Does an increase of low income families affect child health inequalities?
Study objective: Reduction of health inequalities is a primary public health target in many countries. A change of proportion of low income families might affect child health inequalities. Yet, the importance of family incomes in high income welfare states is not well established. The aim of this study was to investigate the effect of increased percentage of low income families on child health inequalities during an economic recession in Sweden, 1991–1996. Design: Health inequalities for six health indicators were assessed during the period 1991–1996 and during adjacent periods. Relative inequality indices were estimated according to Pamuk and Mackenback. Appraisal of a child’s socioeconomic situation was based on social data for the child’s residency area. Setting: The total population of children and adolescents 0–<19 years old living in Stockholm County, Sweden, was studied. Each one year cohort comprised 20 470–25 420 people. Main outcome measures: Mortality; rate of low birth weig