Social conditions as fundamental causes of disease - a test of the theory

David Pevalin, University of Essex

[30098]

This project proposes to empirically test Link and Phelan's theory (1995) of social conditions being fundamental causes of disease. The main premise behind the analysis is that for avoidable diseases, or diseases amenable to medical intervention, there will be marked differences by indicators of social inequality such as social class, education and income. Whereas for diseases that are not avoidable, untreatable or incurable there will be little difference across indicators of social inequality.

The data from the LS will provide rich material to test this theory as individuals have a follow up period of 33 years for death registration data and information on social class and education are available from the 1971 Census data. In addition, the time span may enable investigation of emerging causes of death.

The project will use the following census and events data:

  • 1971 Census data
  • 1981 Census data
  • 1991 Census data
  • 2001 Census data
  • Deaths of LS members 1971 to latest
  • Embarkations 1971 to latest
  • Re-entries 1971 to latest
  • This project was initially approved on 16 May 2007, then extended with a new number on 2 September 2008 and is supported by CeLSIUS>

    Top of page