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Social Determinants of Health

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Subject:
From:
Dennis Raphael <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Thu, 18 Nov 2004 14:19:30 -0500
Content-Type:
text/plain
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There is still a fundamental problem with the report. It assumes that 90%
of variance associated with heart disease is due to biomedical and
lifestyle factors.  This is only the case when you fail to include income
and/or education as relevant variables.  It has been known since the
mid-1970s (Whitehall studies and numerous ad nauseum studies since then)
that biomedical and lifestyle factors account for at best 20-30% of
variance in incidence and mortality from CVD.

Who is fooling whom?

For a compilation of some of the contrary evidence, please see:

Raphael, D. (2002). Social Justice is Good for Our Hearts: Why Societal
Factors —
Not Lifestyles — are Major Causes of Heart Disease in Canada and Elsewhere.
Toronto: CSJ Foundation for Research and Education  which is available at:.

http://www.socialjustice.org/pdfs/JusticeGoodHearts.pdf

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