Socioeconomic Status and Mortality
- David A. Alter, MD, PhD; and
- for the SESAMI Study Group
- From the Institute for Clinical Evaluative Science, Toronto, Ontario M4N 3M5, Canada.
IN RESPONSE:
We appreciate the comments of Drs. Shishehbor and Litaker. We agree that socioeconomic status is a multidimensional construct of which income serves as only 1 of many social measures. Although such limitations were acknowledged in our paper, our study did adjust for individual education, employment status, ethnicity, and social support. Adjustment for such variables partially accounted for some of the heterogeneous features of socioeconomic status. Furthermore, the inclusion of more elaborative social measures, although intriguing, would not have mitigated the importance of exploring the causal pathway factors that mediate …
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