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International Journal of Epidemiology 2003;32:408-409
© International Epidemiological Association 2003

Special Theme: Socio-economic position

Commentary: Epidemiological transition and socioeconomic inequalities in blood pressure in Jamaica

Martin Gulliford

Public Health Sciences, King’s College London. E-mail: martin.gulliford@kcl.ac.uk

The first 10% of the full text of this article appears below.

Mortality in low-income countries is predominantly caused by infectious diseases in association with under-nutrition, but economic development is associated with an epidemiological transition to a state more characteristic of high-income countries in which most deaths are caused by chronic non-communicable diseases. Recent declines in cardiovascular mortality in the more affluent countries have led to the suggestion that there will be a further transition in which ‘degenerative’ conditions associated with ageing will increase in importance.1

From the perspective of epidemiological transition, inequalities in health arise because different groups in a population progress through these transitions at different rates. Typically, more affluent groups make these transitions more rapidly than poor or ethnic minority groups. This is evident in . . . [Full Text of this Article]


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