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Department
of Public Health Sciences, Guy's, King's and St Thomas' School of
Medicine, Guy's Campus, 6th Floor, Capital House, 42 Weston Street,
London SE1 3QD, UK
Correspondence to: Dr R Rona
| The first 150 words of the full text of this article appear below. |
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Introduction |
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If the UK Department of Health's "Independent inquiry into
inequalities in health"1 had been carried out in the
USA, asthma would probably have occupied a prominent place in the
document. In Britain a review of the evidence on inequalities did not
mention asthma as a health issue related to poverty. Americans review the association of asthma and poverty on a regular basis in the literature.2-7 Platt-Mills3 suggested that
the link between low social class and asthma was a phenomenon
restricted to the USA. Is this perception correct and, if so, why
should it be? In reviewing the topic it is appropriate to disaggregate
several related but separate components. Poverty may contribute to the aetiology, exacerbation, recognition, and management of asthma (box 1).
There is also a historical perspective that needs some consideration.
In Britain both coronary heart disease and diabetes mellitus were
initially more prevalent among the wealthy, but
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