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Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations.

Publication ,  Journal Article
Richmond-Rakerd, LS; D'Souza, S; Andersen, SH; Hogan, S; Houts, RM; Poulton, R; Ramrakha, S; Caspi, A; Milne, BJ; Moffitt, TE
Published in: Nature human behaviour
March 2020

Health and social scientists have documented the hospital revolving-door problem, the concentration of crime, and long-term welfare dependence. Have these distinct fields identified the same citizens? Using administrative databases linked to 1.7 million New Zealanders, we quantified and monetized inequality in distributions of health and social problems and tested whether they aggregate within individuals. Marked inequality was observed: Gini coefficients equalled 0.96 for criminal convictions, 0.91 for public-hospital nights, 0.86 for welfare benefits, 0.74 for prescription-drug fills and 0.54 for injury-insurance claims. Marked aggregation was uncovered: a small population segment accounted for a disproportionate share of use-events and costs across multiple sectors. These findings were replicated in 2.3 million Danes. We then integrated the New Zealand databases with the four-decade-long Dunedin Study. The high-need/high-cost population segment experienced early-life factors that reduce workforce readiness, including low education and poor mental health. In midlife they reported low life satisfaction. Investing in young people's education and training potential could reduce health and social inequalities and enhance population wellbeing.

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Published In

Nature human behaviour

DOI

EISSN

2397-3374

ISSN

2397-3374

Publication Date

March 2020

Volume

4

Issue

3

Start / End Page

255 / 264

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Socioeconomic Factors
  • Social Welfare
  • Personal Satisfaction
  • New Zealand
  • Middle Aged
  • Mental Health
  • Male
  • Longitudinal Studies
 

Citation

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Chicago
ICMJE
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Richmond-Rakerd, L. S., D’Souza, S., Andersen, S. H., Hogan, S., Houts, R. M., Poulton, R., … Moffitt, T. E. (2020). Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations. Nature Human Behaviour, 4(3), 255–264. https://doi.org/10.1038/s41562-019-0810-4
Richmond-Rakerd, Leah S., Stephanie D’Souza, Signe Hald Andersen, Sean Hogan, Renate M. Houts, Richie Poulton, Sandhya Ramrakha, Avshalom Caspi, Barry J. Milne, and Terrie E. Moffitt. “Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations.Nature Human Behaviour 4, no. 3 (March 2020): 255–64. https://doi.org/10.1038/s41562-019-0810-4.
Richmond-Rakerd LS, D’Souza S, Andersen SH, Hogan S, Houts RM, Poulton R, et al. Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations. Nature human behaviour. 2020 Mar;4(3):255–64.
Richmond-Rakerd, Leah S., et al. “Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations.Nature Human Behaviour, vol. 4, no. 3, Mar. 2020, pp. 255–64. Epmc, doi:10.1038/s41562-019-0810-4.
Richmond-Rakerd LS, D’Souza S, Andersen SH, Hogan S, Houts RM, Poulton R, Ramrakha S, Caspi A, Milne BJ, Moffitt TE. Clustering of health, crime and social-welfare inequality in 4 million citizens from two nations. Nature human behaviour. 2020 Mar;4(3):255–264.

Published In

Nature human behaviour

DOI

EISSN

2397-3374

ISSN

2397-3374

Publication Date

March 2020

Volume

4

Issue

3

Start / End Page

255 / 264

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Socioeconomic Factors
  • Social Welfare
  • Personal Satisfaction
  • New Zealand
  • Middle Aged
  • Mental Health
  • Male
  • Longitudinal Studies