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- ArticleCastule WM.Bull World Health Organ. 1978;56(3):457-9.A yardstick is needed for measuring the medical consequences of socioeconomic change in developing countries. Education, income, and a newly developed occupation index were studied in urban African males in relation to six coronary artery disease risk factors. Occupation was the status indicator best known to a man's family, correlated best with the risk factors, and was not age dependent.