nach oben

Erschienen in:

26.02.2018 | Original Article

Does community deprivation determine longevity after the age of 75? A cross-national analysis

verfasst von: Ana Isabel Ribeiro, Elias Teixeira Krainski, Marilia Sá Carvalho, Guy Launoy, Carole Pornet, Maria de Fátima de Pina

Erschienen in: International Journal of Public Health | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender.

Methods

Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75–84 years who reached 85–94 years old was calculated at area-level for 2001–11. To estimate associations, we used Bayesian spatial models and a transnational measure of deprivation. Attributable/prevention fractions were calculated.

Results

Overall, there was a significant association between deprivation and survival in both genders. In England that association was stronger, following a dose–response relation. Although lesser in magnitude, significant associations were observed in Spain and Italy, whereas in France and Portugal these were even weaker. The elimination of socioeconomic differences between areas would increase survival by 7.1%, and even a small reduction in socioeconomic differences would lead to a 1.6% increase.

Conclusions

Socioeconomic deprivation was associated with survival among older adults at ecological-level, although with varying magnitude across countries. Reasons for such cross-country differences should be sought. Our results emphasize the importance of reducing socioeconomic differences between areas.

Nur mit Berechtigung zugänglich

Asada Y (2010) On the choice of absolute or relative inequality measures. Milbank Q 88:616–622. https://doi.org/10.1111/j.1468-0009.2010.00614.x CrossRefPubMedPubMedCentral

Bambra C (2011) Health inequalities and welfare state regimes: theoretical insights on a public health ‘puzzle’. J Epidemiol Community Health 65:740–745. https://doi.org/10.1136/jech.2011.136333 CrossRefPubMed

Borrell C, Mari-Dell’olmo M, Palencia L, Gotsens M, Burstrom BO, Dominguez-Berjon F, Rodriguez-Sanz M, Dzurova D, Gandarillas A, Hoffmann R, Kovacs K, Marinacci C, Martikainen P, Pikhart H, Corman D, Rosicova K, Saez M, Santana P, Tarkiainen L, Puigpinos R, Morrison J, Pasarin MI, Diez E (2014) Socioeconomic inequalities in mortality in 16 European cities. Scand J Public Health 42:245–254. https://doi.org/10.1177/1403494814522556 CrossRefPubMed

Brennenstuhl S, Quesnel-Vallee A, McDonough P (2012) Welfare regimes, population health and health inequalities: a research synthesis. J Epidemiol Community Health 66:397–409. https://doi.org/10.1136/jech-2011-200277 CrossRefPubMed

Bryere J, Pornet C, Dejardin O, Launay L, Guittet L, Launoy G (2015) Correction of misclassification bias induced by the residential mobility in studies examining the link between socioeconomic environment and cancer incidence. Cancer Epidemiol 39:256–264. https://doi.org/10.1016/j.canep.2014.12.008 CrossRefPubMed

Dahl E, van der Wel KA (2013) Educational inequalities in health in European welfare states: a social expenditure approach. Soc Sci Med 81:60–69. https://doi.org/10.1016/j.socscimed.2012.12.010 CrossRefPubMed

Dalstra J, Kunst A, Geurts J, Frenken F, Mackenbach J (2002) Trends in socioeconomic health inequalities in the Netherlands, 1981–1999. J Epidemiol Community Health 56:927–934. https://doi.org/10.1136/jech.56.12.927 CrossRefPubMedPubMedCentral

Eayres D, Williams E (2004) Evaluation of methodologies for small area life expectancy estimation. J Epidemiol Community Health 58:243–249. https://doi.org/10.1136/jech.2003.009654 CrossRefPubMedPubMedCentral

Engelman M, Canudas-Romo V, Agree EM (2010) The implications of increased survivorship for mortality variation in aging populations. Popul Dev Rev 36:511–539. https://doi.org/10.1111/j.1728-4457.2010.00344.x CrossRefPubMed

Fouweather T, Gillies C, Wohland P, Van Oyen H, Nusselder W, Robine J-M, Cambois E, Jagger C (2015) Comparison of socio-economic indicators explaining inequalities in healthy life years at age 50 in Europe: 2005 and 2010. Eur J Public Health. https://doi.org/10.1093/eurpub/ckv070 PubMed

Gotsens M et al (2013) Socioeconomic inequalities in injury mortality in small areas of 15 European cities. Health Place 24:165–172. https://doi.org/10.1016/j.healthplace.2013.09.003 CrossRefPubMed

Green MA (2013) The equalisation hypothesis and changes in geographical inequalities of age based mortality in England, 2002–2004 to 2008–2010. Soc Sci Med 87:93–98. https://doi.org/10.1016/j.socscimed.2013.03.029 CrossRefPubMed

Guillaume E, Pornet C, Dejardin O, Launay L, Lillini R, Vercelli M, Marí-Dell’Olmo M, Fernández Fontelo A, Borrell C, Ribeiro AI, Pina MFd, Mayer A, Delpierre C, Rachet B, Launoy G (2015) Development of a cross-cultural deprivation index in five European countries. J Epidemiol Community Health. https://doi.org/10.1136/jech-2015-205729 PubMedPubMedCentral

Hoffmann R et al (2014) Social differences in avoidable mortality between small areas of 15 European cities: an ecological study. Int J Health Geogr 13:8. https://doi.org/10.1186/1476-072x-13-8 CrossRefPubMedPubMedCentral

House JS, Lepkowski JM, Kinney AM, Mero RP, Kessler RC, Herzog AR (1994) The social stratification of aging and health. J Health Soc Behav 35:213–234. https://doi.org/10.2307/2137277 CrossRefPubMed

Huisman M, Kunst AE, Andersen O, Bopp M, Borgan JK, Borrell C, Costa G, Deboosere P, Desplanques G, Donkin A, Gadeyne S, Minder C, Regidor E, Spadea T, Valkonen T, Mackenbach JP (2004) Socioeconomic inequalities in mortality among elderly people in 11 European populations. J Epidemiol Community Health 58:468–475CrossRefPubMedPubMedCentral

Huisman M, Read S, Towriss CA, Deeg DJ, Grundy E (2013) Socioeconomic inequalities in mortality rates in old age in the world health organization Europe region. Epidemiol Rev 35:84–97. https://doi.org/10.1093/epirev/mxs010 CrossRefPubMed

Jakubowski E, Busse R, Chambers GR (1998) Health Care Systems in The EU a Comparative Study. European Parliament

Kim J (2014) Association between social factors of health ageing and longevity: determinants of the Longevity Index (LI) in OECD Countries. Ageing Int 39:97–105. https://doi.org/10.1007/s12126-012-9178-8 CrossRef

Koskinen S, Martelin T (1994) Why are socioeconomic mortality differences smaller among women than among men? Soc Sci Med 38:1385–1396CrossRefPubMed

Kringos DS, Boerma WGW, van der Zee J, Groenewegen PP (2013) Political, cultural and economic foundations of primary care in Europe. Soc Sci Med 99:9–17. https://doi.org/10.1016/j.socscimed.2013.09.017 CrossRefPubMed

Lundberg O, Yngwe MÅ, Stjärne MK, Elstad JI, Ferrarini T, Kangas O, Norström T, Palme J, Fritzell J (2008) The role of welfare state principles and generosity in social policy programmes for public health: an international comparative study. Lancet 372:1633–1640. https://doi.org/10.1016/S0140-6736(08)61686-4 CrossRefPubMed

Mackenbach JP, Kunst AE (1997) Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med 44:757–771. https://doi.org/10.1016/S0277-9536(96)00073-1 CrossRefPubMed

Mackenbach JP, Stirbu I, Roskam AJ, Schaap MM, Menvielle G, Leinsalu M, Kunst AE (2008) Socioeconomic inequalities in health in 22 European countries. N Engl J Med 358:2468–2481. https://doi.org/10.1056/NEJMsa0707519 CrossRefPubMed

Mackenbach JP, Hu Y, Artnik B, Bopp M, Costa G, Kalediene R, Martikainen P, Menvielle G, Strand BH, Wojtyniak B, Nusselder WJ (2017) Trends in inequalities in mortality amenable to health care In 17 European Countries Health affairs (Project Hope) 36:1110-1118 https://doi.org/10.1377/hlthaff.2016.1674

Mari-Dell’Olmo M, Gotsens M, Palencia L, Burstrom B, Corman D, Costa G, Deboosere P, Diez E, Dominguez-Berjon F, Dzurova D, Gandarillas A, Hoffmann R, Kovacs K, Martikainen P, Demaria M, Pikhart H, Rodriguez-Sanz M, Saez M, Santana P, Schwierz C, Tarkiainen L, Borrell C (2015) Socioeconomic inequalities in cause-specific mortality in 15 European cities. J Epidemiol Community Health 69:432–441. https://doi.org/10.1136/jech-2014-204312 CrossRefPubMed

Martino S, Rue H (2009) Implementing approximate bayesian inference using integrated nested laplace approximation: a manual for the inla program https://www.mathntnuno/~hrue/GMRFsim/manualpdf

Meyer JW, Speare A (1985) Distinctively elderly mobility: types and determinants. Econ Geogr 61:79–88CrossRefPubMed

Mustard C, Etches J (2003) Gender differences in socioeconomic Inequality in mortality. J Epidemiol Community Health 57:974–980. https://doi.org/10.1136/jech.57.12.974 CrossRefPubMedPubMedCentral

Niedzwiedz CL, Pell JP, Mitchell R (2015) The relationship between financial distress and life-course socioeconomic inequalities in well-being: cross-national analysis of European Welfare States. Am J Public Health 105:2090–2098. https://doi.org/10.2105/ajph.2015.302722 CrossRefPubMedPubMedCentral

OECD (2017) Net pension replacement rates (indicator). https://doi.org/10.1787/4b03f028-en (Accessed on 26 November 2017)

Port CL, Gruber-Baldini AL, Burton L, Baumgarten M, Hebel JR, Zimmerman SI, Magaziner J (2001) Resident contact with family and friends following nursing home admission. Gerontologist 41:589–596CrossRefPubMed

Ribeiro AI, Krainski ET, Carvalho MS, Pina MDFD (2016) Where do people live longer and shorter lives? An ecological study of old-age survival across 4404 small areas from 18 European countries. J Epidemiol Community Health. https://doi.org/10.1136/jech-2015-206827

Ribeiro AI, Mayer A, Miranda A, Pina MF (2017) The portuguese version of the European Deprivation Index: an instrument to study health inequalities. Acta Médica Portuguesa 30:17–25CrossRefPubMed

Richardson EA, Pearce J, Mitchell R, Shortt NK, Tunstall H (2013) Have regional inequalities in life expectancy widened within the European Union between 1991 and 2008? Eur J Public Health 24:357–363CrossRefPubMed

Rockhill B, Newman B, Weinberg C (1998) Use and misuse of population attributable fractions. Am J Public Health 88:15–19CrossRefPubMedPubMedCentral

Rue H, Held L, Raton B (2005) Gaussian Markov random fields: theory and applications. Chapman & Hall/CRC, Boca RatonCrossRef

Rue H, Martino S, Lindgren F, Simpson D, Riebler A (2009) INLA: Functions which allow to perform full Bayesian analysis of latent Gaussian models using Integrated Nested Laplace Approximaxion. R Package Version

Stringhini S et al (2017) Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: a multicohort study and meta-analysis of 1 7 million men and women. Lancet 389:1229–1237. https://doi.org/10.1016/S0140-6736(16)32380-7 CrossRefPubMedPubMedCentral

Susser M (1993) Health as a human right: an epidemiologist’s perspective on the public health. Am J Public Health 83:418–426CrossRefPubMedPubMedCentral

Tatsiramos K (2006) Residential Mobility and Housing Adjustment of Older Households in Europe IZA Discussion Papers p 1–27

Taulbut M, Walsh D, McCartney G, Parcell S, Hartmann A, Poirier G, Strniskova D, Hanlon P (2014) Spatial inequalities in life expectancy within postindustrial regions of Europe: a cross-sectional observational study. BMJ Open. https://doi.org/10.1136/bmjopen-2013-004711 PubMedPubMedCentral

Wohland P, Rees P, Gillies C, Alvanides S, Matthews FE, O’Neill V, Jagger C (2014) Drivers of Inequality in disability-free expectancy at birth and age 85 across space and time in Great Britain. J Epidemiol Community Health 68:826–833. https://doi.org/10.1136/jech-2014-204083 CrossRefPubMedPubMedCentral

Titel: Does community deprivation determine longevity after the age of 75? A cross-national analysis
verfasst von: Ana Isabel Ribeiro
Elias Teixeira Krainski
Marilia Sá Carvalho
Guy Launoy
Carole Pornet
Maria de Fátima de Pina
Publikationsdatum: 26.02.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 4/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1081-y

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2018

Socioeconomic position and occupational social class and their association with risky alcohol consumption among adolescents

Segmented generalized mixed effect models to evaluate health outcomes

Are overweight and obesity in children risk factors for anemia in early childhood? Results from a national nutrition survey in Tajikistan

Cluster of risk and protective factors for obesity among Brazilian adolescents

The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial

Injustice at work affects work ability and role functioning: findings of a cohort study