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
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 SEShealth 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
| Shortcomings |
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Underdeveloped causal reasoning
Trust in exposure measure
Fixation on status inconsistency and psychological distress
| Steps for the future |
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| Conclusions |
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