Socioeconomic inequalities in mortality and importance of perceived control: cohort study

BMJ 1999;319:1469-1470 ( 4 December )

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Socioeconomic inequalities in mortality and importance of perceived control: cohort study

Hans Bosma, senior researcher, Carola Schrijvers, senior researcher, Johan P Mackenbach, director, GLOBE study.

Erasmus University Rotterdam, Medical School, Department of Public Health, PO Box 1738, 3000 DR Rotterdam, Netherlands

Correspondence to: H Bosma h.bosma@np.unimaas.nl.

The first 150 words of the full text of this article appear below.

Perceived control has convincingly been suggested to be a key concept in explaining socioeconomic differences in health.¹Some empirical evidence exists of a higher prevalence of low controlbeliefs (such as powerlessness or fatalism) in lower socioeconomicgroups and that this is relevant to socioeconomic inequalitiesin general health.² However, a systematic examination of theextent to which perceived control contributes to socioeconomicinequalities in mortality is lacking. This is important, as attentionhas recently shifted towards psychological and psychosocial explanationsof socioeconomic inequalities inhealth.

Participants, methods, and results

Data were collected in 1991 within the framework of a general population study of the health and living conditions of thepopulation of Eindhoven and its surroundings (the GLOBE study).³We invited a random subsample for interview. The response ratewas 80% and not related to demographic characteristics. Interviewdata were available for 1220 men and 1242 women aged 25-74 (51on average). Detailed information was obtained on . . . [Full text of this article]

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