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Intelligence: is it the epidemiologists’ elusive “fundamental cause” of social class inequalities in health?
Abstract
Virtually all indicators of physical health and mental competence favor persons of higher socioeconomic status (SES). Conventional theories in the social sciences assume that the material disadvantages of lower SES are primarily responsible for these inequalities, either directly or by inducing psychosocial harm. These theories cannot explain, however, why the relation between SES and health outcomes (knowledge, behavior, morbidity, and mortality) is not only remarkably general across time, place, disease, and kind of health system but also so finely graded up the entire SES continuum. Epidemiologists have therefore posited, but not yet identified, a more general "fundamental cause" of health inequalities. This article concatenates various bodies of evidence to demonstrate that differences in general intelligence (g) may be that fundamental cause.
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“As children's intelligence predicts later socio-economic success better than parents' attributes (Gottfredson, 2004), Glazer and Konrads W nding is consistent with our claim that altruism and IQ are related.”
From Altruistic behavior as a costly signal of general intelligence (2007) · cites this paper as Gottfredson, 2004
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“…possibly be encountered when studying the relationship between political ideology and intelligence (Ganzach and Schul 2021; Jedinger and Burger 2022), the relationship between political ideology and personality (Fatke 2017) or the relationship between health and intelligence (Gottfredson 2004a).”
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Performance Pay Jobs and Job Satisfaction
Ledić, M. (2018) · CESifo Economic Studies · doi:10.1093/cesifo/ify008 · Cited by 6
Halpern-Manners, A., Raymo, J. M., Warren, J. R., & Johnson, K. (2020) · Advances in Life Course Research · doi:10.1016/j.alcr.2020.100362 · Cited by 10
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript Gottfredson and Deary 2004; Gottfredson 2004).”
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Faraone, S. V., Adamson, J., Wilens, T. E., Monuteaux, M. C., & Biederman, J. (2006) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.11.002 · Cited by 6
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“These individuals are at risk for more serious long-term concerns, such as substance abuse (Braatveit et al., 2018; Minehan et al., 2000), poor health care (Gottfredson, 2004; Gottfredson & Deary, 2004), and incarceration (Lindsay et al., 2007).”
BackgroundResultInfluentialCognitive rationality is heritable and lies under general cognitive ability
Bates, T. C. (2024) · Intelligence · doi:10.1016/j.intell.2024.101895 · Cited by 5
Intelligence as a Predictor of Health, Illness, and Death
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Career maturity: A latent means and covariance structure analysis of Daidalos
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The relationship between self-control and altruism in the light of discounting literature
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“Studies show that the level of intelligence is a predictor of social and economic situation and is a better forecast indicator than the parents’ status (Gottfredson, 2004), but also that intelligence measured in childhood and at adult age turns out to be a predictor of social status, occupation and income (Judge, Higg…”
BackgroundPatterns of health inequalities
Mackenbach, J. P. (2019) · Oxford University Press eBooks · doi:10.1093/oso/9780198831419.003.0002 · Cited by 5
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“Moreover, improvements in a country’s overall health are often followed by larger social class inequalities in health.(29) This is probably because the improvements are smaller among those who have low education and low income than among those who have high education and better income.”
BackgroundThe social epidemiologic concept of fundamental cause
Ward, A. C. (2007) · Metamedicine · doi:10.1007/s11017-007-9053-x · Cited by 5
“12 See Gottfredson [ 70 ], for an argument that ‘‘the general intelligence factor, g’’ (a paradigmatic”
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Non-conformity may be hidden driver behind relation
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“Acquiring resources in isolation is more difficult than in groups.”
BackgroundWhy Intelligent People Live LongerPreprint
Hauser, R. M., & Palloni, A. (2010) · Nature Precedings · doi:10.1038/npre.2010.4340.1 · Cited by 5
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Metadata
- Authors
- Gottfredson, L. S.
- Affiliations
- University of Delaware (US)
- Corresponding author
- Gottfredson, Linda S.
- Venue
- Journal of Personality and Social Psychology
- Published
- 2004
- Volume
- 86
- Issue
- 1
- Pages
- 174-199
- ISSN
- 0022-3514 (ISSN-L)
- 1939-1315
- OpenAlex
- W2141185279
- Cited by
- 580
- References
- 189
- Citations by year
- 2026: 3 · 2025: 17 · 2024: 9 · 2023: 16 · 2022: 20 · 2021: 34 · 2020: 21 · 2019: 31 · 2018: 39 · 2017: 32 · 2016: 27 · 2015: 30 · 2014: 34 · 2013: 32 · 2012: 21
- FWCI
- 28.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Personality and Social Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- intelligence, socioeconomic status, health disparities, fundamental causes, psychosocial factors, material disadvantage
- MeSH terms
- Age Factors, Health Status, Humans, Intelligence, Social Class
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