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Understanding social determinants of health

The history of SDOH reaches back to 1967, when the Whitehall study examined more than 17,500 male civil servants between the ages of 20 and 64 in London, England, analyzing data over a period of 10 years. Data was gathered on physical health and habits, including blood pressure, height, weight, laboratory values, and lifestyle habits. It ranked the men in categories according to their work title: administrative, professional, executive, clerical, and other. The study found that the lower the grade, the higher the mortality rate, with men in the lowest grade having a mortality rate of three times higher than that of men in the highest grade.

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