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Socioeconomic Factors and Determinants of Mortality
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To the Editor.—Dr Lantz and colleagues1 established that behavioral risk factors cannot account for the substantial socioeconomic differentials in mortality and found that income was a stronger determinant to mortality risk than education. These are crucial findings, as it is often asserted that education is the key socioeconomic variable with respect to health, particularly in the US literature.2
We recently reported on the association between education, occupational social class, and mortality in a large Scottish sample (N= 5749).3 The indicator of adulthood social environment—in our case, occupational social class—was a more important determinant of overall mortality risk than education. In our study, extensive data on behavioral and physiological risk factors were available, and we now present new data on the associations between social class, education, and mortality, with and without adjustment for risk factors (Table 1). The socioeconomic differentials are shown to reflect a wider range of . . . [Full Text of this Article]
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