Social inequalities in health: next questions and converging evidence. Export

@article{marmot_et_al_1997, abstract = {Mortality studies show that social inequalities in health include, but are not confined to, worse health among the poor. There is a social gradient: mortality rises with decreasing socio-economic status. Three large sample studies, one British and two American, brought together for their complementarity in samples, measures, and design, all show similar social gradients for adult men and women in physical and mental morbidity and in psychological well-being. These gradients are observed both with educational and occupational status and are not explained by parents' social status or lack of an intact family during childhood. They are also not accounted for by intelligence measured in school. This suggests that indirect selection cannot account for inequalities in health. Possible mediators that link social position to physical and mental health include smoking and features of psycho-social environment at work and outside.}, author = {Marmot, M. and Ryff, C. D. and Bumpass, L. L. and Shipley, M. and Marks, N. F.}, citeulike-article-id = {3398896}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/9080570}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=9080570}, comment = {Discusses the evidence from three studies, two American and one British, with similar study designs, which all indicate a social gradient of health, both for morbidity and mortality. Argues that the evidence from these studies shows that indirect selection (health predicting *future* social status) does not account for the whole association. Suggests smoking and psychosocial environment as possible causal links. Does not look at ecologic effects per se, though the suggestion of psychosocial environment as a possible mediating factor alludes to a geographic approach to a certain extent.}, issn = {0277-9536}, journal = {Social science \& medicine}, keywords = {causal-pathways, causation, health-inequalities, indirect-selection, social-gradient}, month = {March}, number = {6}, pages = {901--910}, posted-at = {2008-10-13 03:15:53}, priority = {0}, title = {Social inequalities in health: next questions and converging evidence.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/9080570}, volume = {44}, year = {1997} }

TY - JOUR ID - marmot_et_al_1997 L3 - citeulike-article-id:3398896 N2 - Mortality studies show that social inequalities in health include, but are not confined to, worse health among the poor. There is a social gradient: mortality rises with decreasing socio-economic status. Three large sample studies, one British and two American, brought together for their complementarity in samples, measures, and design, all show similar social gradients for adult men and women in physical and mental morbidity and in psychological well-being. These gradients are observed both with educational and occupational status and are not explained by parents' social status or lack of an intact family during childhood. They are also not accounted for by intelligence measured in school. This suggests that indirect selection cannot account for inequalities in health. Possible mediators that link social position to physical and mental health include smoking and features of psycho-social environment at work and outside. IS - 6 JF - Social science & medicine SN - 0277-9536 EP - 910 TI - Social inequalities in health: next questions and converging evidence. VL - 44 SP - 901 KW - causal-pathways KW - causation KW - health-inequalities KW - indirect-selection KW - social-gradient N1 - Discusses the evidence from three studies, two American and one British, with similar study designs, which all indicate a social gradient of health, both for morbidity and mortality. Argues that the evidence from these studies shows that indirect selection (health predicting *future* social status) does not account for the whole association. Suggests smoking and psychosocial environment as possible causal links. Does not look at ecologic effects per se, though the suggestion of psychosocial environment as a possible mediating factor alludes to a geographic approach to a certain extent. AU - Marmot, M AU - Ryff, CD AU - Bumpass, LL AU - Shipley, M AU - Marks, NF PY - 1997/03// UR - http://view.ncbi.nlm.nih.gov/pubmed/9080570 ER -