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Determinants of the magnitude of socioeconomic inequalities in mortality: A study of 17 European countries
University Medical Center Rotterdam, Rotterdam, Netherlands.
University of Zürich, Zürich, Switzerland.
Vrije Universiteit Brussel, Brussels, Belgium.
Demographic Research Institute of the Central Statistical Office, Budapest, Hungary.
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2017 (English)In: Health and Place, ISSN 1353-8292, E-ISSN 1873-2054, Vol. 47, 44-53 p.Article in journal (Refereed) Published
Abstract [en]

Abstract The magnitude of socioeconomic inequalities in mortality differs importantly between countries, but these variations have not been satisfactorily explained. We explored the role of behavioral and structural determinants of these variations, by using a dataset covering 17 European countries in the period 1970–2010, and by conducting multilevel multivariate regression analyses. Our results suggest that between-country variations in inequalities in current mortality can partly be understood from variations in inequalities in smoking, excessive alcohol consumption, and poverty. Also, countries with higher national income, higher quality of government, higher social transfers, higher health care expenditure and more self-expression values have smaller inequalities in mortality. Finally, trends in behavioral risk factors, particularly smoking and excessive alcohol consumption, appear to partly explain variations in inequalities in mortality trends. This study shows that analyses of variations in health inequalities between countries can help to identify entry-points for policy.

Place, publisher, year, edition, pages
2017. Vol. 47, 44-53 p.
Keyword [en]
International variations, Mortality, Health inequalities, Determinants, Europe
National Category
Sociology
Identifiers
URN: urn:nbn:se:sh:diva-33074DOI: 10.1016/j.healthplace.2017.07.005OAI: oai:DiVA.org:sh-33074DiVA: diva2:1128108
Available from: 2017-07-21 Created: 2017-07-21 Last updated: 2017-07-21Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
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