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Erschienen in:

07.12.2018 | Original Article

Mortality in the Visegrad countries from the perspective of socioeconomic inequalities

verfasst von: Lucia Bosakova, Katarina Rosicova, Daniela Filakovska Bobakova, Martin Rosic, Dagmar Dzurova, Hynek Pikhart, Michala Lustigova, Paula Santana

Erschienen in: International Journal of Public Health | Ausgabe 3/2019

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Abstract

Objectives

Large socioeconomic inequalities in health are still present in the Central Europe. The aim was to explore socioeconomic inequalities in mortality in Visegrad countries—the Czech Republic, Hungary, Poland and Slovakia (V4), by three different socioeconomic indicators (unemployment, risk of poverty/social exclusion, education). The study was conducted within the H2020 Euro-Healthy project.

Methods

The associations between selected socioeconomic indicators and the standardised mortality rates by four main causes (mortality related to cancer, circulatory, respiratory and digestive system) in the economically active population aged 20–64 years in the 35 NUTS 2 level regions of the V4 in the period 2011–2013 were explored, using linear regression models.

Results

Lower education level was the most significant predictor of mortality in the V4. The lowest mortality rates by all causes of death were found in the regions of the Czech Republic, the highest in regions of Hungary.

Conclusions

Despite the common origin, the pathways of the V4 countries in employment, poverty and education seem to be different, also having impact on health equity. Therefore, where you live in the V4 can significantly influence your health.
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Literatur
Zurück zum Zitat Avendano M, Berkman LF (2014) Labour markets, employment policies, and health. In: Berkman LF, Kawachi I, Glymour MM (eds) Social epidemiology, 2nd edn. Oxford University Press, New York, pp 182–234 Avendano M, Berkman LF (2014) Labour markets, employment policies, and health. In: Berkman LF, Kawachi I, Glymour MM (eds) Social epidemiology, 2nd edn. Oxford University Press, New York, pp 182–234
Zurück zum Zitat Bartley M, Ferrie J, Montgomery SM (2006) Health and labour market disadvantage: unemployment, non-employment, and job insecurity. In: Marmot M, Wilkinson RG (eds) Social determinants of health. Oxford University Press, Oxford, pp 78–96 Bartley M, Ferrie J, Montgomery SM (2006) Health and labour market disadvantage: unemployment, non-employment, and job insecurity. In: Marmot M, Wilkinson RG (eds) Social determinants of health. Oxford University Press, Oxford, pp 78–96
Zurück zum Zitat Bosakova L (2013) A Bottom-up approach to employment: an example of good practice. WHO Country Office in Slovakia, Bratislava Bosakova L (2013) A Bottom-up approach to employment: an example of good practice. WHO Country Office in Slovakia, Bratislava
Zurück zum Zitat Bruthans J, Bruthansova D (2009) Kardiovaskularni revoluce. (Cardiovascular revolution). Demografie 51(3):182–189 Bruthans J, Bruthansova D (2009) Kardiovaskularni revoluce. (Cardiovascular revolution). Demografie 51(3):182–189
Zurück zum Zitat Coggon D, Rose G, Barker DJP (2003) Epidemiology for uninitiated. BMJ Publishing Group, Mumbai Coggon D, Rose G, Barker DJP (2003) Epidemiology for uninitiated. BMJ Publishing Group, Mumbai
Zurück zum Zitat Cutler D, Deaton A, Lleras-Muney A (2006) The determinants of mortality. J Econ Perspect 20(3):97–120CrossRef Cutler D, Deaton A, Lleras-Muney A (2006) The determinants of mortality. J Econ Perspect 20(3):97–120CrossRef
Zurück zum Zitat Halliday TJ (2013) Unemployment and mortality: evidence from the PSID. IZA DP No. 7157 Halliday TJ (2013) Unemployment and mortality: evidence from the PSID. IZA DP No. 7157
Zurück zum Zitat Kacerova M, Novakova M (2016) Vplyv populacnych procesov na starnutie obyvatelstva v krajinách V4. (The impact of population processes on population ageing in the V4 countries). Sl Stat Demogr 26(2):47–62 Kacerova M, Novakova M (2016) Vplyv populacnych procesov na starnutie obyvatelstva v krajinách V4. (The impact of population processes on population ageing in the V4 countries). Sl Stat Demogr 26(2):47–62
Zurück zum Zitat Kebza M, Kubes J, Novacek A (2015) Vychodo-zapadni gradient socialni a ekonomicke prostorove diferenciace Madarska. (East-west gradient of social and economic space differentiation in Hungary). In: Klimova V, Zitek V (ed) 18th International colloquium on regional sciences, conference proceedings, Masaryk University, Hustopece, pp 41–48 Kebza M, Kubes J, Novacek A (2015) Vychodo-zapadni gradient socialni a ekonomicke prostorove diferenciace Madarska. (East-west gradient of social and economic space differentiation in Hungary). In: Klimova V, Zitek V (ed) 18th International colloquium on regional sciences, conference proceedings, Masaryk University, Hustopece, pp 41–48
Zurück zum Zitat Kiss J (2015) Prospects of the Visegrad cooperation in changing economic, political and social conditions—identifying converging and diverging factors. In: Tury G (ed) Prospects of the Visegrad cooperation. Identifying converging and diverging factors. Institute of World Economics, Centre for Economic and Regional Studies, Hungarian Academy of Sciences, Budapest, pp 329–367 Kiss J (2015) Prospects of the Visegrad cooperation in changing economic, political and social conditions—identifying converging and diverging factors. In: Tury G (ed) Prospects of the Visegrad cooperation. Identifying converging and diverging factors. Institute of World Economics, Centre for Economic and Regional Studies, Hungarian Academy of Sciences, Budapest, pp 329–367
Zurück zum Zitat Leinsalu M, Stirbu I, Vagero D, Kalediene R, Kovacs K, Wojtyniak B, Wroblewska W, Mackenbach JP, Kunst AE (2009) Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000. Int J Epidemiol 38(2):512–525. https://doi.org/10.1093/ije/dyn248 CrossRefPubMed Leinsalu M, Stirbu I, Vagero D, Kalediene R, Kovacs K, Wojtyniak B, Wroblewska W, Mackenbach JP, Kunst AE (2009) Educational inequalities in mortality in four Eastern European countries: divergence in trends during the post-communist transition from 1990 to 2000. Int J Epidemiol 38(2):512–525. https://​doi.​org/​10.​1093/​ije/​dyn248 CrossRefPubMed
Zurück zum Zitat Marmot M (2010) Fair society, healthy lives: The Marmot Review: strategic review of health inequalities in England post-2010: The Marmot Review, University College London Marmot M (2010) Fair society, healthy lives: The Marmot Review: strategic review of health inequalities in England post-2010: The Marmot Review, University College London
Zurück zum Zitat Murphy M, Bobak M, Nicholson A, Rose R, Marmot M (2006) The widening gap in mortality by educational level in the Russian Federation, 1980–2001. Am J Public Health 96(7):1293–1299CrossRefPubMedPubMedCentral Murphy M, Bobak M, Nicholson A, Rose R, Marmot M (2006) The widening gap in mortality by educational level in the Russian Federation, 1980–2001. Am J Public Health 96(7):1293–1299CrossRefPubMedPubMedCentral
Zurück zum Zitat Rosicova K, Bosakova L, Madarasova Geckova A, Rosic M, Andrejkovic M, Zezula I, Groothoff JW, van Dijk JP (2016) Regional mortality by socioeconomic factors in Slovakia: a comparison of 15 years of changes. Int J Equity Health 15:115CrossRefPubMedPubMedCentral Rosicova K, Bosakova L, Madarasova Geckova A, Rosic M, Andrejkovic M, Zezula I, Groothoff JW, van Dijk JP (2016) Regional mortality by socioeconomic factors in Slovakia: a comparison of 15 years of changes. Int J Equity Health 15:115CrossRefPubMedPubMedCentral
Zurück zum Zitat Santana P, Costa C, Freitas A, Stefanik I, Quintal C, Bana e Costa C, Borrell C, Dimitroulopoulou S, Lopes Ferreira P, Krafft T, Oliveira M, Pikhart H, Rican S, Vardoulakis S, Almendra R, Bana e Costa J, Bosakova L, Burstrom B, Corman D, Costa G, Cunha L, Deboosere P, Drbohlav D, Dzurova D, Franke C, Freitas L, Gama R, Gotsens M, Hadewijch V, Hajduova Z, Heaviside C, Jose Malva J, Katsouyanni K, Lopes A, Lustigova M, Mari-Dell´Olmo M, Michelsen K, Mitsakou CH, Morrison J, Nossa P, Palencia L, Patriarca J, Pieper J, Pilot E, Rodopoulou S, Rodrigues T, Rodriguez-Sanz M, Rosicova K, Salem G, Samoli E, Schweikart J, Tavares AI, Tenailleau Q, Tkac M, Ueberschar N (2017) Atlas of population health in European Union regions. Imprensa da Universidade de Coimbra. ISBN 978-989- 26-1462- 5 Santana P, Costa C, Freitas A, Stefanik I, Quintal C, Bana e Costa C, Borrell C, Dimitroulopoulou S, Lopes Ferreira P, Krafft T, Oliveira M, Pikhart H, Rican S, Vardoulakis S, Almendra R, Bana e Costa J, Bosakova L, Burstrom B, Corman D, Costa G, Cunha L, Deboosere P, Drbohlav D, Dzurova D, Franke C, Freitas L, Gama R, Gotsens M, Hadewijch V, Hajduova Z, Heaviside C, Jose Malva J, Katsouyanni K, Lopes A, Lustigova M, Mari-Dell´Olmo M, Michelsen K, Mitsakou CH, Morrison J, Nossa P, Palencia L, Patriarca J, Pieper J, Pilot E, Rodopoulou S, Rodrigues T, Rodriguez-Sanz M, Rosicova K, Salem G, Samoli E, Schweikart J, Tavares AI, Tenailleau Q, Tkac M, Ueberschar N (2017) Atlas of population health in European Union regions. Imprensa da Universidade de Coimbra. ISBN 978-989- 26-1462- 5
Zurück zum Zitat Stevens P (2004) Diseases of poverty and the 10/90 gap. International Policy Network, London Stevens P (2004) Diseases of poverty and the 10/90 gap. International Policy Network, London
Zurück zum Zitat Svensson M (2010) Economic upturns are good for your health but watch out for accidents: a study on Swedish regional data 1976–2005. Appl Econ 42(5):615–625CrossRef Svensson M (2010) Economic upturns are good for your health but watch out for accidents: a study on Swedish regional data 1976–2005. Appl Econ 42(5):615–625CrossRef
Zurück zum Zitat The Commission in social determinants of health (CSDH) (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on social determinants of health, World Health Organization, Geneva The Commission in social determinants of health (CSDH) (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on social determinants of health, World Health Organization, Geneva
Zurück zum Zitat Vandenheede H, Vikhireva O, Pikhart H, Kubinova R, Malyutina S, Pajak A, Tamosiunas A, Peasey A, Simonova G, Topor-Madry R, Marmot M, Bobak M (2014) Socioeconomic inequalities in all-cause mortality in the Czech Republic, Russia, Poland and Lithuania in the 2000s: findings from the HAPIEE Study. J Epidemiol Community Health 68(4):297–303. https://doi.org/10.1136/jech-2013-203057 CrossRefPubMed Vandenheede H, Vikhireva O, Pikhart H, Kubinova R, Malyutina S, Pajak A, Tamosiunas A, Peasey A, Simonova G, Topor-Madry R, Marmot M, Bobak M (2014) Socioeconomic inequalities in all-cause mortality in the Czech Republic, Russia, Poland and Lithuania in the 2000s: findings from the HAPIEE Study. J Epidemiol Community Health 68(4):297–303. https://​doi.​org/​10.​1136/​jech-2013-203057 CrossRefPubMed
Metadaten
Titel
Mortality in the Visegrad countries from the perspective of socioeconomic inequalities
verfasst von
Lucia Bosakova
Katarina Rosicova
Daniela Filakovska Bobakova
Martin Rosic
Dagmar Dzurova
Hynek Pikhart
Michala Lustigova
Paula Santana
Publikationsdatum
07.12.2018
Verlag
Springer International Publishing
Erschienen in
International Journal of Public Health / Ausgabe 3/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-018-1183-6