Article Text

Download PDFPDF
Educational level and mortality from infectious diseases
  1. E Regidor1,
  2. S de Mateo2,
  3. M E Calle1,
  4. V Domínguez1
  1. 1Department of Preventive Medicine and Public Health, Faculty of Medicine, Universidad Complutense de Madrid, Spain
  2. 2National Centre for Epidemiology, Instituto de Salud Carlos III, Spain
  1. Correspondence to:
 Dr E Regidor, Department of Preventive Medicine and Public Health, Faculty of Medicine, Universidad Complutense de Madrid, Ciudad Universitaria s/n 28040 Madrid, Spain;

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

The explanation for the observed social gradient in morbidity and mortality is a subject of controversy. Whereas some authors emphasise the importance of psychosocial factors related with health,1 because they show a linear relation with individual socioeconomic status, others postulate that health inequalities are produced as a result of a differential accumulation of exposures and experiences that have their origin in objective material conditions.2

This debate is focused principally on chronic diseases, thus infectious diseases are implicitly excluded. Furthermore, the mechanisms by which these diseases produce inequalities are assumed to be well understood because of their strong association with absolute poverty3: material conditions related to absolute poverty would increase exposure to comunicable diseases and would reduce resistence to infection. Because these assumptions have not been evaluated, even though their confirmation would be important in supporting one or the other of the theories mentioned, in this study we analyse the relation between …

View Full Text


  • Funding: this study was supported by a grant from the Consejería de Educación de la Comunidad de Madrid (no 06/0092/1999) and by a grant from the Fondo de Investigaciones Sanitarias (no 00/0514/1999).

  • Conflicts of interest: none.

Linked Articles

  • In this issue
    John R Ashton Carlos Alvarez-Dardet