This article, with some modifications, was first presented at the Kansas Conference on Health and it Determinants, in Wichita, Kansas, USA, April 20-21, 1998 and published as a chapter in The Society and Population Health Reader, Alvin R. Tarlov and Robert F. St. Peter, Eds. The New Press, New York, late 1999. It is published here with permission of the editors and the publishers of the New Press volume.
Epidemiology of Socioeconomic Status and Health: Are Determinants Within Countries the Same as Between Countries?
Article first published online: 6 FEB 2006
Annals of the New York Academy of Sciences
How to Cite
MARMOT, M. (1999), Epidemiology of Socioeconomic Status and Health: Are Determinants Within Countries the Same as Between Countries?. Annals of the New York Academy of Sciences, 896: 16–29. doi: 10.1111/j.1749-6632.1999.tb08102.x
- Issue published online: 6 FEB 2006
- Article first published online: 6 FEB 2006
Abstract: Within societies, health and ill-health follow a social gradient: lower socioeconomic position, worse health. The slope of the gradient has varied over time. It is likely that social and economic circumstances play a role in this changing slope. Within Europe, differences in health between East and West have also varied in magnitude. The advantage in the West increased through the 1970s and 1980s. Although similar in their health trends up to 1989, the countries of central and eastern Europe have diverged quite sharply subsequently. It is again likely that changing social and economic fortunes account for these trends. There is evidence to support the role of psychosocial factors in relating to socioeconomic differences within and between countries.