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European Heart Journal Advance Access originally published online on July 14, 2009
European Heart Journal 2009 30(15):1819-1820; doi:10.1093/eurheartj/ehp264
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Social inequalities in mortality: a problem of cognitive function?

Michael Marmot* and Mika Kivimäki

Department of Epidemiology and Public Health, University College London, 1–19 Torrington Place, London WC1E 6BT, UK

* Corresponding author. Tel: +44 20 7679 1694, Fax: +44 20 7813 0242, Email: m.marmot@ucl.ac.uk

This editorial refers to ‘Does IQ explain socio-economic differentials in total and cardiovascular disease mortality? Comparison with the explanatory power of traditional cardiovascular disease risk factors in the Vietnam Experience Study’{dagger}, by G.D. Batty et al., on page 1903

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

Inequalities in health matter. The relationship between measures of socio-economic position and mortality is a strikingly consistent finding. It has been clear for some time that this relationship extends to cardiovascular mortality: a lower position in the social hierarchy is linked to higher mortality.1 It should give us pause. Much of medicine has to do with diagnosis and treatment of disease in individuals. This concern with individuals has been extended to prevention: use of the epidemiological data on risk factors as a basis for behaviour change or risk factor modification in individuals. Social inequalities in cardiovascular and other diseases suggest that we need to broaden our view. Action will require more than treatment of disease or of risk factors for disease in individual patients.

But what to do? Knowing that there is a . . . [Full Text of this Article]


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Related articles in EHJ:

Does IQ explain socio-economic differentials in total and cardiovascular disease mortality? Comparison with the explanatory power of traditional cardiovascular disease risk factors in the Vietnam Experience Study
G. David Batty, Martin J. Shipley, Ruth Dundas, Sally Macintyre, Geoff Der, Laust H. Mortensen, and Ian J. Deary
EHJ 2009 30: 1903-1909. [Abstract] [FREE Full Text]