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LETTER |
Mika Kivimäki is with the Department of Epidemiology and Public Health, University College London, London, England. Debbie A. Lawlor and George Davey Smith are with the Department of Social Medicine, University of Bristol, Bristol, England. Anne Kouvonen is with the Institute of Work, Health & Organisations, University of Nottingham, Nottingham, England. Marko Elovainio is with the National Research and Development Centre for Welfare and Health, Helsinki, Finland. Marianna Virtanen and Jussi Vahtera are with the Finnish Institute of Occupational Health, Helsinki.
Correspondence: Requests for reprints should be sent to Mika Kivimäki, Department of Epidemiology and Public Health, University College London, 1–19 Torrington Place, London WC1E 6BT, UK (e-mail: m.kivimaki@ucl.ac.uk).
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We welcome Ljung and Hallqvists evidence from the Stockholm Heart Epidemiology Program (SHEEP) case-control study1 and confirm that they picked up a typographical error in our Table 2 (they are correct that the number should be 213 and not 283), the analyses being based on correct figures.2 Studies suggest a greater number of risk factors for coronary heart disease (CHD) are present in low than in high socioeconomic groups, but a reasonably similar clustering of risk factors within these groups.1–3 However, evidence for the latter, although consistent, is still scarce.
Why bother to study risk clustering? This is an attempt
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