2023-09-28 14:46:10 +00:00
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abstract: 'Many studies have attempted to understand observed social variations in
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cardiovascular disease in terms of sets of intermediate or confounding
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risk factors. Tests of these models have tended to produce inconsistent
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evidence. This paper examines the relationships to cardiovascular risk
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factors or two theoretically based measures of social position. Tt shows
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that the strength of the relationships between social position and
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cardiovascular risk factors varies according to the definition of social
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position which is used: there is a closer relationship between most
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health behaviours and the Cambridge scale, an indicator of `general
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social advantage and lifestyle'', whereas the Erikson-Goldthorpe schema,
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which is based on employment relations and conditions, is more strongly
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related to work control and breathlessness. The implications of these
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findings for understanding the conflicting evidence in other studies of
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health inequalities are then discussed. The paper concludes that
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inconsistencies between studies may be in part due to unexamined
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differences between the conceptual bases of the measures of social
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position they use, combined with a failure to make explicit the
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hypothetical mechanisms of effect. If neither the conceptual basis of
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the measure of social position, nor the links between social position
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and health outcome tested in each study are clear, inconsistencies
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between studies will be difficult to interpret, making policy
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recommendations highly problematic. (C) 1999 Published by Elsevier
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Science Ltd. All rights reserved.'
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affiliation: 'Bartley, M (Corresponding Author), UCL, Dept Epidemiol \& Publ Hlth,
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1-19 Torrington Pl, London WC1E 6BT, England.
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UCL, Dept Epidemiol \& Publ Hlth, London WC1E 6BT, England.'
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author: Bartley, M and Sacker, A and Firth, D and Fitzpatrick, R
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author-email: mel@public.health.ucl.ac.uk
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author_list:
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- family: Bartley
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given: M
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- family: Sacker
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given: A
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- family: Firth
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given: D
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- family: Fitzpatrick
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given: R
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da: '2023-09-28'
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doi: 10.1016/S0277-9536(99)00192-6
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'social inequality; health related behaviour; cardiovascular risk
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factors; social classification scales'
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keywords-plus: 'CORONARY HEART-DISEASE; BRITISH CIVIL-SERVANTS; SOCIOECONOMIC-STATUS;
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HEALTH INEQUALITIES; EUROPEAN COUNTRIES; UNITED-STATES; FOLLOW-UP;
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MORTALITY; MORBIDITY; INCOME'
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language: English
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month: SEP
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number: '6'
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number-of-cited-references: '54'
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orcid-numbers: 'Firth, David/0000-0003-0302-2312
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Bartley, Mel/0000-0002-5981-0046'
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pages: 831-845
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papis_id: 02d73fc699102210d3a3a69a19de1855
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ref: Bartley1999understandingsocial
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researcherid-numbers: 'Firth, David/A-8207-2011
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'
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times-cited: '73'
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title: 'Understanding social variation in cardiovascular risk factors in women and
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men: the advantage of theoretically based measures'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000081676000011
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usage-count-last-180-days: '0'
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usage-count-since-2013: '5'
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volume: '49'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '1999'
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