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Some of the reduction in mortality seen over the past 30 years can be
attributed to a proportional shift in the number of people in higher
social classes, say Heller and colleagues (p 134). Between 1970-2 and
1991-3 death rates in England and Wales declined in all social classes,
but because reductions were greater in higher social classes the gap
between the higher and lower social classes increased. At the same time
the distribution of the population between the social classes changed.
Among men in England and Wales, 16% of the reduction in deaths between
1970-2 and 1991-3 was attributable to increases in the proportion of men in higher social classes.