Changes in population distribution of sense of coherence do not explain changes in overall mortality

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7106.490a (Published 23 August 1997) Cite this as: BMJ 1997;315:490
  1. George Davey Smith, Professor of clinical epidemiologya,
  2. Matthias Egger, Reader in social medicinea
  1. a Department of Social Medicine, University of Bristol, Bristol BS8 2PR

    Editor—Trends in health and mortality are complex,1 and the desire for shortcuts to an understanding of the underlying determinants is easy to comprehend. As we suggested in our commentary on John P Bunker and colleagues' article, however, by failing to appreciate the complexity of the processes, many of the current theories mislead rather than inform and become barriers rather than aids both to understanding health and to developing activities to improve it.2 Frada Eskin complains that, as we did not discuss Eskin's …

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