Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Determinants of inequalities in life expectancy: an international comparative study of eight risk factors
University Medical Center Rotterdam, Rotterdam, Netherlands.
University Medical Center Rotterdam, Rotterdam, Netherlands.
University of Zürich, Zürich, Switzerland.
University of Copenhagen, Copenhagen, Denmark.ORCID-id: 0000-0003-3513-7245
Vise andre og tillknytning
2019 (engelsk)Inngår i: The Lancet Public Health, ISSN 2468-2667, Vol. 4, nr 10, s. E529-E537Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background Socioeconomic inequalities in longevity have been found in all European countries. We aimed to assess which determinants make the largest contribution to these inequalities. Methods We did an international comparative study of inequalities in risk factors for shorter life expectancy in Europe. We collected register-based mortality data and survey-based risk factor data from 15 European countries. We calculated partial life expectancies between the ages of 35 years and 80 years by education and gender and determined the effect on mortality of changing the prevalence of eight risk factors-father with a manual occupation, low income, few social contacts, smoking, high alcohol consumption, high bodyweight, low physical exercise, and low fruit and vegetable consumption-among people with a low level of education to that among people with a high level of education (upward levelling scenario), using population attributable fractions. Findings In all countries, a substantial gap existed in partial life expectancy between people with low and high levels of education, of 2.3-8.2 years among men and 0.6-4.5 years among women. The risk factors contributing most to the gap in life expectancy were smoking (19.8% among men and 18.9% among women), low income (9.7% and 13.4%), and high bodyweight (7.7% and 11.7%), but large differences existed between countries in the contribution of risk factors. Sensitivity analyses using the prevalence of risk factors in the most favourable country (best practice scenario) showed that the potential for reducing the gap might be considerably smaller. The results were also sensitive to varying assumptions about the mortality risks associated with each risk factor. Interpretation Smoking, low income, and high bodyweight are quantitatively important entry points for policies to reduce educational inequalities in life expectancy in most European countries, but priorities differ between countries. A substantial reduction of inequalities in life expectancy requires policy actions on a broad range of health determinants.

sted, utgiver, år, opplag, sider
The Lancet Publishing Group , 2019. Vol. 4, nr 10, s. E529-E537
HSV kategori
Identifikatorer
URN: urn:nbn:se:sh:diva-39269DOI: 10.1016/S2468-2667(19)30147-1ISI: 000488875200016PubMedID: 31578987Scopus ID: 2-s2.0-85072716131OAI: oai:DiVA.org:sh-39269DiVA, id: diva2:1366927
Tilgjengelig fra: 2019-10-31 Laget: 2019-10-31 Sist oppdatert: 2019-11-06bibliografisk kontrollert

Open Access i DiVA

fulltext(1019 kB)28 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1019 kBChecksum SHA-512
fb170f04a81d6ae7d5c2d9f2fb5a13caac88c530015df267b0a53a5b81c5c0a36c755127e3939d29d5b8f11d58d77ab32a39026f6d0edbb2a4b5af6a8249d10d
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Søk i DiVA

Av forfatter/redaktør
Bronnum-Hansen, HenrikLeinsalu, Mall
Av organisasjonen

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 28 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 19 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf