Evidence map›Paper›PMID 28835983›Full record

ArticleInternational journal of public health2018

The contribution of alcohol consumption and smoking to educational inequalities in life expectancy among Swedish men and women during 1991-2008.

Olof Östergren, Pekka Martikainen, Olle Lundberg

Abstract read
In one paragraph

Article in International journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Alcohol and life expectancy.Environmental health and preventive medicine · 2025
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  19. Smoking, alcohol consumption, and illicit substances use among adolescents in Poland.Substance abuse treatment, prevention, and policy · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Olof ÖstergrenCentre for Health Equity Studies, Stockholm University/Karolinska Institutet, Sveavägen 160, 106 91, Stockholm, Sweden. olof.ostergren@chess.su.se.
Pekka MartikainenDepartment of Social Research, University of Helsinki, Helsinki, Finland.
Olle LundbergCentre for Health Equity Studies, Stockholm University/Karolinska Institutet, Sveavägen 160, 106 91, Stockholm, Sweden.

Funding

The Joint Committee for Nordic Research Councils for the Humanities and the Social Sciences 4.4-2015-61The Swedish Research Council for Health, Working Life and Welfare 1933006
6 · The paper itself

Abstract

objectivesTo assess the level and changes in contribution of smoking and alcohol-related mortality to educational differences in life expectancy in Sweden.

methodsWe used register data on the Swedish population at ages 30-74 during 1991-2008. Cause of death was used to identify alcohol-related deaths, while smoking-related mortality was estimated using lung cancer mortality to indirectly assess the impact of smoking on all-cause mortality.

resultsAlcohol consumption and smoking contributed to educational differences in life expectancy. Alcohol-related mortality was higher among men and contributed substantially to inequalities among men and made a small (but increasing) contribution to inequalities among women. Smoking-related mortality decreased among men but increased among women, primarily among the low educated. At the end of the follow-up, smoking-related mortality were at similar levels among men and women. The widening gap in life expectancy among women could largely be attributed to smoking.

conclusionsSmoking and alcohol consumption contribute to educational differences in life expectancy among men and women. The majority of the widening in the educational gap in mortality among women can be attributed to alcohol and smoking-related mortality.

Indexed as

Educational StatusHealth Status DisparitiesAdultAgedAlcohol DrinkingFemaleHumansLife ExpectancyMaleMiddle AgedRegistriesSmokingSwedenAlcoholHealth inequalitiesMortalityRegistersSmoking

Identifiers

PMID28835983
PMCPMC5766714

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.