Historique
Article de Périodique
The contribution of education, social class and economic activity to the income-mortality association in alcohol-related and other mortality in Finland in 1988-2012 (2016)
Auteur(s) :
TARKIAINEN, L. ;
MARTIKAINEN, P. ;
LAAKSONEN, M.
Année :
2016
Page(s) :
456-464
Langue(s) :
Anglais
Refs biblio. :
38
Domaine :
Alcool / Alcohol
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
FINLANDE
Thésaurus mots-clés
ALCOOL
;
MORTALITE
;
REVENU
;
CATEGORIE SOCIO-PROFESSIONNELLE
;
NIVEAU D'ETUDES
;
ADULTE
;
SEXE
;
CAUSE DE DECES
Note générale :
Commentary: Adding another piece to the puzzle of what explains socio-economic differences in alcohol-related mortality. Mäkelä P., p. 465-466.
Résumé :
Aims: First, to quantify trends in the contribution of alcohol-related mortality to mortality disparity in Finland by income quintiles. Secondly, to estimate the degree to which education, social class and economic activity explain the income-mortality association in alcohol-related and other mortality in four periods within 1988-2012.
Design: Register-based longitudinal study using an 11% random sample of Finnish residents linked to socio-economic and mortality data in 1988-2012 augmented with an 80% sample of all deaths during 1988-2007. Mortality rates and discrete time survival regression models were used to assess the income-mortality association following adjustment for covariates in 6-year periods after baseline years of 1988, 1994, 2001, and 2007.
Setting: Finland.
Participants: Individuals aged 35-64 years at baselines. For the four study periods for men/women, the final data set comprised, respectively, 26 360/12 825, 22 561/11 423, 20 342/11 319 and 2651/1514 deaths attributable to other causes and 7517/1217, 8199/1450, 9807/2116, 1431/318 deaths attributable to alcohol-related causes.
Measurements: Alcohol-related deaths were analysed with household income, education, social class and economic activity as covariates.
Findings: The income disparity in mortality originated increasingly from alcohol-related causes of death, in the lowest quintile the contribution increasing from 28 to 49% among men and from 11 to 28% among women between periods 1988-93 and 2007-12. Among men, socio-economic characteristics attenuated the excess mortality during each study period in the lowest income quintile by 51-62% in alcohol-related and other causes. Among women, in the lowest quintile the attenuation was 47-76% in other causes, but there was a decreasing tendency in the proportion explained by the covariates in alcohol-related mortality.
Conclusions: The income disparity in mortality among working-age Finns originates increasingly from alcohol-related causes of death. Roughly half the excess mortality in the lowest income quintile during 2007-12 is explained by the covariates of household income, education, social class and economic activity.
Design: Register-based longitudinal study using an 11% random sample of Finnish residents linked to socio-economic and mortality data in 1988-2012 augmented with an 80% sample of all deaths during 1988-2007. Mortality rates and discrete time survival regression models were used to assess the income-mortality association following adjustment for covariates in 6-year periods after baseline years of 1988, 1994, 2001, and 2007.
Setting: Finland.
Participants: Individuals aged 35-64 years at baselines. For the four study periods for men/women, the final data set comprised, respectively, 26 360/12 825, 22 561/11 423, 20 342/11 319 and 2651/1514 deaths attributable to other causes and 7517/1217, 8199/1450, 9807/2116, 1431/318 deaths attributable to alcohol-related causes.
Measurements: Alcohol-related deaths were analysed with household income, education, social class and economic activity as covariates.
Findings: The income disparity in mortality originated increasingly from alcohol-related causes of death, in the lowest quintile the contribution increasing from 28 to 49% among men and from 11 to 28% among women between periods 1988-93 and 2007-12. Among men, socio-economic characteristics attenuated the excess mortality during each study period in the lowest income quintile by 51-62% in alcohol-related and other causes. Among women, in the lowest quintile the attenuation was 47-76% in other causes, but there was a decreasing tendency in the proportion explained by the covariates in alcohol-related mortality.
Conclusions: The income disparity in mortality among working-age Finns originates increasingly from alcohol-related causes of death. Roughly half the excess mortality in the lowest income quintile during 2007-12 is explained by the covariates of household income, education, social class and economic activity.
Affiliation :
Population Research Unit, Department of Social Research, University of Helsinki, Helsinki, Finland
Cote :
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