Contribution of smoking to socioeconomic inequalities in mortality: a study of 14 European countries, 1990-2004

Autor: Barbara Artnik, Pekka Martikainen, P Deboosere, Bogdan Wojtyniak, R de Gelder, Katalin Kovács, Gwenn Menvielle, F.J. van Lenthe, G Gregoraci, Matthias Bopp, Johan P. Mackenbach, Cwn Looman, Frederik Peters
Přispěvatelé: University of Zurich, Mackenbach, J P, Faculty of Economic and Social Sciences and Solvay Business School, Sociology, Interface Demography, Erasmus University Medical Center [Rotterdam] (Erasmus MC), Public Health, Faculty of Medicine-Institute of Oncology-University Medical Centre Ljubljana [Ljubljana, Slovenia] (UMCL), Universität Zürich [Zürich] = University of Zurich (UZH), Vrije Universiteit Brussel (VUB), Hungarian Demographic Research Institute [Budapest, Hungary], Helsingin yliopisto = Helsingfors universitet = University of Helsinki, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), National Institute of Hygiene Warsaw, Gestionnaire, Hal Sorbonne Université
Rok vydání: 2015
Předmět:
Adult
Male
Health (social science)
Lung Neoplasms
Inequality
Occupational level
[SDV]Life Sciences [q-bio]
media_common.quotation_subject
public policy
610 Medicine & health
Health(social science)
socioeconomic status
03 medical and health sciences
0302 clinical medicine
Sex Factors
Cause of Death
Humans
030212 general & internal medicine
Socioeconomic status
Socioeconomic inequalities
A determinant
media_common
disparities
Aged
030505 public health
Smoking
Public Health
Environmental and Occupational Health
10060 Epidemiology
Biostatistics and Prevention Institute (EBPI)
2739 Public Health
Environmental and Occupational Health
Health Status Disparities
Middle Aged
3. Good health
[SDV] Life Sciences [q-bio]
Total mortality
Europe
Geography
Socioeconomic Factors
Female
0305 other medical science
3306 Health (social science)
Demography
Zdroj: Tobacco Control
Tobacco Control, BMJ Publishing Group, 2017, 26 (3), pp.260--268. ⟨10.1136/tobaccocontrol-2015-052766⟩
Tobacco Control, 26(3), 260-268. BMJ Publishing Group
ISSN: 1468-3318
0964-4563
Popis: International audience; ackground: Smoking contributes to socioeconomic inequalities in mortality, but the extent to which this contribution has changed over time and driven widening or narrowing inequalities in total mortality remains unknown. We studied socioeconomic inequalities in smoking-attributable mortality and their contribution to inequalities in total mortality in 1990-1994 and 2000-2004 in 14 European countries.Methods: We collected, harmonised and standardised population-wide data on all-cause and lung-cancer mortality by age, gender, educational and occupational level in 14 European populations in 1990-1994 and 2000-2004. Smoking-attributable mortality was indirectly estimated using the Preston-Glei-Wilmoth method.Results: In 2000-2004, smoking-attributable mortality was higher in lower socioeconomic groups in all countries among men, and in all countries except Spain, Italy and Slovenia, among women, and the contribution of smoking to socioeconomic inequalities in mortality varied between 19% and 55% among men, and between -1% and 56% among women. Since 1990-1994, absolute inequalities in smoking-attributable mortality and the contribution of smoking to inequalities in total mortality have decreased in most countries among men, but increased among women.Conclusions: In many European countries, smoking has become less important as a determinant of socioeconomic inequalities in mortality among men, but not among women. Inequalities in smoking remain one of the most important entry points for reducing inequalities in mortality.
Databáze: OpenAIRE
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