Magnitude matters: beyond detection in the presence of selection in research on socioeconomic inequalities in health.

Magnitude matters: beyond detection in the presence of selection in research on socioeconomic inequalities in health.
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规模很重要:在健康方面的社会经济不平等研究中,存在着选择,这一点是无法察觉的。

DOI:
10.1097/ede.0b013e3182788390
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发表时间:
2013
期刊:
Epidemiology (Cambridge, Mass.)
影响因子:
--
通讯作者:
Weuve,Jennifer
Weuve,Jennifer
中科院分区:
--
文献类型:
--
作者:
Weuve,Jennifer

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The association between lower socioeconomic position (SEP) and adverse health outcomes is one of the most enduring and robust in the epidemiologic catalogue. Strategies for developing and implementing interventions for mitigating SEP health inequalities, within the current political climate, have been mulled at length. 1–3 A thread that unifies these discussions is the need to document these inequalities and the effectiveness of interventions on them. Despite our data-saturated environment, documenting SEP health inequalities is not straightforward.As Howe et al 4 demonstrate in this issue of Epidemiology, a primary hurdle is accounting for study participation related to SEP. Their data come from the Avon Longitudinal Study of Parents and Children (ALSPAC), a study population of mother-child pairs starting from the mothers’ pregnancy. The authors show how estimates of associations between a measure of SEP (maternal education) and a range of outcomes progressively weakened as the study population was attenuated from all participants to those still active at the children’s 10th years and 15th years.