Changes in regional variation in mortality over five decades – The contribution of age and socioeconomic population composition

Show simple item record

dc.contributor University of Helsinki, Demography en
dc.contributor University of Helsinki, Helsinki Institute of Urban and Regional Studies (Urbaria) en
dc.contributor University of Helsinki, Demography en
dc.contributor University of Helsinki, Helsinki Inequality Initiative (INEQ) en
dc.contributor.author Suulamo, Ulla
dc.contributor.author Tarkiainen, Lasse
dc.contributor.author Remes, Hanna
dc.contributor.author Martikainen, Pekka
dc.date.accessioned 2021-08-20T12:56:01Z
dc.date.available 2021-08-20T12:56:01Z
dc.date.issued 2021-09
dc.identifier.citation Suulamo , U , Tarkiainen , L , Remes , H & Martikainen , P 2021 , ' Changes in regional variation in mortality over five decades – The contribution of age and socioeconomic population composition ' , SSM - Population Health , vol. 15 , 100850 . https://doi.org/10.1016/j.ssmph.2021.100850 en
dc.identifier.issn 2352-8273
dc.identifier.other PURE: 167438698
dc.identifier.other PURE UUID: 5ec6fb4d-7db3-4fcc-bdfc-5fc335e02bbe
dc.identifier.other Scopus: 85108415602
dc.identifier.other ORCID: /0000-0001-9374-1438/work/98749731
dc.identifier.other ORCID: /0000-0002-9291-703X/work/98751563
dc.identifier.other ORCID: /0000-0002-2003-2531/work/98751794
dc.identifier.uri http://hdl.handle.net/10138/333364
dc.description.abstract Existing evidence suggests that within-country area variation in mortality has increased in several high-income countries. Little is known about the role of changes in the population composition of areas in these trends. In this study, we look at mortality variation across Finnish municipalities over five decades. We examine trends by sex, age categories and two broad cause of death groups and assess the role of individual-level compositional factors. Analyses rely on individual-level register data on the total Finnish population aged 30 years and over. We estimated two-level Weibull survival-models with individuals nested in areas for 10 periods between 1972 and 2018 to assess municipal-level variation in mortality. Median hazard ratio (MHR) was used as our summary measure and analyses were adjusted for age and socioeconomic characteristics. The results show a clear overall growth in area variation in mortality with MHR increasing from 1.14 (95% CI 1.12–1.15) to 1.28 (CI 1.26–1.30) among men and 1.17 (CI 1.15–1.18) to 1.30 (CI 1.27–1.32) among women. This growth, however, was fully attenuated by adjustment for age. Area differentials were largest and increased most among men at ages 30–49, and particularly for external causes. This increase was largely due to increasing differentiation in the socioeconomic composition of municipalities. In conclusion, our study shows increases in mortality differentials across municipalities that are mostly attributable to increasing differentiation between municipalities in terms of individual compositional factors. en
dc.format.extent 10
dc.language.iso eng
dc.relation.ispartof SSM - Population Health
dc.rights en
dc.subject 5141 Sociology en
dc.subject Mortality en
dc.subject Health inequalities en
dc.subject Regional variation en
dc.subject Long-term trends en
dc.subject Multilevel modelling en
dc.title Changes in regional variation in mortality over five decades – The contribution of age and socioeconomic population composition en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1016/j.ssmph.2021.100850
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
dc.contributor.pbl
dc.contributor.pbl
dc.contributor.pbl
dc.contributor.pbl
dc.contributor.pbl
dc.contributor.pbl

Files in this item

Total number of downloads: Loading...

Files Size Format View
Suulamoetal_2021_SSM.pdf 3.865Mb PDF View/Open

This item appears in the following Collection(s)

Show simple item record