Sociological concepts in the etiology of chronic disease: the case of ischemic heart disease

Soc Sci Med. 1986;22(2):247-53. doi: 10.1016/0277-9536(86)90073-0.


This paper first gives a selective and critical review of conventional sociological variables included into epidemiologic and clinical studies of ischemic heart disease (IHD). In a second section, links between social and biological processes are discussed, and a conceptual sociological approach is developed which relates critical experiences of active distress to impaired long-term control of social status. This approach is elaborated to some extent in order to illustrate possible avenues of future research which strengthen cross-fertilization between medical and social sciences.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological
  • Coronary Disease / etiology*
  • Coronary Disease / psychology
  • Female
  • Humans
  • Male
  • Occupational Diseases / etiology
  • Physical Exertion
  • Social Class
  • Social Support
  • Sociology, Medical*
  • Stress, Physiological / complications
  • Stress, Psychological / complications