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Sökning: (WFRF:(Hoffmann P)) lar1:(sh) > Trends in inequalit...

  • Mackenbach, Johan PErasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands (författare)

Trends in inequalities in premature mortality : a study of 3.2 million deaths in 13 European countries.

  • Artikel/kapitelEngelska2015

Förlag, utgivningsår, omfång ...

  • 2014-06-25
  • BMJ,2015
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:sh-24261
  • https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-24261URI
  • https://doi.org/10.1136/jech-2014-204319DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-24589URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-114498URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • BACKGROUND: Over the last decades of the 20th century, a widening of the gap in death rates between upper and lower socioeconomic groups has been reported for many European countries. For most countries, it is unknown whether this widening has continued into the first decade of the 21st century.METHODS: We collected and harmonised data on mortality by educational level among men and women aged 30-74 years in all countries with available data: Finland, Sweden, Norway, Denmark, England and Wales, Belgium, France, Switzerland, Spain, Italy, Hungary, Lithuania and Estonia.RESULTS: Relative inequalities in premature mortality increased in most populations in the North, West and East of Europe, but not in the South. This was mostly due to smaller proportional reductions in mortality among the lower than the higher educated, but in the case of Lithuania and Estonia, mortality rose among the lower and declined among the higher educated. Mortality among the lower educated rose in many countries for conditions linked to smoking (lung cancer, women only) and excessive alcohol consumption (liver cirrhosis and external causes). In absolute terms, however, reductions in premature mortality were larger among the lower educated in many countries, mainly due to larger absolute reductions in mortality from cardiovascular disease and cancer (men only). Despite rising levels of education, population-attributable fractions of lower education for mortality rose in many countries.CONCLUSIONS: Relative inequalities in premature mortality have continued to rise in most European countries, and since the 1990s, the contrast between the South (with smaller inequalities) and the East (with larger inequalities) has become stronger. While the population impact of these inequalities has further increased, there are also some encouraging signs of larger absolute reductions in mortality among the lower educated in many countries. Reducing inequalities in mortality critically depends upon speeding up mortality declines among the lower educated, and countering mortality increases from conditions linked to smoking and excessive alcohol consumption such as lung cancer, liver cirrhosis and external causes.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Kulhánová, IvanaErasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands (författare)
  • Menvielle, GwennINSERM, Ctr Res Epidemiol & Populat Hlth CESP, U1018, Villejuif, France (författare)
  • Bopp, MatthiasUniv Zurich, Inst Social & Prevent Med, CH-8006 Zurich, Switzerland (författare)
  • Borrell, CarmeAgencia Salut Publ Barcelona, Barcelona, Spain (författare)
  • Costa, GiuseppeUniv Turin, Dept Clin Med & Biol, Turin, Italy (författare)
  • Deboosere, PatrickVrije Univ Brussel, Dept Sociol, Brussels, Belgium (författare)
  • Esnaola, SantiagoBasque Govt, Dept Publ Hlth, Vitoria, Spain (författare)
  • Kalediene, RamuneLithuanian Univ Hlth Sci, Kaunas, Lithuania (författare)
  • Kovacs, KatalinCent Stat Off, Demog Res Inst, Budapest, Hungary (författare)
  • Leinsalu, MallSödertörns högskola,Sociologi,SCOHOST (Stockholm Centre for Health and Social Change),National Institute for Health Development, Tallinn, Estonia,Natl Inst Hlth Dev, Dept Epidemiol & Biostat, Tallinn, Estonia(Swepub:sh)SH99MLLU (författare)
  • Martikainen, PekkaUniv Helsinki, Dept Sociol, Helsinki, Finland (författare)
  • Regidor, EnriqueUniv Complutense Madrid, Dept Prevent Med & Publ Hlth, Madrid, Spain (författare)
  • Rodriguez-Sanz, MaicaAgencia Salut Publ Barcelona, Barcelona, Spain (författare)
  • Strand, Bjørn HeineNorwegian Inst Publ Hlth, Div Epidemiol, Oslo, Norway (författare)
  • Hoffmann, RasmusErasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands (författare)
  • Eikemo, Terje AErasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands (författare)
  • Östergren, OlofStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)olos9870 (författare)
  • Lundberg, OlleStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Mid-Sweden University , Sweden(Swepub:su)lundb (författare)
  • Erasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, NetherlandsINSERM, Ctr Res Epidemiol & Populat Hlth CESP, U1018, Villejuif, France (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Epidemiology and Community Health: BMJ69, s. 207-2170143-005X1470-2738

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