Letter to the Editor

Understanding Income and Health Inequities in the Deep South

Authors: Jennifer Mandelbaum, MPH

Abstract

To the Editor: A substantial body of research provides evidence for a relation between poverty and health, with poverty linked to heart disease, diabetes mellitus, and other chronic health conditions.1 This research may be particularly important to address in the context of the US Deep South, given its disproportionately high concentration of poverty.2 Research on the relation between poverty and health is important for targeting investment in social needs, yet the mechanisms underlying this relation remain unclear. Beatty and colleagues examined the association between poverty and health in Tennessee, with an emphasis on the social determinants of health (eg, employment, insurance status).3

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References

1. Khullar D, Chokshi DA. Health, income, & poverty: where we are & what could help. https://www.healthaffairs.org/do/10.1377/hpb20180817.901935/full. Updated October 4, 2018. Accessed March 26, 2020.
2. Iceland J,  Hernandez E. Understanding trends in concentrated poverty: 1980-2014. Soc Sci Res 2017;62:75-95.
3. Beatty K, Egen O, Dreyzehner J, et al. Poverty and health in Tennessee. South Med J 2020;113:1-7.
4. Cheng TL, Johnson SB, Goodman E. Breaking the intergenerational cycle of disadvantage: the three generation approach. Pediatrics 2016;137:e20152467.
5. Glasgow RE, Green LW,  Taylor MV, et al. An evidence integration triangle for aligning science with policy and practice. Am J Prev Med 2012;42:646-654.