Avtor/Urednik     Stirbu, Irina; Kunst, Anton E; Bopp, Mathias; Leinsalu, Mall; Regidor, Enrique; Esnaola, Santiago; Costa, Giuseppe; Martikainen, Pekka; Borrell, Carme; Deboosere, Patrik; Kalediene, Ramune; Rychtarikova, Jitka; Artnik, B; Mackenbach, Johan P
Naslov     Educational inequalities in avoidable mortality in Europe
Tip     članek
Vir     J Epidemiol Community Health
Vol. in št.     Letnik 64, št. 10
Leto izdaje     2010
Obseg     str. 913-20
Jezik     eng
Abstrakt     BACKGROUND: The magnitude of educational inequalities in mortality avoidable by medical care in 16 European populations was compared, and the contribution of inequalities in avoidable mortality to educational inequalities in life expectancy in Europe was determined. METHODS: Mortality data were obtained for people aged 30-64 years. For each country, the association between level of education and avoidable mortality was measured with the use of regression-based inequality indexes. Life table analysis was used to calculate the contribution of avoidable causes of death to inequalities in life expectancy between lower and higher educated groups. RESULTS: Educational inequalities in avoidable mortality were present in all countries of Europe and in all types of avoidable causes of death. Especially large educational inequalities were found for infectious diseases and conditions that require acute care in all countries of Europe. Inequalities were larger in Central Eastern European (CEE) and Baltic countries, followed by Northern and Western European countries, and smallest in the Southern European regions. This geographic pattern was present in almost all types of avoidable causes of death. Avoidable mortality contributed between 11 and 24% to the inequalities in Partial Life Expectancy between higher and lower educated groups. Infectious diseases and cardiorespiratory conditions were the main contributors to this difference. CONCLUSIONS: Inequalities in avoidable mortality were present in all European countries, but were especially pronounced in CEE and Baltic countries. These educational inequalities point to an important role for healthcare services in reducing inequalities in health.
Deskriptorji     EDUCATIONAL STATUS
LIFE EXPECTANCY
LIFE TABLES
CAUSE OF DEATH
MORTALITY
MIDDLE AGE
SOCIOECONOMIC FACTORS
EUROPE
ADULT
NEOPLASMS
CARDIOVASCULAR DISEASES
ASTHMA
COMMUNICABLE DISEASES