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Record W2144856061 · doi:10.1093/ije/dyp248

Commentary: Trends in indigenous inequalities in mortality in New Zealand

2009· letter· en· W2144856061 on OpenAlexaff
Sam Harper

Bibliographic record

VenueInternational Journal of Epidemiology · 2009
Typeletter
Languageen
FieldHealth Professions
TopicEmployment and Welfare Studies
Canadian institutionsMcGill University
Fundersnot available
KeywordsInequalityEthnic groupIndigenousFocus (optics)Demographic economicsSociologyDevelopment economicsDemographyGeographyPolitical scienceEconomic growthEconomicsAnthropology

Abstract

fetched live from OpenAlex

Measuring and monitoring social differences in health is an important component of public health surveillance for at least two reasons. First, social group differences in health tell us something about the potential impacts of structural inequalities in society. Health is a crucial component of overall well-being, and differences in health between important social groups may indicate the degree to which major social institutions structure the resources and opportunities for healthy living.1 Secondly, continued monitoring of social differences in health provides an opportunity to reconcile temporal trends in health inequalities with aetiological hypotheses regarding the causes of health differences.2 Whether the social patterning of health reflects social differences in hazardous or protective exposures (including social conditions), health behaviours, proximal risk factors, medical care, or, more likely, some combination of such factors has important implications for designing interventions to address health inequalities. Building on a strong foundation of previous research on health inequalities in New Zealand, in this issue Tobias and colleagues deliver a particularly good example of monitoring mortality inequalities between Māori and non-Māori populations.3 They measure inequalities on both the absolute and relative scale, consider the contributions of specific causes of death, and interpret their results in light of potential mechanisms and lag times between potential exposures and mortality. They find that the ethnic gap in mortality declined from the early 1950s until the mid-1980s, reversed course and increased from the mid-1980s to mid-1990s, and subsequently declined again. More importantly, they suggest that the recent patterning of widening and narrowing of inequalities is causally related to changes in socio-economic conditions resulting from the restructuring of New Zealand's economy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.022
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.052
Threshold uncertainty score0.103

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.022
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0030.002
Scholarly communication0.0020.003
Open science0.0040.001
Research integrity0.0340.020
Insufficient payload (model declined to judge)0.0120.007

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.186
GPT teacher head0.497
Teacher spread0.312 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2009
Admission routes1
Has abstractyes

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