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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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finally
From:
Dennis Raphael <[log in to unmask]>
Date:
Thu, 3 Aug 2006 07:00:45 -0400
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Social Determinants of Health <[log in to unmask]>
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May 7, 2004 -- Science magazine reports that even before publication, “some
researchers, including a few at CDC, dismiss [the CDC’s 400,000 deaths
statistic], saying the underlying data are weak.” The article reads in
part:

Some researchers, including a few at CDC, dismiss this prediction, saying
the underlying data are weak. They argue that the paper's compatibility
with a new antiobesity theme in government public health pronouncements --
rather than sound analysis -- propelled it into print ... [Some argue that]
the new numbers on obesity are weak -- or as one critic in CDC says,
"loosey-goosey." ... Several epidemiologists at CDC and the National
Institutes of Health (NIH) echoed [concerns about statistical biases that
inflated the deaths associated with obesity] but declined to speak on the
record. "I don't want to lose my job," said one CDC staffer who does
research in the area. Critics also object that the authors added an
arbitrary number of deaths from poor nutrition (15,000) to the obesity
category. A CDC scientist says internal discussions on these issues got
"very contentious" months before publication and left some feeling that the
conclusions were not debatable.

EPIDEMIOLOGY:
Public Enemy Number One: Tobacco or Obesity?
Eliot Marshall
Science 7 May 2004: 804.

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