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December 16, 1998

Ethnic and Socioeconomic Factors as Determinants of Health Status—Reply

Author Affiliations

Margaret A.WinkerMDIndividualAuthorPhil B.FontanarosaMD, Senior EditorsIndividualAuthor

JAMA. 1998;280(23):1989-1990. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-23-jbk1216

In Reply.—Dr Davis encourages investigators to take epidemiologic findings a step further to elucidate how different life experiences may contribute to CVD risk factor differences among women of color and of low SES. Her comments are especially germane to the current dialogue that challenges the field of epidemiology to make the transition from a science that concentrates on individual risk factors for disease to one that addresses the dynamic systems that generate patterns of health and disease in populations.1,2 This challenge is highly relevant given the increasing diversity of Americans and the continuing disparities in health status experienced by ethnic minority and low-SES groups.3