Education and mortality in three Eastern European populations: findings from the PrivMort retrospective cohort study.

Adult Aged Alcohol Drinking / mortality Educational Status Female Health Status Disparities Humans Hungary / epidemiology Male Middle Aged Mortality / trends Politics Republic of Belarus / epidemiology Retrospective Studies Russia / epidemiology Smoking / mortality

Journal

European journal of public health

ISSN: 1464-360X

Titre abrégé: Eur J Public Health

Pays: England

ID NLM: 9204966

Informations de publication

Date de publication:
01 06 2019

Historique:

pubmed: 7 12 2018

medline: 8 10 2020

entrez: 7 12 2018

Statut: ppublish

Résumé

The aim of the study is 2-fold. Firstly, it attempts to investigate the potential impact of major political and economic changes on inequalities in all-cause mortality among men and women with different levels of education in three Eastern European countries. Secondly, to identify changes in contribution of smoking and drinking to educational differences in all-cause mortality. Study covers the period from 1982 to 2013. Data were collected in 2013-14 as a part of the PrivMort retrospective cohort study. Participants in Russia, Belarus and Hungary provided information on their educational attainment, health-related behaviors and vital statistics of their close relatives (N = 179 691). Odds ratios for mortality and relative indices of inequality (RII) were estimated for individuals aged 20-65 years, stratifying by three levels of educational attainment: higher, secondary and less than secondary education. Those in lower educational groups were significantly more likely to die, through most time periods and sub-groups. The RII increased over time in all countries and both genders, except for Hungarian men. Alcohol consumption and smoking have increasingly contributed to educational inequalities in mortality during this period. Educational inequalities in mortality in these Eastern European countries have increased during recent decades. Smoking and alcohol consumption, two major health-related behaviors, made a significant contribution to these increases in inequality.

Sections du résumé

BACKGROUND

METHODS

Data were collected in 2013-14 as a part of the PrivMort retrospective cohort study. Participants in Russia, Belarus and Hungary provided information on their educational attainment, health-related behaviors and vital statistics of their close relatives (N = 179 691). Odds ratios for mortality and relative indices of inequality (RII) were estimated for individuals aged 20-65 years, stratifying by three levels of educational attainment: higher, secondary and less than secondary education.

RESULTS

Those in lower educational groups were significantly more likely to die, through most time periods and sub-groups. The RII increased over time in all countries and both genders, except for Hungarian men. Alcohol consumption and smoking have increasingly contributed to educational inequalities in mortality during this period.

CONCLUSION

Educational inequalities in mortality in these Eastern European countries have increased during recent decades. Smoking and alcohol consumption, two major health-related behaviors, made a significant contribution to these increases in inequality.

Identifiants

DOI: 10.1093/eurpub/cky254 PMID: 30520992

pubmed: 30520992

pii: 5231955

doi: 10.1093/eurpub/cky254

doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng