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Adult death rates are higher among people growing up in poor
living conditions, suggesting that risks to survival begin in early
life. On page 1076, Kuh and colleagues report on
socioeconomic conditions in childhood and mortality in a British birth
cohort. Cohort members from manual family backgrounds or who lived in the worst conditions at age 4 were twice as likely to die aged 26-54 as
those brought up in more advantageous conditions. This excess risk was
not accounted for by the differences in socioeconomic conditions in
adulthood that were also strongly related to mortality.