Fancourt G J, Fuller K J, Edwards I R
Hum Nutr Clin Nutr. 1984 Nov;38(6):453-62.
There is a marked increase in mortality and morbidity with decreasing social class status so that the death rate of adult males in social class V is twice that of men in social class I. Differences in nutritional status between the social classes could account for this phenomenon. In this survey the nutritional status of 254 consecutive adult admissions to a teaching hospital was assessed by anthropometric and biochemical measurements and delayed hypersensitivity skin tests. No significant difference in nutritional status was detected between the five social class groups. There was no significant difference between the combined social class groups I and II compared with IV and V. A similar result was obtained with the same assessment of 167 fit adult individuals of comparable age and sex distribution living in the community. There is no significant difference in nutritional status between the social classes when they are well or ill and therefore the differences in mortality and morbidity in lower social classes are unlikely to be caused by inadequate nutrition.
随着社会阶层地位的降低，死亡率和发病率显著上升，以至于社会阶层V的成年男性死亡率是社会阶层I男性的两倍。社会阶层之间营养状况的差异可能解释了这一现象。在本次调查中，通过人体测量、生化检测和迟发型超敏皮肤试验，对一家教学医院连续收治的254名成年患者的营养状况进行了评估。五个社会阶层组之间未检测到营养状况的显著差异。社会阶层I和II的组合组与IV和V的组合组相比也没有显著差异。对167名年龄和性别分布相当、身体健康的成年社区居民进行同样的评估，也得到了类似的结果。无论健康与否，社会阶层之间的营养状况均无显著差异，因此，较低社会阶层中死亡率和发病率的差异不太可能是由营养不足导致的。
