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Education and occupational social class: which is the more important indicator of mortality risk?

Journal of Epidemiology & Community Health · 1998 · Vol. 52(3) · pp. 153–160
George Davey SmithCarole HartDavid HolePauline L MacKinnonC. GillisG. WattDavid BlaneV M Hawthorne

Abstract

As a single indicator of socioeconomic position occupational social class in adulthood is a better discriminator of socioeconomic differentials in mortality and smoking behaviour than is education. This argues against interpretations that see cultural--rather than material--resources as being the key determinants of socioeconomic differentials in health. The stronger association of education with death from cardiovascular causes than with other causes of death may reflect the function of education as an index of socioeconomic circumstances in early life, which appear to have a particular influence on the risk of cardiovascular disease.

Health disparities and outcomesClimate Change and Health ImpactsEmployment and Welfare StudiesSocial classSocioeconomic statusMedicineDemographySocial positionObservational studyEducational attainmentSocial statusDiseaseMortality rate

MeSH terms

AdultCardiovascular DiseasesEducational StatusFollow-Up StudiesForced Expiratory VolumeHealth StatusHumansLung DiseasesMaleMiddle AgedMortalityNeoplasmsProspective StudiesRisk FactorsScotland
Citations
685
FWCI
16.88
field-weighted impact
References
45
Percentile
99%
vs. same field & year
Citations per year
References
Cardiovascular Survey Methods.
Annals of Internal Medicine · 1968 · 3,072 citations
Regression Models and Life-Tables
Journal of the Royal Statistical Society Series B (Statistical Methodology) · 1972 · 38,926 citations
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