Contribution of smoking and alcohol consumption to income differences in life expectancy : evidence using Danish, Finnish, Norwegian and Swedish register data

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dc.contributor University of Helsinki, Demography en
dc.contributor University of Helsinki, Demography en
dc.contributor.author Östergren, Olof
dc.contributor.author Martikainen, Pekka Tapani
dc.contributor.author Tarkiainen, Lasse Hannes
dc.contributor.author Elstad, Jon Ivar
dc.contributor.author Brønnum-Hansen, Henrik
dc.date.accessioned 2019-03-22T09:53:01Z
dc.date.available 2019-03-22T09:53:01Z
dc.date.issued 2019-04
dc.identifier.citation Östergren , O , Martikainen , P T , Tarkiainen , L H , Elstad , J I & Brønnum-Hansen , H 2019 , ' Contribution of smoking and alcohol consumption to income differences in life expectancy : evidence using Danish, Finnish, Norwegian and Swedish register data ' , Journal of Epidemiology & Community Health , vol. 73 , no. 4 , pp. 334-339 . https://doi.org/10.1136/jech-2018-211640 en
dc.identifier.issn 0143-005X
dc.identifier.other PURE: 121978359
dc.identifier.other PURE UUID: bc25af5d-5290-41b3-b50a-9b716c3d4cd7
dc.identifier.other ORCID: /0000-0001-9374-1438/work/55616818
dc.identifier.other ORCID: /0000-0002-2003-2531/work/55619055
dc.identifier.other Scopus: 85060611534
dc.identifier.other WOS: 000471848000008
dc.identifier.uri http://hdl.handle.net/10138/300305
dc.description.abstract Background Despite being comparatively egalitarian welfare states, the Nordic countries have not been successful in reducing health inequalities. Previous studies have suggested that smoking and alcohol contribute to this pattern. Few studies have focused on variations in alcohol-related and smoking-related mortality within the Nordic countries. We assess the contribution of smoking and alcohol to differences in life expectancy between countries and between income quintiles within countries. Methods We collected data from registers in Denmark, Finland, Norway and Sweden comprising men and women aged 25–79 years during 1995–2007. Estimations of alcohol-related mortality were based on underlying and contributory causes of death on individual death certificates, and smoking-related mortality was based on an indirect method that used lung cancer mortality as an indicator for the population-level impact of smoking on mortality. Results About 40%–70% of the between-country differences in life expectancy in the Nordic countries can be attributed to smoking and alcohol. Alcohol-related and smoking-related mortality also made substantial contributions to income differences in life expectancy within countries. The magnitude of the contributions were about 30% in Norway, Sweden and among Finnish women to around 50% among Finnish men and in Denmark. Conclusions Smoking and alcohol consumption make substantial contributions to both between-country differences in mortality among the Nordic countries and within-country differences in mortality by income. The size of these contributions vary by country and sex. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof Journal of Epidemiology & Community Health
dc.rights en
dc.subject 5141 Sociology en
dc.title Contribution of smoking and alcohol consumption to income differences in life expectancy : evidence using Danish, Finnish, Norwegian and Swedish register data en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1136/jech-2018-211640
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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