Abstract
In this week's issue of the BMJ, two studies relate income inequality between states in the United States to mortality rates within these states. Kennedy and colleagues (p 1004) show that greater income inequality is associated with higher mortality from several broad causes of death, although taking levels of poverty and smoking prevalence into account attenuates these associations.8 Kaplan et al find associations between level of inequality and mortality in both 1980 and 1990 (p 999), with trends in mortality differences between states over this decade being inconsistently related to changes in income inequality.9