Smoking and inequalities in mortality in 11 European countries: a birth cohort analysis

Show full item record



Permalink

http://hdl.handle.net/10138/325567

Citation

Population Health Metrics. 2021 Jan 30;19(1):3

Title: Smoking and inequalities in mortality in 11 European countries: a birth cohort analysis
Author: Long, Di; Mackenbach, Johan; Martikainen, Pekka; Lundberg, Olle; Brønnum-Hansen, Henrik; Bopp, Matthias; Costa, Giuseppe; Kovács, Katalin; Leinsalu, Mall; Rodríguez-Sanz, Maica; Menvielle, Gwenn; Nusselder, Wilma
Publisher: BioMed Central
Date: 2021-01-30
URI: http://hdl.handle.net/10138/325567
Abstract: Abstract Purpose To study the trends of smoking-attributable mortality among the low and high educated in consecutive birth cohorts in 11 European countries. Methods Register-based mortality data were collected among adults aged 30 to 79 years in 11 European countries between 1971 and 2012. Smoking-attributable deaths were estimated indirectly from lung cancer mortality rates using the Preston-Glei-Wilmoth method. Rate ratios and rate differences among the low and high-educated were estimated and used to estimate the contribution of inequality in smoking-attributable mortality to inequality in total mortality. Results In most countries, smoking-attributable mortality decreased in consecutive birth cohorts born between 1906 and 1961 among low- and high-educated men and high-educated women, but not among low-educated women among whom it increased. Relative educational inequalities in smoking-attributable mortality increased among both men and women with no signs of turning points. Absolute inequalities were stable among men but slightly increased among women. The contribution of inequality in smoking-attributable mortality to inequality in total mortality decreased in consecutive generations among men but increased among women. Conclusions Smoking might become less important as a driver of inequalities in total mortality among men in the future. However, among women, smoking threatens to further widen inequalities in total mortality.
Subject: Birth cohort
Smoking
Mortality
Educational inequalities


Files in this item

Total number of downloads: Loading...

Files Size Format View
12963_2021_Article_247.pdf 919.8Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record