Behavioral Medicine Approaches to Cardiovascular Disease Prevention

By Kristina Orth-Gomér; Neil Schneiderman | Go to book overview
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We have argued that a combination of the factors reviewed may account for inequalities in health, both within and between countries. The situation is complex, but not impossibly so. Much progress has been made in sorting through potential explanations. The Whitehall studies have been used to illustrate these possible explanations. There is only a unifying explanation to the extent that social position is related to a number of factors: differences in early life experience, differences in behavior, differences in material conditions, and differences in psychosocial factors. Often investigations focus on just one of these issues, and thus fail to explore the other factors, making interpretation difficult. Although there may be multiple factors operating, one is drawn back to the observation that the social class differences apply to CHD and most causes of death. The challenge for researchers in this area is to develop the methodology for exploring the interrelationships and interactions between the influences on health occurring throughout the life course. Only then will it be possible to separate out the relative importance of the various potential explanations for socioeconomic differentials in CHD and other diseases, which is crucial for planning the strategies to counter them.

Feachem RGA, Kjellstrom T, Murray CJL. The health of adults in the developing world. Oxford, England: Oxford University Press for the World Bank, 1992.
World Health Organization. Mortality statistics. "World Health Statistics Annual". Geneva: World Health Organization, 1989.
Uemura K, Pisa Z. Trends in cardiovascular disease mortality in industrialised countries since 1950. Wid Health Statist Q 1988; 41: 155-78.
Marmot MG, McDowall ME. "Mortality decline and widening social inequalities". Lancet 1986; ii: 274-76.
Wong SL, Donnan SPB. "Influence of socioeconomic status on cardiovascular diseases in Hong Kong". J Epidemiol Comm Health 1992; 46: 148-50.
Sorlie PD, "Garcia-Palmieri MR. Educational status and coronary heart disease in Puerto Rico: the Puerto Rico heart health program". Int J Epidemiol 1990; 19: 59-65.
Sarvotham SG, Berry JN. "Prevalence of coronary heart disease in an urban population in northern India". Circulation 1968; 37: 939-53.
Krzyzanowski M, Wysocki M. "The relation of thirteen-year mortality to ventilatory impairment and other respiratory symptoms: the Cracow study". Int J Epidemiol 1986; 15: 56-64.
Feldman JJ, Makuc DM, Kleinman JC, et al. "National trends in educational differentials in mortality". Am J Epidemiol 1989; 129: 919-33.
Marmot MG. "Coronary heart disease: rise and fall of a modern epidemic". In: Marmot MG, Elliott P, editors. Coronary heart disease epidemiology. Oxford: Oxford University Press, 1992:3- 19.
"The principle investigators of the MONICA project. WHO MONICA Project: geographic variation in mortality from cardiovascular diseases". Wid Health Statist Q 1987; 40: 171-84.
Marmot MG, Davey Smith G. Why are the Japanese living longer? Br Med J 1989; 299: 1547-51.
Marmot MG, Rose G, Shipley M, et al. "Employment grade and coronary heart disease in British civil servants". J Epidemiol and Comm Health 1978; 32: 244-49.


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Behavioral Medicine Approaches to Cardiovascular Disease Prevention
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