IJE Advance Access originally published online on June 5, 2007
International Journal of Epidemiology 2007 36(3):491-492; doi:10.1093/ije/dym076
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.
Commentary: Samuel Preston's ‘The changing relation between mortality and level of economic development’
University of Rochester Medical Center, Rochester, NY 14642, USA.
E-mail: stephen_kunitz@urmc.rochester.edu
Accepted 10 April 2006
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Professor Preston's article1 is rightly regarded as an important contribution to the debate about the role of economic development and health services (broadly defined) in the decline of mortality. Like so much of his other work, it combines imaginative and innovative use of data with methodological rigour, in this case to argue the point that public and personal health interventions have had a measurable impact upon mortality over and above what would have been expected from economic expansion alone. In addition to this main point, however, the article touches on several related issues that are also of continuing importance: the association between income inequality and mortality, and the diffusion of innovations. I shall discuss the latter
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