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IJE Advance Access originally published online on April 28, 2005
International Journal of Epidemiology 2005 34(4):835-836; doi:10.1093/ije/dyi094
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

Commentary

Commentary: Advancing research into SES mechansisms that affect health

J Michael Oakes

Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA. E-mail: oakes@epi.umn.edu

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

Readers should appreciate the importance of Smith and Frank's effort to unpack the micro-level mechanisms that relate socioeconomic status (SES) to health, and link the same to macroeconomic trends.1 Such efforts move us beyond the mere documentation of the SES–health gradient. Much to their credit, Smith and Frank (hereinafter S&F) consider a plausible mechanism, exploit high-quality data, and employ proper analytical techniques. Should it withstand scrutiny, S&F's work holds enormous implications for social epidemiology and public policy more generally, especially since it complicates the 40-year-old ‘returns to schooling’ literature, which has heretofore presumed health monotonically increases . . . [Full Text of this Article]


    Shortcomings
 
Underdeveloped causal reasoning
Trust in exposure measure
Fixation on status inconsistency and psychological distress

    Steps for the future
 

    Conclusions
 

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