期刊论文详细信息
BMC Public Health
Widening social inequality in life expectancy in Denmark. A register-based study on social composition and mortality trends for theDanish population
Mikkel Baadsgaard2  Henrik Brønnum-Hansen1 
[1] Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen, Denmark;Economic Council of the Labour Movement, Reventlowsgade 14, 1651, Copenhagen, Denmark
关键词: Trends;    Social inequality;    Life expectancy;    Income;    Education;   
Others  :  1162814
DOI  :  10.1186/1471-2458-12-994
 received in 2012-07-31, accepted in 2012-11-14,  发布年份 2012
PDF
【 摘 要 】

Background

Dynamics of the social composition of the population might influence the interpretation of statements of the increasing gap of social inequality in life expectancy. The aim of the study was to estimate trends during a quarter of a century in social inequality in life expectancy and to compare results based on different social stratifications.

Methods

Life tables by sex and various levels of education and income were constructed for each year in the period 1987–2011 by linking individual data from nationwide registers comprising information on all Danish citizens on date of birth, date of death, education and income. Trends in life expectancies were compared for different categories of social grouping of the population.

Results

When categories of educational level were kept fixed, implying a decreasing proportion of persons with a short education, the educational inequality in life expectancy increased. Thus, the difference in life expectancy at age 30 between men with primary or lower secondary education and men with tertiary education increased from 4.8 years in 1987 to 6.4 years in 2011. For women the difference increased from 3.7 years in 1987 to 4.7 in 2011.A similar growing social disparity was observed when educational level was based on quartiles established from prescribed length of education. A considerable increasing inequality was reached for men when the population was divided in quartiles of equivalent disposable income, whereas the change was only modest for women.

Conclusions

During the past 25 years, the social gap in life expectancy has widened in Denmark. This conclusion could not be explained by changes of the social compositions of the population.

【 授权许可】

   
2012 Brønnum-Hansen and Baadsgaard; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150413081448672.pdf 295KB PDF download
Figure 4. 21KB Image download
Figure 3. 26KB Image download
Figure 2. 23KB Image download
Figure 1. 31KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】
  • [1]Andersen O, Laursen L, Petersen JK: Dødelighed og erhverv 1996–2000. (Mortality and occupation 1996–2000). Copenhagen: Statistics Denmark; 2005. in Danish)
  • [2]Mackenbach JP, Bos V, Andersen O, Cardano M, Costa G, Harding S, Reid A, Hemström O, Valkonen T, Kunst AE: Widening socioeconomic inequalities in mortality in six Western European countries. Int J Epidemiol 2003, 32:830-837.
  • [3]Brønnum-Hansen H: Sociale forskelle i udviklingen i danskernes dødelighed. (Social differences in mortality trends in Denmark). Ugeskr Laeger 2006, 168:2066-2069.
  • [4]Brønnum-Hansen H, Baadsgaard M: Increasing social inequality in life expectancy in Denmark. Eur J Public Health 2007, 17:585-586.
  • [5]Brønnum-Hansen H, Baadsgaard M: Increase in social inequality in health expectancy in Denmark. Scand J Public Health 2008, 36:44-51.
  • [6]Wagstaff A, Paci P, van Doorslaer E: On measurement of inequalities in health. Soc Sci Med 1991, 33:545-557.
  • [7]Mackenbach JP, Kunst AE: Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med 1997, 44:757-771.
  • [8]Boström G, Rosén M: Measuring social inequalities in health – politics or science? Scand J Public Health 2003, 31:211-215.
  • [9]Arriaga EE: Measuring and explaining the change in life expectancies. Demography 1984, 21:83-96.
  • [10]Ministry of Finance: Fordeling og incitamenter 2004. (Income distribution and incitements 2004. Copenhagen: Ministry of Finance; 2004. in Danish
  • [11]Juel K, Bjerregaard P, Madsen M: Mortality and life expectancy in Denmark and in other European countries. What is happening to middle-aged Danes? Eur J Public Health 2000, 10:93-100.
  • [12]Bambra C: Health inequalities and welfare state regimes: theoretical insights on a public health ‘puzzle’. J Epidemiol Community Health 2011, 65:740-745.
  • [13]Lorenc T, Petticrew M, Welch V, Tugwell P: What types of interventions generate inequalities? Evidence from systematic reviews. J Epidemiol Community Health 2012.
  • [14]Brønnum-Hansen H, Juel K: Impact of smoking on the social gradient in health expectancy in Denmark. J Epidemiol Community Health 2004, 58:604-610.
  • [15]Koch MB, Davidsen M, Juel K: Social ulighed i sundhed, sygelighed og trivsel 2010 og udviklingen siden 1987. (Social inequality in health, illness and well-being 2010 and the development since 1987). Copenhagen: National Institute of Public Health, University of Southern Denmark; 2012. in Danish)
  • [16]Stringhini S, Sabia S, Shipley M, Brunner E, Nabi H, Kivimaki M, Singh-Manoux A: Association of socioeconomic position with health behaviours and mortality. JAMA 2010, 303:1159-1166.
  • [17]Tarkiainen L, Martikainen P, Laaksonen M, Valkonen T: Trends in life expectancy by income from 1988 to 2007: decomposition by age and cause of death. J Epidemiol Community Health 2012, 66:573-578.
  • [18]Burström K, Johannesson M, Diderichsen F: Increasing socio-economic inequalities in life expectancy and QALYs in Sweden 1980–1997. Health Econ 2005, 14:831-850.
  • [19]Deboosere P, Gadeyne S, Van Oyen H: The 1991–2004 evolution in life expectancy by educational level in Belgium based on linked census and population register data. Eur J Population 2009, 25:175-196.
  • [20]Singh GK, Siahpush M: Widening socioeconomic inequalities in US life expectancy, 1980–2000. Int J Epidemiol 2006, 35:969-979.
  • [21]Meara ER, Richards S, Cutler DM: The gap gets bigger: changes in mortality and life expectancy, by education, 1981–2000. Health Aff 2008, 27:350-360.
  • [22]Cristia JP: Rising mortality and life expectancy differentials by lifetime earnings in the United States. J Health Economics 2009, 28:984-995.
  文献评价指标  
  下载次数:70次 浏览次数:21次