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IJE Advance Access originally published online on May 6, 2004
International Journal of Epidemiology 2004 33(4):871-873; doi:10.1093/ije/dyh187
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IJE vol.33 no.4 © International Epidemiological Association 2004; all rights reserved.

Commentary

Commentary: Socioeconomic status and diabetes outcomes; what might we expect and why don't we find it?

N Chaturvedi

International Centre for Circulatory Health, National Heart and Lung Institute, Faculty of Medicine, Imperial College, London, UK

Correspondence: Professor Nish Chaturvedi, Imperial College at St Mary's, Norfolk Place, London, W2 1PF, UK. E-mail: n.chaturvedi@imperial.ac.uk

The first 150 words of the full text of this article appear below.

The existence of a strong social gradient in health is well documented. Life expectancy is substantially more unfavourable in lower socio-economic groups, and this particularly applies to cardiovascular disease, the main cause of death in most populations in the Western world.1 The full explanation for this gradient remains disputed, with candidates ranging from lifestyle behaviours, such as smoking, unhealthy diets and lack of exercise, to the wider social implications associated with income inequalities, and to the adverse effects of stressors in the workplace, including job insecurity.2–5 People with diabetes cannot be immune from the social patterning of health and illness. There is little reason why socio-economic gradients in smoking and other health behaviours should not persist in people with diabetes,6 and indeed every reason to suggest that as a consequence of such long-term illness, exclusion from the workforce, resulting in financial hardship, may affect diabetic individuals of lower socio-economic status . . . [Full Text of this Article]


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