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Better understanding of the mechanisms involved may suggest concrete ways to improve the health of both individuals and population subgroups.
Health is related to both the quantitative and qualitative aspects of material and social change.
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Of particular importance is a gradient in the relationship between SES and health: each level of the hierarchy exhibits less morbidity and mortality than lower levels (Adler et al., 1994, 1999; Marmot et al., 1991).
Most of the evidence supporting this relationship derives from European and North American populations, where the data are consistent and robust.
Widening health disparities appear to be primarily driven by larger improvements in the health of high-SES groups compared to their lower-SES counterparts.
For some health conditions, however, there has been no change in health or worsening health status over time for economically disadvantaged populations (Williams and Collins, 1995).
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