLEDGEMENTS
I am grateful to Andrew Leigh, Jukka Pirttilä, Ilpo Suoniemi and Hannu Tanninen for very useful
comments and discussions. I am also grateful to Eija Savaja for her help with the data. Paul A.
Dillingham has kindly checked the English language. The usual disclaimer applies.
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14
Table I. Descriptive statistics of the variables.
N Mean St. Dev.
Dependent variables
Log of the crude death rate 423 2.1751 0.1781
Log of the infant mortality rate 423 2.5240 0.5720
Log of the crude death rate for females 423 2.0862 0.2020
Log of the infant mortality rate for females 423 2.3914 0.5690
Log of the crude death rate for males 423 2.2567 0.1645
Log of the infant mortality rate for males 423 2.6348 0.5754
Explanatory variables
Income share of the richest 0.1% 423 2.0093 0.8447
Income share of the richest 1% 423 7.7863 1.9155
Income share of the richest 10% 376 31.4975 4.1976
Log of the real GDP per capita ($ 1000s) 423 9.4194 0.3934
Note: The income share of the richest 10% is not available for Japan.
15
Table II. Top income shares and mortality; the importance of fixed country effects.
Panel A (1) (2) (3) (4)
Crude death rate Crude death rate Infant mortality
rate
Infant mortality
rate
Income share of
the richest 0.1%
-0.0153
(0.0340)
-0.0280
(0.0176)
0.0899
(0.0533)
-0.0922**
(0.0290)
Fixed country
effects
No Yes No Yes
Fixed year effects No No No No
Observations 423 423 423 423
R-squared 0.016 0.893 0.688 0.935
Panel B (1) (2) (3) (4)
Crude death rate Crude death rate Infant mortality
rate
Infant mortality
rate
Income share of
the richest 1%
-0.00779
(0.0179)
-0.0132
(0.00798)
0.0505*
(0.0261)
-0.0343**
(0.0108)
Fixed country
effects
No Yes No Yes
Fixed year effects No No No No
Observations 423 423 423 423
R-squared 0.018 0.893 0.698 0.931
Panel C (1) (2) (3) (4)
Crude death rate Crude death rate Infant mortality
rate
Infant mortality
rate
Income share of
the richest 10%
-0.00883
(0.00983)
-0.00759
(0.00452)
0.0246*
(0.0127)
-0.0163*
(0.00701)
Fixed country
effects
No Yes No Yes
Fixed year effects No No No No
Observations 376 376 376 376
R-squared 0.109 0.878 0.726 0.933
Note: The models include a full set of indicators for countries and years, as indicated. All 12 models include an unreported
control variable for the log of the real GDP per capita. The income share of the richest 10% is not available for Japan. Robust
standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, * p<0.1
16
Table III. Top income shares and mortality; baseline specifications.
Panel A (1) (2) (3) (4) (5) (6)
Crude death
rate
Infant
mortality rate
Crude death
rate for
females
Infant
mortality rate
for females
Crude death
rate for
males
Infant
mortality rate
for males
Income share
of the richest
0.1%
-0.0436
(0.0256)
-0.0366
(0.0439)
-0.0280
(0.0326)
-0.0355
(0.0440)
-0.0568**
(0.0202)
-0.0375
(0.0440)
Observations 423 423 423 423 423 423
R-squared 0.906 0.982 0.915 0.980 0.889 0.981
Panel B (1) (2) (3) (4) (5) (6)
Crude death
rate
Infant
mortality rate
Crude death
rate for
females
Infant
mortality rate
for females
Crude death
rate for
males
Infant
mortality rate
for males
Income share
of the richest
1%
-0.0222*
(0.0117)
-0.0207
(0.0196)
-0.0155
(0.0153)
-0.0201
(0.0197)
-0.0280**
(0.00892)
-0.0211
(0.0197)
Observations 423 423 423 423 423 423
R-squared 0.907 0.982 0.916 0.980 0.890 0.982
Panel C (1) (2) (3) (4) (5) (6)
Crude death
rate
Infant
mortality rate
Crude death
rate for
females
Infant
mortality rate
for females
Crude death
rate for
males
Infant
mortality rate
for males
Income share
of the richest
10%
-0.00870
(0.00668)
-0.00455
(0.00756)
-0.00496
(0.00731)
-0.00494
(0.00766)
-0.0122*
(0.00626)
-0.00425
(0.00759)
Observations 376 376 376 376 376 376
R-squared 0.888 0.977 0.898 0.975 0.876 0.976
Note: All 18 models include a full set of indicators for countries and years. All models of all panels also include an
unreported control variable for the log of the real GDP per capita. The income share of the richest 10% is not available for
Japan. Robust standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, *
p<0.1
17
Table IV. Top income shares and mortality; additional specifications.
Panel A (1) (2) (3) (4) (5) (6) (7) (8)
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate
for males
Infant mortality
rate for males
Income share of
the richest 0.1%
-0.0482**
(0.0187)
-0.0404
(0.0367)
-0.0483
(0.0291)
-0.0428
(0.0488)
-0.0452
(0.0322)
-0.0409
(0.0560)
-0.0666*
(0.0305)
-0.0628
(0.0649)
Observations 423 423 81 81 45 45 45 45
R-squared 0.917 0.983 0.920 0.986 0.915 0.988 0.894 0.983
Panel B (1) (2) (3) (4) (5) (6) (7) (8)
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate
for males
Infant mortality
rate for males
Income share of
the richest 1%
-0.0231**
(0.00907)
-0.0215
(0.0166)
-0.0239
(0.0132)
-0.0226
(0.0217)
-0.0225
(0.0148)
-0.0212
(0.0249)
-0.0333**
(0.0130)
-0.0354
(0.0282)
Observations 423 423 81 81 45 45 45 45
R-squared 0.916 0.983 0.920 0.986 0.916 0.988 0.896 0.984
Panel C (1) (2) (3) (4) (5) (6) (7) (8)
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate Infant mortality
rate
Crude death rate
for males
Infant mortality
rate for males
Income share of
the richest 10%
-0.0103
(0.00770)
-0.00813
(0.00719)
-0.00927
(0.00768)
-0.00426
(0.00826)
-0.00840
(0.00865)
-0.00362
(0.0104)
-0.0143
(0.00838)
-0.00716
(0.00990)
Observations 376 376 72 72 40 40 40 40
R-squared 0.891 0.978 0.899 0.981 0.898 0.984 0.877 0.976
Note: The models in columns 1-2 of all panels include a full set of indicators for countries and years. The models in columns 1-2 also include an unreported control variable for the log of the real
GDP per capita and the square of the log of the real GDP per capita. The models in columns 3-4 are estimated by using 5-year averages of the data, as explained in the text. These models include a
full set of indicators for countries and 5-year time periods. They also include an unreported control variable for the 5-year average of the log of the real GDP per capita. The models in columns 5-6
are estimated by using 10-year averages of the data. These models include a full set of indicators for countries and 10-year time periods. They also include an unreported control variable for the 10-
year average of the log of the real GDP per capita. The models in columns 7-8 are estimated by using 10-year averages of the data for males. The controls are the same as in Columns 5-6. The
income share of the richest 10% is not available for Japan. Robust standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, * p<0.1

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Top income shares and mortality: Evidence from advanced countries

  • 1. 257 Top income share and mortality: Evidence from advanced countries Petri Böckerman
  • 2. PALKANSAAJIEN TUTKIMUSLAITOS •TYÖPAPEREITA LABOUR INSTITUTE FOR ECONOMIC RESEARCH • DISCUSSION PAPERS * Labour Institute for Economic Research and University of Tampere. Pitkänsillanranta 3A, 6. krs. FIN-00530 Helsinki, FINLAND. Phone: +358-9-25357330. Fax: +358-9-25357332. E-mail: petri.bockerman@labour.fi Helsinki 2010 257 Top income shares and mortality: Evidence from advanced countries Petri Böckerman*
  • 4. 3 TIIVISTELMÄ Tutkimuksessa tarkastellaan huipputulo-osuuksien vaikutusta kuolleisuuteen yhdeksän maan paneeli- aineistolla vuosina 1952-1998. Tulosten mukaan huipputulojen osuudella ei ole yhteyttä kuolleisuu- teen. ABSTRACT The paper examines the effect of top income shares on the crude death and infant mortality rates. We use balanced panel data that covers nine advanced countries over the period 1952-1998. Top income shares are measured as the shares of pre-tax income going to the richest 0.1%, 1% and 10% of the population. We also estimate separate effects on both female and male mortality rates. The most important finding is that there is no overall relationship between top income shares and mortality. If anything, the estimates based on gender breakdown show that there is evidence that an increase in income inequality is associated with a decrease in the crude death rate for males. JEL Classification: I12; N30 KEY WORDS: income inequality; top income shares; mortality 1. INTRODUCTION Increasing income inequality is said to be associated with increased morbidity and premature mortality (see Wilkinson, 1996; Wagstaff and van Doorslaer, 2000; Subramanian and Kawachi, 2004; Wilkinson and Pickett, 2006; Leigh et al., 2009, for surveys). However, the robustness of this relationship has been questioned (e.g. Judge et al., 1998; Deaton, 2001; Gravelle et al., 2001; Deaton and Lubotsky, 2003; Gerdtham and Johannesson, 2004; Lorgelly and Lindley, 2008). Most of the literature has used cross-sectional data sets that do not allow controlling for unobservable heterogeneity that is associated with regions/countries and years. In contrast, by using panel data on countries it is possible to hold constant both stable country-to-country differences and annual changes in the outcome of interest that affect all countries similarly in the same year (Leigh and Jencks, 2007). There are earlier studies on income inequality and various domains of health that have used a panel
  • 5. 4 data approach, but they typically rely on a relatively short time dimension (e.g. Gravelle and Sutton, 2008; Kravdal, 2008; Hildebrand and Van Kerm, 2009).1 The paper examines the effect of top income shares on the crude death and infant mortality rates. We use balanced panel data that covers nine advanced countries over the period 1952-1998. The most important advantage of the measures of top income shares from tax registers is that they are available for a much longer time period than other measures of income inequality. There is earlier research that has used the measures of top income shares to examine the effect of income inequality on mortality (Waldmann, 1992; Leigh and Jencks, 2007). Our paper differs from earlier research that has used income tax data. First, we use three different measures of top income shares. These are the shares of pre-tax income going to the richest 0.1%, 1% and 10% of the population.2 This is a crucial extension of the literature, because the use of several different measures of top income shares allows us to detect whether there exists a systematic, robust relationship between top income shares and mortality. Second, we estimate separate effects on both female and male mortality rates. This is important, because the overall effects can mask different effects on the mortality rates by gender. It is particularly interesting to explore the potential gender differences in the relationship between income inequality and mortality, because experimental evidence points out that gender differences exist in the perception of equality and fairness (e.g. Eckel and Grossman, 2008). Females are generally more sensitive to deviations from equality and fairness than males are. This implies that income inequality may have stronger negative effects on females’ health. Third, we perform some robustness checks of the relationship that have not been considered in this particular strand of research earlier. This is essential, because the patterns that are based on the use of country aggregates on income inequality and mortality can be fragile, at least to some degree. Lastly, we use a balanced panel from nine advanced countries for the period 1952-1998. Thus, we do not use the pre-Second World War observations on top income shares, because they often contain more measurement error (see e.g. Roine et al., 2009). Neither do we use observations that cover the period of the Second World War, because the shock of war may have had different idiosyncratic effects on the advanced countries that are difficult to control for. Furthermore, it is useful to note that the parameters of interest are not necessarily stable over the very long time period that would cover most of the twentieth century. Because we focus on the analysis of a balanced panel, there is also no need to interpolate and/or extrapolate for missing observations. This arguably reduces measurement error in the variables and therefore produces more precise estimates with tighter confidence intervals. 1 Babones (2008) finds evidence for the positive relationship between income inequality and mortality by using panel data on countries over the period 1970-1995. 2 Leigh and Jencks (2007) use only the income share of the richest 10%.
  • 6. 5 2. DATA We use data on mortality and top income shares for the period 1952-1998. The nine countries are the following: Australia, Canada, France, Japan, New Zealand, Sweden, the Netherlands, the United States and the United Kingdom. The time period and the countries have been selected in order to construct a balanced panel of advanced countries. The dependent variables of the models are based on the World Health Organization Mortality Database.3 The database includes deaths by country from 1950, classified according to the International Classification of Diseases System (ICD7-ICD10). In this paper, we use two measures of mortality. These are the natural logarithm of the crude death rate (i.e. log of the total number of deaths per year per 1000 inhabitants) and the natural logarithm of the infant mortality rate (i.e. log of the number of deaths of children less than 1 year old per 1000 live births). Both measures of mortality are also calculated separately for females and males by using the corresponding population shares. The explanatory variables of interest are various measures of top income shares. Therefore, top income shares are used as measures of income inequality. Collective research effort has constructed a database on top income shares covering most of the twentieth century (Atkinson and Piketty, 2007; 2010).4 These measures are based on historical income tax statistics and common methodology across countries.5 Top income shares are calculated by comparing the amount of income reported to the tax authorities by the richest X% of individuals/households with an estimate of total personal income in the same year from each country’s national accounts. In this paper, we use the shares of pre-tax income going to the richest 0.1%, 1% and 10% of the population.6 Capital gains are not included in the top income shares whenever they are separately reported, following Atkinson and Piketty (2010). Piketty and Saez (2003:5-6) argue that capital gains should not be included in the top income shares, because they are realized in a lumpy fashion. Hence, capital gains form a very volatile component of income with a large variation from year to year. The income share of the richest 10% is not available for Japan. Thus, the models that use the income share of the richest 10% are estimated for eight advanced countries. As a control variable in the baseline specifications, we use the natural logarithm 3 The data are available at http://www.who.int/healthinfo/morttables/en/index.html 4 Piketty and Saez (2003) and Saez (2005) describe the trends in top income shares in the United States and Canada. 5 Atkinson and Brandolini (2001) discuss about the drawbacks of the commonly used “secondary” data sources on income inequality in detail. 6 The data on top income shares are described in Roine et al. (2009). The data that are used in the estimations are available at http://www.ifn.se/web/danielw.aspx
  • 7. 6 of the real GDP per capita (measured in 1990 international Geary-Khamis dollars), based on Maddison (2003).7 Table I provides descriptive statistics of the variables. Table I here 3. EMPIRICAL APPROACH We estimate models of the following type: jttititiit GXY ελβα ++++= (1) where Y is the outcome (log of the crude death rate or log of the infant mortality rate) for country i in year t. X represents control variables. The variable of our interest is Git, which is a measure of top income share for country i in year t. ε is an error term. iα and tλ represent fixed effects associated with the country and the year. The most important advantage of the fixed effects approach is that we are able to control for unobservable heterogeneity that is associated with countries and years.8 Thus, in this fixed effects set-up, the effects of income inequality on mortality are identified by intra- country variations, relative to the corresponding changes in other countries. Standard errors for the estimates are clustered at the country level in all specifications to take into account the possible within-country serial correlation, following Leigh and Jencks (2007). 7 The data are available at http://www.ggdc.net/maddison/ 8 Kravdal (2008:216-218) discusses about the fixed effects approach in detail. Böckerman et al. (2009) have also used the fixed effects approach to examine the relationship between income inequality and various subjective and objective measures of health.
  • 8. 7 4. RESULTS 4.1. Baseline estimates We include the fixed effects for countries and years in the baseline specifications, because a full set of indicators for countries and years is statistically significant.9 For comparison, it is useful to note that the point estimate of the income share of the richest 1% on the crude death rate is -0.0078 (with a robust standard error of 0.0179, clustered at the country level) in the specification that does not include a full set of indicators for countries (and years) (Table II, Panel B, Column 1). Even more interestingly, the estimate of the income share of the richest 1% on the infant mortality rate is 0.0505 (0.0261) in the model without a full set of indicators for countries (and years) (Table II, Panel B, Column 3). Therefore, the estimate suggests that an increase in income inequality increases infant mortality. This result is in accordance with the cross-country estimates in Waldmann (1992) and the specifications that do not include a full set of indicators for countries and years in Leigh and Jencks (2007:11) and the cross-country correlations in Wilkinson and Pickett (2009:82). The most important point regarding the appropriate model specification is that if the inclusion of the indicators for the countries changes the estimate for income inequality, it means that the time-invariant unobserved country characteristics are correlated with income inequality. This implies that a model specification with a random term in order to capture unobserved country characteristics (or a simpler model without such a term) would not be appropriate, because a model with a random term is based on the assumption that the time-invariant unobserved country characteristics are not correlated with income inequality, following the argument in Kravdal (2008:216-220). In our case the inclusion of a full set of indicators for the countries (i.e. fixed country effects) clearly changes the estimates for income inequality (Table II, Panels A-C, Columns 2 and 4). The change in the estimate for income inequality is particularly significant for the infant mortality rate (Table II, Panels A-C, Columns 3-4). This pattern prevails for all measures of top income shares. Thus, the fixed effects approach is the most appropriate modelling approach in our case, based on the importance of fixed country effects. Table II here The most important finding from the baseline specifications is that there is no overall relationship between top income shares and mortality among nine advanced countries over the period 1952-1998 (Table III, Panels A-C, Columns 1-2). The non-existence of a relationship between the income share of the richest 10% and mortality is in accordance with the results in Leigh and Jencks (2007). Only in 9 Leigh and Jencks (2007:11) also find that the indicators for countries and years are highly statistically significant.
  • 9. 8 the specification that uses the share of income going to the richest 1% is there evidence of a negative relationship at the 10% significance level between income inequality and the crude death rate (Table III, Panel B, Column 1). For the infant mortality rate not even this relationship prevails. However, the mortality rates that are calculated separately for females and males reveal an interesting additional pattern. There is evidence that an increase in income inequality is associated with a decrease in the crude death rate for males.10 This pattern prevails for all three measures of income inequality (Table III, Panels A-C, Column 5). The 95% confidence intervals for these estimates indicate that zero is generally not included in them. For example, the confidence intervals for the point estimate of the income share of the richest 1% on the crude death rate for males (Table III, Panel B, Column 5) range from -0.0485 to -0.0074. In contrast, for females there is no evidence whatsoever that income inequality is related to mortality (Table III, Panels A-C, Columns 3-4). Table III here 4.2. Robustness checks To examine the robustness of the baseline estimates, we have estimated several additional specifications.11 First, we have dropped one country at a time from the panel and re-estimated the models. This allows us to detect whether the overall pattern in Table III is driven by the observations that are related to one country only. None of these specifications indicates that there is evidence for the positive relationship between top income shares and mortality. For example, the point estimates for the income share of the richest 1% on the crude death rate (Table III, Panel B, Column 1) vary from -0.0771 (with a robust standard error of 0.0211, clustered at the country level) to -0.0210 (0.0297) when one country at a time is dropped from the panel. We have also estimated separate models for the Anglo-Saxon countries, because one of the best known stylized facts of the development of top income shares is their diverging evolution in the Anglo-Saxon countries vs. continental Europe (Atkinson and Piketty, 2007).12 The non-existence of the relationship between income inequality and mortality remains. Second, we have estimated separate models for the periods 1950-1973 and 1973-1998, following the classification of growth phases in the advanced countries by Maddison (1991). These results suggest that the relationship between top income shares and mortality has changed over the period 1950-1998. In particular, there is evidence that a negative relationship prevails over the period 1950-1973, but this relationship disappears over the period 1973-1998. For 10 Leigh and Jencks (2007) obtain some evidence for the positive coefficient for the income share of the richest 10% in the specifications for life expectancy at birth, but their estimates are generally not statistically significant. 11 The results of all robustness checks are available upon request. 12 We classify Australia, Canada, New Zealand, the UK, and the US as the Anglo-Saxon countries, following e.g. Roine et al. (2009).
  • 10. 9 example, the point estimates of the income share of the richest 1% on the crude death rate (Table III, Panel B, Column 1) are -0.0334 (with a robust standard error of 0.0165, clustered at the country level) over the period 1950-1973 and -0.0145 (0.0102) for the period 1973-1998. Third, we have added the estimates of the average number of years of total schooling among the adult population to the set of control variables for the period 1960-1995, because education is a potential determinant of health (Cutler and Lleras-Muney, 2008). The data is based on de la Fuente and Doménech (2006).13 The data contain the estimated number of years of schooling for every five years over the period 1960-1995. We have interpolated linearly the missing observations for each country separately. The results reveal that the number of years of schooling is not statistically significant in these models at conventional levels (not reported). The most likely reason for this is that the number of years of schooling is rather imprecisely measured. Thus, the baseline results for the effects of top income shares remain almost unchanged. For example, the point estimate of the income share of the richest 1% on the crude death rate (Table III, Panel B, Column 1) is -0.0214 (with a robust standard error of 0.0126, clustered at the country level) for the period 1960-1995 when one includes the number of years of schooling in the set of control variables. Fourth, we have added the square of GDP per capita to the set of control variables, because there is earlier evidence according to which the relationship between GDP and mortality is quadratic (Preston, 1975). These specifications reinforce the earlier finding for the existence of a negative relationship between income inequality and mortality when one uses the income share of the richest 1% (Table IV, Panel B, Column 1). However, the quantitative magnitude of the estimate remains rather small. The coefficient of -0.0231 implies that a 10 percentage point increase in the income share of the richest 1% decreases the crude death rate by ~0.2 percentages. In contrast to the results of the baseline specifications (Table III, Panel A, Column 1), the income share of the richest 0.1% has also a statistically significant negative effect on the crude death rate (Table IV, Panel A, Column 1). However, by using the income share of the richest 10% there is no evidence for the statistically significant relationship (Table IV, Panel C, Column 1). The results for the square of GDP (not reported) reveal that the negative effect of additional GDP on the crude death rate decreases as GDP rises. This finding is similar to the one in Leigh and Jencks (2007). Fifth, we have estimated the fixed effects models, allowing for the first order autocorrelation terms. These models also produce statistically significant evidence for the negative relationship between the variables of interest (not reported). However, the statistical significance of these estimates is probably partly driven by the fact that it is technically not possible to cluster standard errors at the country level at the same time when one allows for the first order autocorrelation terms to be applied to the models. 13 The data are available at http://iei.uv.es/~rdomenec/human/human.html
  • 11. 10 Table IV here Sixth, we have estimated the specifications by using 5-year averages of the data for the period 1952- 1998 (the last time period covers the years 1992-1998), because the relationship between income inequality and mortality may not be instantaneous. Instead, the negative effects of income inequality on health may take several years to develop (e.g. Gadalla and Fuller-Thomson, 2008). The use of 5- year averages removes a substantial amount of temporary fluctuations from the variables of interest. This approach has also been used earlier in the literature on income inequality and economic growth (e.g. Voitchovsky, 2005). The data that is used to estimate these models consists of 81 observations, because we have nine countries and nine time periods. These results point out that there is no statistically significant relationship between top income shares and mortality (Table IV, Panels A-C, Columns 3-4). The pattern is identical for all three measures of top income shares. Furthermore, we have estimated specifications by using 10-year averages of the data. (The last time period covers the years 1992-1998.) The results remain the same (Table IV, Panels A-C, Columns 5-6). Lastly, we have estimated models for the mortality rates that are calculated separately for males by using 5-year and 10-year averages of the data, because the baseline estimates (Table III, Panels, A-C, Column 5) showed that an increase in income inequality seems to be associated with a decrease in the crude death rate for males. These specifications reveal that the earlier effect prevails by using the income shares of the richest 0.1% and 1% for both 5- and 10-year averages of the data, but it disappears by using the income share of the richest 10%. (The results obtained by using 10-year averages of the data are documented in Columns 7-8 of Table IV.) This pattern is consistent with the fact that the relationship was statistically weakest in the baseline estimates too when the income share of the richest 10% was used (Table III, Panel C, Column 5). Also, in accordance with the baseline estimates, we find that income inequality is not related to infant mortality for males through the use of 10-year averages of the data (Table IV, Panels A-C, Column 8). 5. CONCLUSIONS The paper uses top income shares measured as the shares of pre-tax income going to the richest 0.1%, 1% and 10% of the population to examine the relationship between income inequality and mortality. We find that there is no overall relationship between top income shares and mortality in the balanced panel of nine advanced countries over the period 1952-1998. If anything, the estimates based on gender breakdown show that there is evidence that an increase in income inequality is associated with a decrease in the crude death rate for males. This finding is related to earlier research that has found differences in the effect of income inequality on mortality between genders (e.g. Lochner et al. 2001;
  • 12. 11 Materia et al., 2005). These studies generally find stronger effects of income inequality on mortality for females. The most important limitation of the study is arguably the use of the measures of top income shares as measures of income inequality. Top income shares capture the changes at the top end of the income distribution and the changes in the Gini coefficient well (Leigh, 2007). However, they do not describe the changes at the bottom end of the income distribution well. That being said, it is important to note that, according to Leigh and Jencks (2007:20), almost all of the theoretical arguments for the existence of a positive relationship between income inequality and mortality should also be valid when one is measuring income inequality through top income shares. ACKNOWLEDGEMENTS I am grateful to Andrew Leigh, Jukka Pirttilä, Ilpo Suoniemi and Hannu Tanninen for very useful comments and discussions. I am also grateful to Eija Savaja for her help with the data. Paul A. Dillingham has kindly checked the English language. The usual disclaimer applies. REFERENCES Atkinson AB, Brandolini A. 2001. Promise and pitfalls in the use of “secondary” data-sets: Income inequality in OECD countries as a case study. Journal of Economic Literature 39: 771-799. Atkinson AB, Piketty T. 2007. Top incomes over the Twentieth Century: A Contrast between European and English-Speaking Countries. Oxford: Oxford University Press. Atkinson AB, Piketty T. 2010. Top incomes: A Global Perspective. Oxford: Oxford University Press. Babones SJ. 2008. Income inequality and population health: Correlation and causality. Social Science and Medicine 66: 1614-1626. Böckerman P, Johansson E, Helakorpi S, Uutela A. 2009. Economic inequality and population health: Looking beyond aggregate indicators. Sociology of Health and Illness 31: 422-440. Cutler D, Lleras-Muney A. 2008. Education and health: Evaluating theories and evidence. In Making Americans Healthier. Social and Economic Policy as Health Policy. Newhouse J, Schoeni G, Kaplan G, Polack H (eds). Russell Sage Press: New York. de la Fuente A, Doménech R. 2006. Human capital in growth regressions: How much difference does data quality make? Journal of the European Economic Association 4: 1-36. Deaton A. 2001. Inequalities in income and inequalities in health. In The Causes and Consequences of Increasing Inequality. Welch I (ed.). University of Chicago Press: Chicago. Deaton A, Lubotsky D. 2003. Mortality, inequality and race in American cities and states. Social Science and Medicine 56: 1139-1153.
  • 13. 12 Eckel C, Grossman P. 2008. Differences in the economic decisions of men and women: Experimental evidence. In Handbook of Experimental Results. Plott C, Smith V (eds). Elsevier: Amsterdam. Gadalla TM, Fuller-Thomson E. 2008. Examining the lag time between state-level income inequality and individual disabilities: A multilevel analysis. American Journal of Public Health 98: 2187-2190. Gerdtham UG, Johannesson M. 2004. Absolute income, relative income, income inequality, and mortality. Journal of Human Resources 39: 228-247. Gravelle H, Sutton M. 2008. Income, relative income, and self-reported health in Britain 1979-2000. Health Economics 18: 125-145. Gravelle H, Wildman J, Sutton M. 2001. Income, income inequality and health: What can we learn from aggregate data? Social Science and Medicine 54: 577-589. Hildebrand V, Van Kerm P. 2009. Income inequality and self-rated health status: Evidence from the European Community Household Panel. Demography 46: 805-825. Judge K, Mulligan J, Benzeval M. 1998. Income inequality and population health. Social Science and Medicine 46: 567-579. Kravdal Ø. 2008. Does income inequality really influence individual mortality? Results from a ‘fixed- effects analysis’ where constant unobserved municipality characteristics are controlled. Demographic Research 18: 205-232. Leigh A. 2007. How closely do top income shares track other measures of inequality? Economic Journal 117: F619-F633. Leigh A, Jencks C. 2007. Inequality and mortality: Long-run evidence from a panel of countries. Journal of Health Economics 26: 1-24. Leigh A, Jencks C, Smeeding T. 2009. Health and inequality. In The Oxford Handbook of Economic Inequality. Salverda W, Nolan B, Smeeding T (eds). Oxford University Press: Oxford. Lochner K, Pamuk E, Makuc D, Kennedy BP, Kawachi I. 2001. State-level income inequality and individual mortality risk: A prospective, multilevel study. American Journal of Public Health 91: 385-391. Lorgelly PK, Lindley J. 2008. What is the relationship between income inequality and health? Evidence from the BHPS. Health Economics 17: 249-265. Maddison A. 1991. Dynamic Forces in Capitalist Development: A Long-Run Comparative View. Oxford: University Press. Maddison A. 2003. The World Economy: Historical Statistics. Paris: OECD. Materia E, Cacciani L, Bugarini G, Cesaroni G, Davoli M, Mirale MP, Vergine L, Baglio G, Simeone G, Perucci CA. 2005. Income inequality and mortality in Italy. The European Journal of Public Health 15: 411-417. Piketty T, Saez E. 2003. Income inequality in the United States, 1913-1998. Quarterly Journal of Economics 118: 1-39. Preston SH. 1975. The changing relation between mortality and level of economic development. Population Studies 29: 231-248. Roine J, Waldenström D, Vlachos J. 2009. The long-run determinants of inequality: What can we learn from top income data? Journal of Public Economics 93: 974-988. Saez E. 2005. Top incomes in the United States and Canada over the twentieth century. Journal of the European Economic Association 3: 402-411. Subramanian SV, Kawachi I. 2004. Income inequality and health: What have we learned so far? Epidemiologic Review 26: 78-91.
  • 14. 13 Voitchovsky S. 2005. Does the profile in income inequality matter for economic growth? Journal of Economic Growth 10: 273-296. Wagstaff A, van Doorslaer E. 2000. Income inequality and health: What does the literature tell us? Annual Review of Public Health 21: 543-567. Waldmann RJ. 1992. Income distribution and infant mortality. Quarterly Journal of Economics 107: 1283-1302. Wilkinson RG. 1996. Unhealthy Societies: The Afflictions of Inequality. London: Routledge. Wilkinson RG. Pickett KE. 2006. Income inequality and population health: A review and explanation of the evidence. Social Science and Medicine 62: 1768-1784. Wilkinson RG. Pickett KE. 2009. The Spirit Level. Why More Equal Societies Almost Always Do Better. London: Penguin Books Ltd.
  • 15. 14 Table I. Descriptive statistics of the variables. N Mean St. Dev. Dependent variables Log of the crude death rate 423 2.1751 0.1781 Log of the infant mortality rate 423 2.5240 0.5720 Log of the crude death rate for females 423 2.0862 0.2020 Log of the infant mortality rate for females 423 2.3914 0.5690 Log of the crude death rate for males 423 2.2567 0.1645 Log of the infant mortality rate for males 423 2.6348 0.5754 Explanatory variables Income share of the richest 0.1% 423 2.0093 0.8447 Income share of the richest 1% 423 7.7863 1.9155 Income share of the richest 10% 376 31.4975 4.1976 Log of the real GDP per capita ($ 1000s) 423 9.4194 0.3934 Note: The income share of the richest 10% is not available for Japan.
  • 16. 15 Table II. Top income shares and mortality; the importance of fixed country effects. Panel A (1) (2) (3) (4) Crude death rate Crude death rate Infant mortality rate Infant mortality rate Income share of the richest 0.1% -0.0153 (0.0340) -0.0280 (0.0176) 0.0899 (0.0533) -0.0922** (0.0290) Fixed country effects No Yes No Yes Fixed year effects No No No No Observations 423 423 423 423 R-squared 0.016 0.893 0.688 0.935 Panel B (1) (2) (3) (4) Crude death rate Crude death rate Infant mortality rate Infant mortality rate Income share of the richest 1% -0.00779 (0.0179) -0.0132 (0.00798) 0.0505* (0.0261) -0.0343** (0.0108) Fixed country effects No Yes No Yes Fixed year effects No No No No Observations 423 423 423 423 R-squared 0.018 0.893 0.698 0.931 Panel C (1) (2) (3) (4) Crude death rate Crude death rate Infant mortality rate Infant mortality rate Income share of the richest 10% -0.00883 (0.00983) -0.00759 (0.00452) 0.0246* (0.0127) -0.0163* (0.00701) Fixed country effects No Yes No Yes Fixed year effects No No No No Observations 376 376 376 376 R-squared 0.109 0.878 0.726 0.933 Note: The models include a full set of indicators for countries and years, as indicated. All 12 models include an unreported control variable for the log of the real GDP per capita. The income share of the richest 10% is not available for Japan. Robust standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, * p<0.1
  • 17. 16 Table III. Top income shares and mortality; baseline specifications. Panel A (1) (2) (3) (4) (5) (6) Crude death rate Infant mortality rate Crude death rate for females Infant mortality rate for females Crude death rate for males Infant mortality rate for males Income share of the richest 0.1% -0.0436 (0.0256) -0.0366 (0.0439) -0.0280 (0.0326) -0.0355 (0.0440) -0.0568** (0.0202) -0.0375 (0.0440) Observations 423 423 423 423 423 423 R-squared 0.906 0.982 0.915 0.980 0.889 0.981 Panel B (1) (2) (3) (4) (5) (6) Crude death rate Infant mortality rate Crude death rate for females Infant mortality rate for females Crude death rate for males Infant mortality rate for males Income share of the richest 1% -0.0222* (0.0117) -0.0207 (0.0196) -0.0155 (0.0153) -0.0201 (0.0197) -0.0280** (0.00892) -0.0211 (0.0197) Observations 423 423 423 423 423 423 R-squared 0.907 0.982 0.916 0.980 0.890 0.982 Panel C (1) (2) (3) (4) (5) (6) Crude death rate Infant mortality rate Crude death rate for females Infant mortality rate for females Crude death rate for males Infant mortality rate for males Income share of the richest 10% -0.00870 (0.00668) -0.00455 (0.00756) -0.00496 (0.00731) -0.00494 (0.00766) -0.0122* (0.00626) -0.00425 (0.00759) Observations 376 376 376 376 376 376 R-squared 0.888 0.977 0.898 0.975 0.876 0.976 Note: All 18 models include a full set of indicators for countries and years. All models of all panels also include an unreported control variable for the log of the real GDP per capita. The income share of the richest 10% is not available for Japan. Robust standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, * p<0.1
  • 18. 17 Table IV. Top income shares and mortality; additional specifications. Panel A (1) (2) (3) (4) (5) (6) (7) (8) Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate for males Infant mortality rate for males Income share of the richest 0.1% -0.0482** (0.0187) -0.0404 (0.0367) -0.0483 (0.0291) -0.0428 (0.0488) -0.0452 (0.0322) -0.0409 (0.0560) -0.0666* (0.0305) -0.0628 (0.0649) Observations 423 423 81 81 45 45 45 45 R-squared 0.917 0.983 0.920 0.986 0.915 0.988 0.894 0.983 Panel B (1) (2) (3) (4) (5) (6) (7) (8) Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate for males Infant mortality rate for males Income share of the richest 1% -0.0231** (0.00907) -0.0215 (0.0166) -0.0239 (0.0132) -0.0226 (0.0217) -0.0225 (0.0148) -0.0212 (0.0249) -0.0333** (0.0130) -0.0354 (0.0282) Observations 423 423 81 81 45 45 45 45 R-squared 0.916 0.983 0.920 0.986 0.916 0.988 0.896 0.984 Panel C (1) (2) (3) (4) (5) (6) (7) (8) Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate Infant mortality rate Crude death rate for males Infant mortality rate for males Income share of the richest 10% -0.0103 (0.00770) -0.00813 (0.00719) -0.00927 (0.00768) -0.00426 (0.00826) -0.00840 (0.00865) -0.00362 (0.0104) -0.0143 (0.00838) -0.00716 (0.00990) Observations 376 376 72 72 40 40 40 40 R-squared 0.891 0.978 0.899 0.981 0.898 0.984 0.877 0.976 Note: The models in columns 1-2 of all panels include a full set of indicators for countries and years. The models in columns 1-2 also include an unreported control variable for the log of the real GDP per capita and the square of the log of the real GDP per capita. The models in columns 3-4 are estimated by using 5-year averages of the data, as explained in the text. These models include a full set of indicators for countries and 5-year time periods. They also include an unreported control variable for the 5-year average of the log of the real GDP per capita. The models in columns 5-6 are estimated by using 10-year averages of the data. These models include a full set of indicators for countries and 10-year time periods. They also include an unreported control variable for the 10- year average of the log of the real GDP per capita. The models in columns 7-8 are estimated by using 10-year averages of the data for males. The controls are the same as in Columns 5-6. The income share of the richest 10% is not available for Japan. Robust standard errors in parentheses, clustered at the country level. Statistical significance: *** p<0.01, ** p<0.05, * p<0.1