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More variation in lifespan in lower educated groups: evidence from 10 European countries
Max Planck Institute for Demographic Research, Life Course Dynamics and Demographic Change research group, Konrad-Zuse Straße 1, 18057 Rostock, Germany.
Department of Public Health, Academic MC, University of Amsterdam, Amsterdam, The Netherlands.
Department of Social Research, Vrije Universiteit Brussel, Brussels, Belgium.
Department of Epidemiology and Biostatistics, The National Institute for Health Development, Tallinn, Estonia.
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2011 (English)In: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 40, 1703-1714 p.Article in journal (Refereed) Published
Abstract [en]

Background Whereas it is well established that people with a lower socio-economic position have a shorter average lifespan, it is less clear what the variability surrounding these averages is. We set out to examine whether lower educated groups face greater variation in lifespans in addition to having a shorter life expectancy, in order to identify entry points for policies to reduce the impact of socio-economic position on mortality.

Methods We used harmonized, census-based mortality data from 10 European countries to construct life tables by sex and educational level (low, medium, high). Variation in lifespan was measured by the standard deviation conditional upon survival to age 35 years. We also decomposed differences between educational groups in lifespan variation by age and cause of death.

Results Lifespan variation was higher among the lower educated in every country, but more so among men and in Eastern Europe. Although there was an inverse relationship between average life expectancy and its standard deviation, the first did not completely predict the latter. Greater lifespan variation in lower educated groups was largely driven by conditions causing death at younger ages, such as injuries and neoplasms.

Conclusions Lower educated individuals not only have shorter life expectancies, but also face greater uncertainty about the age at which they will die. More priority should be given to efforts to reduce the risk of an early death among the lower educated, e.g. by strengthening protective policies within and outside the health-care system.

Place, publisher, year, edition, pages
2011. Vol. 40, 1703-1714 p.
Keyword [en]
Lifespan variation, life expectancy, socio.economic inequality, education, international variation, mortality
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:miun:diva-15252DOI: 10.1093/ije/dyr146ISI: 000297868500031Scopus ID: 2-s2.0-83455216213OAI: oai:DiVA.org:miun-15252DiVA: diva2:465049
Available from: 2011-12-14 Created: 2011-12-14 Last updated: 2012-04-11Bibliographically approved

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CiteExportLink to record
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Citation style
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