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Marmot and colleagues: employment grade and coronary heart disease

Contribution grade

Epidemiology and public health · METHOD

Reference score80,000Provisional editorial estimate of this exact contribution; its grade is assessed separately.

What changed

Found inverse employment-grade gradient in CHD mortality in 17,530 civil servants.

Scientific scope

The record is the exact four-author 1978 Whitehall cohort paper. The observational association is not by itself proof of a single causal mechanism, applies to the studied workforce and period, and does not absorb Whitehall II or later follow-up analyses.

Evidence

The linked sources identify this contribution and its scope. WRS has not independently reconstructed the scientific claims. The record is the exact four-author 1978 Whitehall cohort paper. The observational association is not by itself proof of a single causal mechanism, applies to the studied workforce and period, and does not absorb Whitehall II or later follow-up analyses.

Contributors

Provisional WRS assessment, edition 2026-10-16.1. Independent expert calibration is pending. This grade does not certify correctness or assign ownership.

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