Social factors in the etiology of multiple outcomes: The case of blood pressure and alcohol consumption patterns

David V. McQueen, David D Celentano

Research output: Contribution to journalArticle


The literature addressing the relationships between biological and social factors in the etiology of multiple chronic diseases occuring simultaneously is presented. The rationale for studying such multiple outcomes is presented in terms of providing a realistic appraisal of the development of chronic diseases from a clinical perspective; i.e. persons with chronic illnesses often have more than one illness at the same time. Social processes related to the development of one joint disease outcome, namely clinically elevated blood pressure and heavy alcohol consumption patterns, are discussed, and emphasis is given to elaborating the role of stress and social support in the etiologic process. Several alternative models are presented to account for the etiology of the joint outcome, and a research agenda is suggested.

Original languageEnglish (US)
Pages (from-to)397-418
Number of pages22
JournalSocial Science and Medicine
Issue number4
Publication statusPublished - 1982


ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

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