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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Lessening inequalities and effecton coronary heart disease

Lessening inequalities and effecton coronary heart disease

Chapter:
(p.819) Chapter 47 Lessening inequalities and effecton coronary heart disease
Source:
Coronary Heart Disease Epidemiology
Author(s):

M. Whitehead

M. Marmot

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780198525738.003.0048

This chapter starts by summarizing the evidence on the social patterning of coronary heart disease (CHD), and then outlines some of the main pathways leading to the marked social gradient in disease. An understanding of these pathways and mechanisms is needed to devise plausible and theoretically sound strategies to intervene along the pathways. The second half of the chapter applies an equity perspective in a discussion of the effectiveness of these strategies, with a particular focus on the potential to reduce differential exposure, vulnerability, and consequences of CHD.

Keywords:   social patterning, cardiovascular disease, CHD risk, inequalities, equity perspective

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