There is a clear trend in rich countries that despite rising incomes and living standards, the gap between rich and poor is widening. What does this mean for our health? Does increasing income inequality affect outcomes such as obesity, life expectancy and subjective well-being? Are rich and poor groups affected in the same ways? This book reviews the latest research on the relationship between inequality and health. It provides the reader with a pedagogical introduction to the tools and knowledge required to understand and assess the issue. Main conclusions from the literature are then summarized and discussed critically.

In this book, pioneering social epidemiologist Richard Wilkinson, shows how inequality affects social relations and well-being. In wealthy countries, health is not simply a matter of material circumstances and access to health care; it is also how your relationships and social standing make you feel about life. Using detailed evidence from rich market democracies, the book addresses people's experience of inequality and presents a radical theory of the psychosocial impact of class stratification. The book demonstrates how poor health, high rates of violence and low levels of social capital all reflect the stresses of inequality and explains the pervasive sense that, despite material success, our societies are sometimes social failures. What emerges is a new conception of what it means to say that we are social beings and of how the social structure penetrates our personal lives and relationships.

A “powerful and provocative” inquiry into the relationship between societies’ inequality and their citizens’ health, happiness and well-being (Lisa Berkman, Harvard School of Public Health). Comparing the United States with other market democracies, and one American state with another, this book presents irrefutable evidence that inequality is a driver of poor health, social conflict, and violence. Pioneering social scientist Richard Wilkinson addresses the growing feeling—so common in the United States—that modern societies, despite their material success, are social failures. The Impact of Inequality explains why inequality has such devastating effects on the quality and length of our lives. Wilkinson shows that inequality leads to stress, which in turn creates sickness on the individual and mass level. As a consequence, society suffers widespread unhappiness and high levels of violence, depression, and mistrust across the social spectrum. With persuasive evidence and fascinating analysis, the diagnosis is clear: Social and political equality are essential to improving life for everyone. Wilkinson argues that even small reductions in inequality can make an important difference—for, as this book explains, social relations are always built on material foundations. “This new book, a wonderful work of synthesis, brings insight into how conditions of society impact on people’s daily lives. . . . It is a stimulating and exciting book.” —Sir Michael Marmot, author of The Status Syndrome

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

In this book, pioneering social epidemiologist Richard Wilkinson, shows how inequality affects social relations and well-being. In wealthy countries, health is not simply a matter of material circumstances and access to health care; it is also how your relationships and social standing make you feel about life. Using detailed evidence from rich market democracies, the book addresses people’s experience of inequality and presents a radical theory of the psychosocial impact of class stratification. The book demonstrates how poor health, high rates of violence and low levels of social capital all reflect the stresses of inequality and explains the pervasive sense that, despite material success, our societies are sometimes social failures. What emerges is a new conception of what it means to say that we are social beings and of how the social structure penetrates our personal lives and relationships.

Unequal Health asks why some individuals are living longer and enjoying better health than others. By contrasting popular beliefs about the relevance of such factors as sex, race, poverty, and health habits, Grace Budrys moves beyond factors that receive a great deal of media attention, such as smoking, diet, exercise, even genetic inheritance, and examines those factors that are far more difficult to identify and track, such as relative income and relative social status.