Why do poor people have poorer health?

A new report on the impact of wealth on health by Professor Michaela Benzeval, commissioned by the Joseph Rowntree Foundation as part of their major research programme into poverty in the UK, has been published today.

How Does Money Influence Health explored many theories in 272 separate research studies exploring the link between poverty and poor health.

Professor Benzeval and colleagues identified four main ways money affects people’s wellbeing:

  • Material: Money buys goods and services that improve health. The more money families have, the better the goods they can buy.
  • Psychosocial: Managing on a low income is stressful. Comparing oneself to others and feeling at the bottom of the social ladder can be distressing, which can lead to biochemical changes in the body, eventually causing ill health.
  • Behavioural: For various reasons, people on low incomes are more likely to adopt unhealthy behaviours – smoking and drinking, for example – while those on higher incomes are more able to afford healthier lifestyles.
  • Reverse causation (poor health leads to low income): Health may affect income by preventing people from taking paid employment. Childhood health may also affect educational outcomes, limiting job opportunities and potential earnings.

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