PUP 4931r Lecture Notes - Lecture 4: Infant Mortality, Public Health, Coronary Artery Disease
Document Summary
The making of public health data: paradigms, politics and policy. 21 in paris and found that poor neighborhoods had a death rate twice as high as affluent neighborhoods. This meant that health is not immutable but influenced by social policy. Smith (1st black md in us) in 1859. He combined racial data with economic data to show that prevalence rates of bone disorders due to rickets were no different in black and white poor families. Concluded it was poor nutrition due to poverty that caused higher rates among blacks because more were poor. Concluded that race is not a natural category, but a social construct. Highly educated black women have much higher rates of infant mortality than highly educated white women. But turns out that black women are much less likely to marry a highly educated man than are white women. When ses (socioeconomic status) of spouse is measured, race difference in mortality goes away.