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Inequalities in tuberculosis mortality: long-term trends in 11 European countries.
Erasmus Medical Centre, Rotterdam, The Netherlands.
Erasmus Medical Centre, Rotterdam, The Netherlands.
University of Helsinki, Helsinki, Finland.
Vrije Universiteit Brussel, Brussels, Belgium.
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2016 (English)In: The International Journal of Tuberculosis and Lung Disease, ISSN 1027-3719, E-ISSN 1815-7920, Vol. 20, no 5, 574-581 p.Article in journal (Refereed) Published
Abstract [en]

SETTING: Previous studies in many countries have shown that mortality due to tuberculosis (TB) is higher among people of lower socio-economic status.

OBJECTIVE: To assess the magnitude and direction of trends in educational inequalities in TB mortality in 11 European countries.

DESIGN: Data on TB mortality between 1980 and 2011 were collected among persons aged 35-79 years. Age-standardised mortality rates by educational level were calculated. Inequalities were estimated using the relative and slope indices of inequality.

RESULTS: In the first decade of the twenty-first century, educational inequalities in TB mortality occurred in all countries in this study. The largest absolute inequalities were observed in Lithuania, and the smallest in Denmark. In most countries, relative inequalities have remained stable since the 1980s or 1990s, while absolute inequalities remained stable or went down. In Lithuania and Estonia, however, absolute inequalities increased substantially.

CONCLUSION: The reduction in absolute inequalities in TB mortality, as seen in many European countries, is a major achievement; however, inequalities persist and are still a major cause for concern in the twenty-first century. Interventions aimed at preventing TB disease and reducing TB case fatality in lower socio-economic groups should be intensified, especially in the Baltic countries.

Place, publisher, year, edition, pages
2016. Vol. 20, no 5, 574-581 p.
National Category
Sociology
Research subject
Baltic and East European studies
Identifiers
URN: urn:nbn:se:sh:diva-29950DOI: 10.5588/ijtld.15.0658ISI: 000375239400004PubMedID: 27084808ScopusID: 2-s2.0-84963973922OAI: oai:DiVA.org:sh-29950DiVA: diva2:925491
Available from: 2016-05-02 Created: 2016-05-02 Last updated: 2016-10-10Bibliographically approved

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