Healthy Skepticism Library item: 12293
Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.
Publication type: Journal Article
Woolf SH, Johnson RE, Phillips RL Jr, Philipsen M.
Giving everyone the health of the educated: an examination of whether social change would save more lives than medical advances.
Am J Public Health 2007 Apr; 97:(4):679-83
http://www.ajph.org/cgi/content/full/97/4/679
Abstract:
OBJECTIVES: Social determinants of health, such as inadequate education, contribute greatly to mortality rates. We examined whether correcting the social conditions that account for excess deaths among individuals with inadequate education might save more lives than medical advances (e.g., new drugs and devices). METHODS: Using US vital statistics data for 1996 through 2002, we applied indirect standardization techniques to estimate the maximum number of averted deaths attributable to medical advances and the number of deaths that would have been averted if mortality rates among adults with lesser education had been the same as those among college-educated adults. RESULTS: Medical advances averted a maximum of 178193 deaths during the study period. Correcting disparities in education-associated mortality rates would have saved 1369335 lives during the same period, a ratio of 8:1. CONCLUSIONS: Higher mortality rates among individuals with inadequate education reflect a complex causal pathway and the influence of confounding variables. Formidable efforts at social change would be necessary to eliminate disparities, but the changes would save more lives than would society’s current heavy investment in medical advances. Spending large sums of money on such advances at the expense of social change may be jeopardizing public health.
Keywords:
Cost-Benefit Analysis
Diffusion of Innovation*
Drug Therapy/trends
Educational Status
Health Services Accessibility
Health Status
Humans
Models, Theoretical
Mortality/trends*
Public Health
Social Change*
Technology, Medical/trends*
United States/epidemiology
