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Correspondence
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Volume 330:139-140 January 13, 1994 Number 2
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Explaining the Connection between Privilege and Health

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by Keil, J. E.
To the Editor: The articles by Keil et al.1 and Pappas et al.,2 the editorial by Angell,3 and the Sounding Board by Hurowitz4 (July 8 issue) deal with the relation between life expectancy and socioeconomic factors. One explanation may be an inverse correlation between longevity and muscular work. The hypothesis is supported by the general biologic principle that life span is related to the basal metabolic rate: shrews live only a few years, but parrots and crocodiles many decades. Women live longer than men. People with higher incomes or better educations live longer than those with a lower socioeconomic status. . . . [Full Text of this Article]

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