FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3146489543> ?p ?o ?g. }

• W3146489543 endingPage "1693" @default.
• W3146489543 startingPage "1692" @default.
• W3146489543 abstract "Adam Oliver and colleagues1Oliver A Healey A Le Grand J Addressing health inequalities.Lancet. 2002; 360: 565-567Summary Full Text Full Text PDF PubMed Scopus (41) Google Scholar use their perspective as economists to raise challenging issues for those concerned with investigating and overcoming inequalities in health. The value of an economic perspective, with its emphasis on pragmatic comparisons of different uses of limited resources, is increasingly being recognised in interpreting research and formulating health policy. However, in reading Oliver and colleagues' Viewpoint, it is important to remember that economics is one perspective among many. The notion of rational consumers at liberty to make informed choices is central to Adam Smith's model of human behaviour in free markets. Oliver and colleagues propose that “people have informed choice over diet, alcohol consumption, levels of exercise, etc”. However, they fail to consider research which indicates that differences in behaviour cannot account for differences in health between socioeconomic groups.2Lantz PM House JS Lepkowski JM Williams DR Mero RP Chen J Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults.JAMA. 1998; 279: 1703-1708Crossref PubMed Scopus (1158) Google Scholar They also ignore evidence that socioeconomic deprivation in childhood might influence health throughout life, irrespective of any “informed choice” during adulthood.3Davey Smith G Hart C Blane D Hole D Adverse socioeconomic conditions in childhood and cause specific adult mortality: prospective observational study.BMJ. 1998; 316: 1631-1635Crossref PubMed Scopus (481) Google Scholar Furthermore, they do not consider whether those living in socio-economically deprived circumstances have unimpeded opportunity to make informed choices. Oliver and colleagues consider whether reducing health inequalities offers better value than the consequently forgone benefits of directing resources at improving the average health status of the whole population. Woodward and Kawachi have discussed this issue,4Woodward A Kawachi I Why reduce health inequalities?.J Epidemiol Community Health. 2000; 54: 923-929Crossref PubMed Scopus (144) Google Scholar but the meagre amount of relevant research prevented firm conclusions. For those studies that exist, Oliver and colleagues suggest that the importance of inequalities in health is overstated by the “selective reporting of statistics to meet an agenda”. This accusation is substantiated by (selected) examples of large risk ratios being presented to support the existence of health inequalities, but for which the corresponding risk differences are relatively small and seem less worthy of public health intervention. A policy document based on the results of an article by Davey Smith and colleagues5Davey Smith G Neaton JD Wentworth D Stamler R Stamler J Socioeconomic differentials in mortality risk among men screened for the multiple risk factor intervention trial, I: white men.Am J Public Health. 1996; 86: 486-496Crossref PubMed Scopus (226) Google Scholar is cited as one example. A comparison of mortality rates in the highest and lowest earning men gives a ratio of just less than two, but a “difference in average probability of death in every year of 0·004”. Although it serves to support the point being made, the (selected) time horizon of one year is unnecessarily short. Davey Smith and colleagues report probabilities of death over 15 years, during which 7·4% of men in the highest income group and 12·7% in the lowest income group died. With the study having around 30 000 men in each income group, this difference in rates equates to an excess of over 1600 deaths in the lowest income group. Oliver and colleagues' central issue remains: inequality does not necessarily imply inequity, and action against health inequalities should only be taken if justified by a “coherent and widely accepted ethical framework” based on the concept of fairness. Such common acceptance of a single framework is unlikely, given conflicting ideas about fairness,4Woodward A Kawachi I Why reduce health inequalities?.J Epidemiol Community Health. 2000; 54: 923-929Crossref PubMed Scopus (144) Google Scholar and action will remain dependent on the politics of those in power. In this context, it is not surprising that researchers take a “lobbyist attitude” when publicising their work. Addressing health inequalitiesAuthors' reply Full-Text PDF" @default.
• W3146489543 created "2021-04-13" @default.
• W3146489543 creator A5044542474 @default.
• W3146489543 date "2002-11-01" @default.
• W3146489543 modified "2023-09-26" @default.
• W3146489543 title "Addressing health inequalities" @default.
• W3146489543 cites W1974149546 @default.
• W3146489543 cites W1980029121 @default.
• W3146489543 cites W2115692241 @default.
• W3146489543 cites W2146577233 @default.
• W3146489543 cites W2170825579 @default.
• W3146489543 doi "https://doi.org/10.1016/s0140-6736(02)11617-5" @default.
• W3146489543 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12457810" @default.
• W3146489543 hasPublicationYear "2002" @default.
• W3146489543 type Work @default.
• W3146489543 sameAs 3146489543 @default.
• W3146489543 citedByCount "0" @default.
• W3146489543 crossrefType "journal-article" @default.
• W3146489543 hasAuthorship W3146489543A5044542474 @default.
• W3146489543 hasConcept C12713177 @default.
• W3146489543 hasConcept C134306372 @default.
• W3146489543 hasConcept C142724271 @default.
• W3146489543 hasConcept C147077947 @default.
• W3146489543 hasConcept C154945302 @default.
• W3146489543 hasConcept C15744967 @default.
• W3146489543 hasConcept C17744445 @default.
• W3146489543 hasConcept C199539241 @default.
• W3146489543 hasConcept C23131810 @default.
• W3146489543 hasConcept C2779473830 @default.
• W3146489543 hasConcept C2908647359 @default.
• W3146489543 hasConcept C33923547 @default.
• W3146489543 hasConcept C41008148 @default.
• W3146489543 hasConcept C45555294 @default.
• W3146489543 hasConcept C71924100 @default.
• W3146489543 hasConcept C74909509 @default.
• W3146489543 hasConcept C83867959 @default.
• W3146489543 hasConcept C99454951 @default.
• W3146489543 hasConceptScore W3146489543C12713177 @default.
• W3146489543 hasConceptScore W3146489543C134306372 @default.
• W3146489543 hasConceptScore W3146489543C142724271 @default.
• W3146489543 hasConceptScore W3146489543C147077947 @default.
• W3146489543 hasConceptScore W3146489543C154945302 @default.
• W3146489543 hasConceptScore W3146489543C15744967 @default.
• W3146489543 hasConceptScore W3146489543C17744445 @default.
• W3146489543 hasConceptScore W3146489543C199539241 @default.
• W3146489543 hasConceptScore W3146489543C23131810 @default.
• W3146489543 hasConceptScore W3146489543C2779473830 @default.
• W3146489543 hasConceptScore W3146489543C2908647359 @default.
• W3146489543 hasConceptScore W3146489543C33923547 @default.
• W3146489543 hasConceptScore W3146489543C41008148 @default.
• W3146489543 hasConceptScore W3146489543C45555294 @default.
• W3146489543 hasConceptScore W3146489543C71924100 @default.
• W3146489543 hasConceptScore W3146489543C74909509 @default.
• W3146489543 hasConceptScore W3146489543C83867959 @default.
• W3146489543 hasConceptScore W3146489543C99454951 @default.
• W3146489543 hasIssue "9346" @default.
• W3146489543 hasLocation W31464895431 @default.
• W3146489543 hasLocation W31464895432 @default.
• W3146489543 hasOpenAccess W3146489543 @default.
• W3146489543 hasPrimaryLocation W31464895431 @default.
• W3146489543 hasRelatedWork W2227517379 @default.
• W3146489543 hasRelatedWork W2254254175 @default.
• W3146489543 hasRelatedWork W2313076522 @default.
• W3146489543 hasRelatedWork W2748952813 @default.
• W3146489543 hasRelatedWork W2899084033 @default.
• W3146489543 hasRelatedWork W3012235358 @default.
• W3146489543 hasRelatedWork W3142180870 @default.
• W3146489543 hasRelatedWork W3209487750 @default.
• W3146489543 hasRelatedWork W4312177904 @default.
• W3146489543 hasRelatedWork W2464797648 @default.
• W3146489543 hasVolume "360" @default.
• W3146489543 isParatext "false" @default.
• W3146489543 isRetracted "false" @default.
• W3146489543 magId "3146489543" @default.
• W3146489543 workType "article" @default.