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Divided we fall

作者:Richard G. Wilkinson · 发表于:BMJ · 年份:1994 · DOI:10.1136/bmj.308.6937.1113 · 被引用次数:73 · 研究领域:Health disparities and outcomes、Global Health Care Issues、Employment and Welfare Studies

In Britain, as in many other countries, the scale of the excess mortality associated with lower social status dwarfs almost every other health problem.The Whitehall study has shown that the most junior office staff have three times the all cause mortality and six times the sickness absence rates of the most senior staff working in the same government offices.'2In this week's journal Phillimore and colleagues report that mortality in those aged 0-64 years is four times higher in the poorest than in the most affluent electoral wards of the Northern region of England.As an indicator of the effect of socioeconomic factors on the demand for services, over three quarters of the regional variation in the number of pre- scriptions provided per head of population is associated with