health behaviours, socioeconomic status, and mortality further analyses of the british whitehall ii and the french gazel prospective cohorts健康行为、社会经济地位和死亡率进一步分析英国白厅二世和法国瞪羚的潜在人群.pdfVIP
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health behaviours, socioeconomic status, and mortality further analyses of the british whitehall ii and the french gazel prospective cohorts健康行为、社会经济地位和死亡率进一步分析英国白厅二世和法国瞪羚的潜在人群
Health Behaviours, Socioeconomic Status, and Mortality:
Further Analyses of the British Whitehall II and the
French GAZEL Prospective Cohorts
1 1 2 1 1 ¨ 2
Silvia Stringhini *, Aline Dugravot , Martin Shipley , Marcel Goldberg , Marie Zins , Mika Kivimaki ,
2 ´ 1 1,2,3
Michael Marmot , Severine Sabia , Archana Singh-Manoux
ˆ
1 INSERM U1018, Centre for Research in Epidemiology and Population Health, Hopital Paul Brousse, Villejuif, France, 2 Department of Epidemiology and Public Health,
´ ˆ ´ ˆ
University College London, London, United Kingdom, 3 Centre de Gerontologie, Hopital Sainte Perine, Assistance Publique-Hopitaux de Paris, Paris, France
Abstract
Background: Differences in morbidity and mortality between socioeconomic groups constitute one of the most consistent
findings of epidemiologic research. However, research on social inequalities in health has yet to provide a comprehensive
understanding of the mechanisms underlying this association. In recent analysis, we showed health behaviours, assessed
longitudinally over the follow-up, to explain a major proportion of the association of socioeconomic status (SES) with
mortality in the British Whitehall II study. However, whether health behaviours are equally important mediators of the SES-
mortality association in different cultural settings remains unknown. In the present paper, we examine this issue in Whitehall
II and another prospective European cohort, the French GAZEL study
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