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Sökning: (WFRF:(Hoffmann P)) lar1:(sh) > (2012) > Socioeconomic inequ...

Socioeconomic inequalities in mortality from conditions amenable to medical interventions : do they reflect inequalities in access or quality of health care?

Plug, Iris (författare)
Hoffmann, Rasmus (författare)
Artnik, Barbara (författare)
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Bopp, Matthias (författare)
Borrell, Carme (författare)
Costa, Giuseppe (författare)
Deboosere, Patrick (författare)
Esnaola, Santi (författare)
Kalediene, Ramune (författare)
Leinsalu, Mall (författare)
Södertörns högskola,Sociologi,SCOHOST (Stockholm Centre on Health of Societies in Transition)
Lundberg, Olle (författare)
Stockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)
Martikainen, Pekka (författare)
Regidor, Enrique (författare)
Rychtarikova, Jitka (författare)
Heine Strand, Björn (författare)
Wojtyniak, Bogdan (författare)
Mackenbach, Johan P. (författare)
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 (creator_code:org_t)
2012-05-11
2012
Engelska.
Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 12
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • BackgroundPrevious studies have reported large socioeconomic inequalities in mortality from conditions amenable to medical intervention, but it is unclear whether these can be attributed to inequalities in access or quality of health care, or to confounding influences such as inequalities in background risk of diseases. We therefore studied whether inequalities in mortality from conditions amenable to medical intervention vary between countries in patterns which differ from those observed for other (non-amenable) causes of death. More specifically, we hypothesized that, as compared to non-amenable causes, inequalities in mortality from amenable causes are more strongly associated with inequalities in health care use and less strongly with inequalities in common risk factors for disease such as smoking.MethodsCause-specific mortality data for people aged 30–74 years were obtained for 14 countries, and were analysed by calculating age-standardized mortality rates and relative risks comparing a lower with a higher educational group. Survey data on health care use and behavioural risk factors for people aged 30–74 years were obtained for 12 countries, and were analysed by calculating age-and sex-adjusted odds ratios comparing a low with a higher educational group. Patterns of association were explored by calculating correlation coefficients.ResultsIn most countries and for most amenable causes of death substantial inequalities in mortality were observed, but inequalities in mortality from amenable causes did not vary between countries in patterns that are different from those seen for inequalities in non-amenable mortality. As compared to non-amenable causes, inequalities in mortality from amenable causes are not more strongly associated with inequalities in health care use. Inequalities in mortality from amenable causes are also not less strongly associated with common risk factors such as smoking.ConclusionsWe did not find evidence that inequalities in mortality from amenable conditions are related to inequalities in access or quality of health care. Further research is needed to find the causes of socio-economic inequalities in mortality from amenable conditions, and caution should be exercised in interpreting these inequalities as indicating health care deficiencies.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Socioeconomic Inequality
Basque Country
Behavioural Risk Factor
Educational Group
Educational Inequality

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