Michael Marmot | |
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| Born | Michael Gideon Marmot 26 January 1945 London, England |
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| Spouse | Alexandra Naomi Ferster |
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| Fields | Epidemiology |
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| Thesis | Acculturation and Coronary Heart Disease in Japanese-Americans (1975) |
Sir Michael Gideon Marmot (born 26 January 1945) is professor of epidemiology and public health at University College London (UCL), director of the UCL Institute of Health Equity, advisor to the Director-General of the World Health Organisation (WHO) on social determinants of health, and a leading researcher in the field of health inequalities. He leads the English Longitudinal Study of Ageing (ELSA) and is a former president of the British Medical Association and the World Medical Association.
Marmot is known for using epidemiological studies to investigate how social, cultural and environmental factors influence health. His early studies found that Japanese-American men who maintained traditional Japanese lifestyles had lower rates of heart disease, while research on French migrants suggested that health related behaviours may continue after migration. His work found that unlike Irish migrants, Italian, Polish and Caribbean male migrants had lower overall death rates than people in their countries of origin, suggesting that healthier individuals may have been more likely to migrate. Later, his Whitehall II study showed that lower ranking civil servants had poorer health and higher death rates than senior employees, highlighting the link between socioeconomic status and health inequalities. He subsequently served on the Scientific Advisory Group of the "Independent Inquiry into Inequalities in Health" chaired by Sir Donald Acheson, the former UK chief medical officer.
Marmot's awards and honours include around 20 honorary doctorates, the Balzan Prize (2004) for epidemiology, the Harveian Oration (2006), the Jenner Medal of the Royal Society of Medicine (2010), and the Prince Mahidol Award (2015) for public health. In the 2023 New Year Honours he was appointed a Member of the Order of the Companions of Honour for services to public health. His publications include Fair Society, Healthy Lives (2010), The Health Gap: The Challenge of an Unequal World (2015), The Status Syndrome: How your social standing directly affects your health and life expectancy (2015), and Health Equity in England: The Marmot Review 10 Years On (2020).
Michael Marmot was born in London on 26 January 1945. When he was a young child, his family moved to Sydney in Australia, where he attended Sydney Boys High School between 1957 and 1961. In either 1968 or 1969 he graduated with an MBBS medical degree from the University of Sydney.
Marmot earned a MPH degree in 1972. He gained a PhD in 1975 from the University of California, Berkeley for research into acculturation and coronary heart disease in Japanese Americans.
Marmot was a member of the Royal Commission on Environmental Pollution for six years[when?] and in the New Year Honours 2000 he was knighted by Queen Elizabeth II, for services to epidemiology and the understanding of health inequalities.
Marmot advised the WHO. He was chair of the Commission on Social Determinants of Health (CSDH), which was set up by the World Health Organization 2005, and in August 2008 he produced for the commission a report called Closing the Gap in a Generation.
He leads the English Longitudinal Study of Ageing (ELSA), and is engaged in several international research efforts on the social determinants of health. He served as president of the British Medical Association (BMA) from 2010 to 2011, and is the new president of the British Lung Foundation.
Marmot served as president of the World Medical Association for 2015–16. During his tenure he faced calls to eject the Israeli Medical Association (IMA) from the World Medical Association, owing to the evidence of Israeli doctors complicity with the torture of Palestinians. He received criticism for not only refusing to eject the IMA but also accepting the IMA's stated commitment to medical ethics without investigating any of the torture claims.
Marmot was elected member of the Academia Europaea in 1995.
Marmot was appointed Member of the Order of the Companions of Honour (CH) in the 2023 New Year Honours for services to public health.
Marmot was elected as a fellow of the Royal College of Physicians (FRCP) in 1989. He became a fellow of the Faculty of Public Health (FFPHM) in 1989, a fellow of the Academy of Medical Sciences (FMedSci) in 1998, and was elected an honorary fellow of the British Academy (Hon FBA) also in 2008.
He has been furthermore elected an honorary fellow of the Royal Society of Public Health (Hon FRSPH) in 2008, an honorary fellow of the Royal College of Psychiatrists (Hon FRCPsych) in 2013, and an honorary fellow of the Faculty of Public Health (Hon FFPH).
In 2023 he was elected to the American Philosophical Society.
Marmot's epidemiological studies have investigated how social, cultural and environmental factors influence health. In the 1970s he led research that found that Japanese-American men who retained traditional Japanese cultural practices had lower rates of coronary heart disease than those who adopted more Western lifestyles. The most Westernised group had three to five times higher rates of heart disease, even after accounting for major risk factors such as diet, cholesterol, blood pressure and smoking. The disease patterns became reversed after adopting lifestyle, stress and diet changes.
In 1984, Marmot noted that motor vehicle accident deaths were common in both France and French migrants living in England, suggesting that behaviours or cultural influences from their home country may continue after migration. In the same year he published his study that found that unlike the Irish migrants, Italian, Polish and Caribbean male migrants had lower overall death rates than people in their countries of origin, suggesting that healthier individuals may have been more likely to migrate.
Between 1985 and 1988, Marmot led the second Whitehall Study, which examined the health of over 10,000 middle aged British civil servants across 20 Whitehall departments. The study found that employees in lower grades had poorer health, higher rates of angina and chronic bronchitis, and higher death rates than those in senior positions. These inequalities were associated with differences in lifestyle, income, working conditions and social support, highlighting the influence of socioeconomic circumstances on health and life expectancy.
His department includes the MRC National Survey of Health & Development, a longitudinal study directed by Professor Michael Wadsworth of people born in Britain in 1946 and followed up since. There are 120 other academic staff in the department.
He served on the Scientific Advisory Group of the Independent Inquiry into Inequalities in Health chaired by Sir Donald Acheson, the former UK chief medical officer. This reported in November 1998.
In The Status Syndrome: How your social standing directly affects your health and life expectancy, he argues that socio-economic position is an important determinant for health outcomes. This result holds even if we control for the effects of income, education and risk factors (such as smoking) on health. The causal pathway Marmot identifies concerns the psychic benefits of "being in control" of one's life. Autonomy in this sense is related to our socio-economic position. Based on comparative studies, Marmot argues that we can make our society more participatory and inclusive to increase overall public health.[citation needed]
In 2008, Marmot appeared in Unnatural Causes: Is Inequality Making Us Sick?, an American documentary series examining the social determinants of health that drew heavily from Marmot's work on the Whitehall Studies.
In November 2008, Marmot was asked by the Secretary of State for Health to chair an independent review of health inequalities in England, tasked with proposing the most effective evidence based strategies for reducing them after 2010. The review reported in February 2010 as Fair Society, Healthy Lives.
In 2020, Marmot co-authored Health Equity in England: The Marmot Review 10 Years On. It found that life expectancy is falling among the poorest people and particularly amongst women in certain English regions. Published in the same year, Build Back Fairer: The COVID-19 Marmot Review explored connections between inequality in socioeconomic conditions and COVID-19 death tolls, recommending investing in public health. In 2021, a follow-up report looking at Greater Manchester noted a greater fall in life expectancy in the poorer areas of the county. It made recommendations around improving living standards, working conditions and increasing prospects for young people.
In 2022, Marmot warned of the risk of "a humanitarian crisis" the next winter caused by "fuel poverty", which could have long-term consequences mostly for the young and least well-off.