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THE MEASUREMENT OF SOCIAL CLASS IN EPIDEMIOLOGY

THE MEASUREMENT OF SOCIAL CLASS IN EPIDEMIOLOGY EPIDEMIOLOGIC REVIEWS Vol. 10,1988 Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health Printed in U.S.A. All rights reserved 2 2 PENNY LIBERATOS,' BRUCE G. LINK, AND JENNIFE R L. KELSEY STATEMENT OF PROBLEM As with other variables, the manner in which social class is measured, the role it The relation between "social class" and is presumed to play (i.e., confounder or risk health status has been observed and sys- factor), and how it is controlled (i.e., tematically assessed since the nineteenth through matching or statistical adjust- century in France and England (1, 2). For ment) can have important consequences for example, during the early part of this cen- an epidemiologic study. tury, coronary heart disease was considered If the major interest is in the relation of to be a disease of the upper classes (1, 3). social class to disease, it is well known that Persons in the lower strata have been found poor measurement of social class leading to to have lower life expectancy and higher random misclassification will dilute any ac- mortality rates from all causes of death tual bivariate associations. If the wrong combined (4), higher rates of infant and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Epidemiologic Reviews Oxford University Press

THE MEASUREMENT OF SOCIAL CLASS IN EPIDEMIOLOGY

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Publisher
Oxford University Press
Copyright
© 1988 by The Johns Hopkins University School of Hygiene and Public Health reserved
ISSN
0193-936X
eISSN
1478-6729
DOI
10.1093/oxfordjournals.epirev.a036030
Publisher site
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Abstract

EPIDEMIOLOGIC REVIEWS Vol. 10,1988 Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health Printed in U.S.A. All rights reserved 2 2 PENNY LIBERATOS,' BRUCE G. LINK, AND JENNIFE R L. KELSEY STATEMENT OF PROBLEM As with other variables, the manner in which social class is measured, the role it The relation between "social class" and is presumed to play (i.e., confounder or risk health status has been observed and sys- factor), and how it is controlled (i.e., tematically assessed since the nineteenth through matching or statistical adjust- century in France and England (1, 2). For ment) can have important consequences for example, during the early part of this cen- an epidemiologic study. tury, coronary heart disease was considered If the major interest is in the relation of to be a disease of the upper classes (1, 3). social class to disease, it is well known that Persons in the lower strata have been found poor measurement of social class leading to to have lower life expectancy and higher random misclassification will dilute any ac- mortality rates from all causes of death tual bivariate associations. If the wrong combined (4), higher rates of infant and

Journal

Epidemiologic Reviews – Oxford University Press

Published: Jan 1, 1988

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