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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:
Tue, 9 Mar 2004 13:50:33 -0500
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Smoking and ill health: Does lay epidemiology explain the failure of
smoking cessation programs among deprived populations?
Debbie A Lawlor, Stephen Frankel, Mary Shaw, Shah Ebrahim, George Davey
Smith. American Journal of Public Health. Washington:  Feb 2003. Vol. 93,
Iss. 2;  pg. 266, 5 pgs

Abstract (Article Summary)
The resistance of disadvantaged groups to anti-smoking advice is
remarkable. In relation to the study of differing cultures, there is a
long-standing academic tradition assuming that behavior that may otherwise
be difficult to understand is indeed rational within particular cultural
contexts. Persistent smoking among the most deprived members of society may
represent a rational response to their life chances informed by a lay
epidemiology. Health promotion initiatives designed to reduce smoking among
members of these groups may continue to fail unless the general health and
life chances of such individuals are first improved.

dr

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