Social epidemiology and the fundamental cause concept: On the structuring of effective cancer screens by socioeconomic status

被引:185
作者
Link, BG
Northridge, ME
Phelan, JC
Ganz, ML
机构
[1] Columbia Univ, Sch Publ Hlth, New York, NY 10032 USA
[2] New York State Psychiat Inst & Hosp, New York, NY 10032 USA
关键词
D O I
10.1111/1468-0009.00096
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Since the early 1800s, studies have consistently demonstrated that people higher in the socioeconomic hierarchy live longer than people of lower rank. One hypothesis for the persistence of this association is that people who are relatively better off are more able to avoid risks by adopting currently available protective strategies. In a partial test of this idea, the social distributions of two cancer screening tests-Pap smears and mammography-were examined. A review of the literature and an analysis of Behavioral Risk Factor Surveillance System (BRFSS) data showed a consistent association between indicators of socioeconomic status and recent screening. These findings support the theory chat societies create and shape patterns of disease. Innovations beneficial to health are carried out within the concert of inequalities chat shape the distribution of the health benefit, thereby affecting patterns of mortality.
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页码:375 / +
页数:30
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