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Den ojämlika dödligheten: Hjärtdödlighet och samhällsutveckling i två städer
Linköping University, Department for Studies of Social Change and Culture, Department of Culture Studies – Tema Q. Linköping University, Faculty of Arts and Sciences.
2016 (Swedish)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Unequal Mortality : Coronary Heart Disease Mortality and the Development of Society in Two Cities (English)
Abstract [sv]

Den ojämlika dödligheten är en studie av främst hjärt–kärldödlighet avseende perioden 1950–2010 i tvillingstäderna Linköping och Norrköping och konsekvenserna av ojämlikhet. Skillnaderna mellan städerna i dödlighet är stora. Under 1970-talet, då jämlikheten stod i focus, minskade dessa. Efterhand som ekonomisk politik och samhällsvärderingar mera anpassades till en global monetaristisk politik ökade också den ojämlika dödligheten mellan städerna.

Stora förändringar ägde rum inom respektive stad när det gäller hjärtdödligheten. Miljonprogramområdena i de båda städerna blev relativt sett fattigare och präglades allt mer av flyktinginvandring, samtidigt som städernas centra gentrifierades, inte minst i Linköping. Skillnaderna i dödlighet mellan ytterområdena och centrum ökade under 1990- och 2000-talen. Detta gäller i större utsträckning i Linköping än i Norrköping.

Avhandlingen består av tre delar. I licentiatuppsatsen analyseras städernas utveckling från 1950-talet till 2006. Studien gör också ett försök att spåra orsaker till ohälsoskillnader och för tidig död. Artikel 1 handlar om vad som hände med folkhälsan på vägen från ett högindustriellt till ett postindustriellt samhälle. Ett särskilt focus har varit att studera skillnader i hjärtsjuklighet mellan olika stadsdelar i de bägge tvillingstäderna. I artikel 2 analyseras skillnader i hjärt–kärldödlighet på stadsdelsnivå under perioden 1976 till 2010.

Abstract [en]

Unequal Mortality is primarily a study of coronary heart disease mortality and its consequences during the period 1950–2010 in the twin cities Linköping and Norrköping. The difference in mortality between the two cities was great. During the 1970s, when there was a focus on equality, these differences declined. As economic policies and social values were adapted to a global monetary policy, inequality in mortality between the two cities increased.

Large changes took place in the respective cities as far as mortality in coronary heart disease was concerned. In both cities the low cost housing projects became poorer and were increasingly influenced by the influx of refugees, at the same time that the city centres became gentrified, not least in Linköping. The differences in mortality between the out-lying areas and the city centres increased during the 1990s and the first decade of the 21st century. This is true to a greater extent in Linköping than in Norrköping.

The dissertation consists of three parts. The licentiate thesis analyses the development of the cities from the 1950s until 2006. The study also attempts to trace the reasons for the differences in health and premature death. Article 1 deals with what happened on the way from a highly industrial to a post-industrial society. It has especially focused on studying the differences in coronary heart disease morbidity among various neighbourhoods in both the twin cities. Article 2 analyses differences in coronary heart disease mortality during the period from 1976 to 2010.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2016. , 73 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 703
Keyword [en]
Inequality, coronary heart disease mortality, Linköping, Norrköping, city neighborhoods, change, social development, socio-economic factors, life-style
Keyword [sv]
Ojämlikhet, hjärtkärldödlighet, Linköping, Norrköping, stadsdelar, förändringar, samhällsutveckling, socio-ekonomi, levnadssätt
National Category
Health Sciences Public Health, Global Health, Social Medicine and Epidemiology History Economic History Social Sciences Interdisciplinary
URN: urn:nbn:se:liu:diva-132388DOI: 10.3384/diss.diva-132388ISBN: 9789176856529 (print)OAI: diva2:1044860
Public defence
2016-11-18, K3, Kåkenhus, Campus Norrköping, Norrköping, 13:15 (Swedish)
Available from: 2016-11-07 Created: 2016-11-07 Last updated: 2016-11-10Bibliographically approved
List of papers
Open this publication in new window or tab >>PERSPECTIVES ON THE RISE AND FALL OF SWEDISH CARDIAC EPIDEMICS: The cases of Linköping and Norrköping
2016 (English)In: Scandinavian Journal of History, ISSN 0346-8755, E-ISSN 1502-7716, Vol. 41, no 1, 32-53 p.Article in journal (Refereed) Published
Abstract [en]

Morbidity and mortality in cardiovascular diseases (CVD) can be described as an ongoing epidemic, although a very protracted one, lasting more than 100 years. Cardiovascular diseasesstill top mortality rates in the world today, accounting for about 30% of all deaths around the globe. But it is in the industrialized world that CVD dominate, although differences are great among various regions. Myocardial infarctions are significantly more common in Sweden than in southern Europe, but less common than in Eastern Europe. The overall question concerns the consequences for health in areas on the road to a post-industrial society. Over the years a clearer link has become visible between lifestyle and health. In Sweden, infectious diseases diminished as result of rising living standards. At the same time cardiovascular diseases were beginning their upward phase, reaching a peak in the 1960s. Deaths due to CVD bring to light significant discrepancies related to socio-economic and cultural factors. A comparison of the Swedish twin cities Linkoping and Norrkoping show considerable differences in death rates in favour of Linkoping, amounting to about 30% fewer in the 1920s with a tendency toward rising differences thereafter. A preliminary investigation of diagnoses has shown that links commonly made between health and socio-economic patterns need revision. The differences in cardiovascular morbidity show another pattern than was expected. It is obvious that the neighbourhood environments themselves have significance, and that the inequalities need additional research based on complementary explanatory models.

Place, publisher, year, edition, pages
Sweden; health; demography; cardiac epidemics
National Category
History and Archaeology
urn:nbn:se:liu:diva-125831 (URN)10.1080/03468755.2015.1108930 (DOI)000369289500003 ()
Available from: 2016-03-08 Created: 2016-03-04 Last updated: 2016-11-07

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Publisher's full textDel 1 av studien, Licentiatuppsats: Samhällsförändring och det ömtåliga hjärtat: En analys av samhälle, ohälsa och hjärtdödlighet i Linköping och Norrköping från 1950-tal till 2000-tal

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Grip, Björn
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