ArticleInternational journal for equity in health2014
Premature mortality due to social and material deprivation in Nova Scotia, Canada.
Article in International journal for equity in health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Estimating years of life lost due to premature mortality at regional level in France in 2017, using a probabilistic redistribution approach.BMC public health · 2025Article
- Neighborhood level factors and use of cigarettes, cannabis and e-cigarettes: A population-based study among Canadian adults.PloS one · 2025Article
- Trends in socioeconomic inequalities in cause-specific premature mortality in Belgium, 1998-2019.BMC public health · 2024Article
- Developing an index of adolescent deprivation for use in British Columbia, Canada.Child indicators research · 2023Article
- Adverse Clinical Outcomes Attributable to Socioeconomic and Ethnic Disparities Among People with Type 2 Diabetes in New Zealand Between 1994-2018: A Multiple Linked Cohort Study.Clinical epidemiology · 2023Article
- Characteristics of Composite Deprivation Indices Used in Public Health: A Scoping Review Protocol.International journal of environmental research and public health · 2022Article
- Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Premature mortality attributable to socioeconomic inequality in England between 2003 and 2018: an observational study.The Lancet. Public health · 2020Observational
- Differences in adiposity and diet quality among individuals with inflammatory bowel disease in Eastern Canada.PloS one · 2018Article
- Comparison of small-area deprivation measures as predictors of chronic disease burden in a low-income population.International journal for equity in health · 2016Article
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Authors and funding
5 authors.
Funding
Abstract
introductionInequalities in health attributable to inequalities in society have long been recognized. Typically, those most privileged experience better health, regardless of universal access to health care. Associations between social and material deprivation and mortality from all causes of death--a measure of population health, have been described for some regions of Canada. This study further examines the link between deprivation and health, focusing on major causes of mortality for both rural and urban populations. In addition, it quantifies the burden of premature mortality attributable to social and material deprivation in a Canadian setting where health care is accessible to all.
methodsThe study included 35,266 premature deaths (1995-2005), grouped into five causes and aggregated over census dissemination areas. Two indices of deprivation (social and material) were derived from six socioeconomic census variables. Premature mortality was modeled as a function of these deprivation indices using Poisson regression.
resultsPremature mortality increased significantly with increasing levels of social and material deprivation. The impact of material deprivation on premature mortality was similar in urban and rural populations, whereas the impact of social deprivation was generally greater in rural populations. There were a doubling in premature mortality for those experiencing a combination of the most extreme levels of material and social deprivation.
conclusionsSocioeconomic deprivation is an important determinant of health equity and affects every segment of the population. Deprivation accounted for 40% of premature deaths. The 4.3% of the study population living in extreme levels of socioeconomic deprivation experienced a twofold increased risk of dying prematurely. Nationally, this inequitable risk could translate into a significant public health burden.
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