ArticleBMC public health2018
What's the difference? A gender perspective on understanding educational inequalities in all-cause and cause-specific mortality.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Role of Epigenetic Clocks in Explaining Educational Inequalities in Mortality: A Multicohort Study and Meta-analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Pooled it
- The association between education and premature mortality in the Chinese population: a 10-year cohort study.The Lancet regional health. Western Pacific · 2024Article
- Educational and social inequalities and cause-specific mortality in Mexico City: a prospective study.The Lancet. Public health · 2023Article
- Intergenerational educational trajectories and premature mortality from chronic diseases: A registry population-based study.SSM - population health · 2022Article
- The Onset of Falls Reduces Subjective Well-Being. Findings of a Nationally Representative Longitudinal Study.Frontiers in psychiatry · 2021Article
- Inequalities in Mortality Rates from Malformations of Circulatory System Between Brazilian Macroregions in Individuals Younger Than 20 Years.Arquivos brasileiros de cardiologia · 2020Article
- Educational level as a predictor of the incidences of non-communicable diseases among middle-aged Japanese: a hazards-model analysis.BMC public health · 2019Article
- [Death is a respecter of persons : 30 years of research comparing European countries regarding social inequality in mortality].Zeitschrift fur Gerontologie und Geriatrie · 2019Review
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Authors and funding
4 authors.
Funding
Abstract
backgroundMaterial and behavioural factors play an important role in explaining educational inequalities in mortality, but gender differences in these contributions have received little attention thus far. We examined the contribution of a range of possible mediators to relative educational inequalities in mortality for men and women separately.
methodsBaseline data (1991) of men and women aged 25 to 74 years participating in the prospective Dutch GLOBE study were linked to almost 23 years of mortality follow-up from Dutch registry data (6099 men and 6935 women). Cox proportional hazard models were used to calculate hazard ratios with 95% confidence intervals, and to investigate the contribution of material (financial difficulties, housing tenure, health insurance), employment-related (type of employment, occupational class of the breadwinner), behavioural (alcohol consumption, smoking, leisure and sports physical activity, body mass index) and family-related factors (marital status, living arrangement, number of children) to educational inequalities in all-cause and cause-specific mortality, i.e. mortality from cancer, cardiovascular disease, other diseases and external causes.
resultsEducational gradients in mortality were found for both men and women. All factors together explained 62% of educational inequalities in mortality for lowest educated men, and 71% for lowest educated women. Yet, type of employment contributed substantially more to the explanation of educational inequalities in all-cause mortality for men (29%) than for women (- 7%), whereas the breadwinner's occupational class contributed more for women (41%) than for men (7%). Material factors and employment-related factors contributed more to inequalities in mortality from cardiovascular disease for men than for women, but they explained more of the inequalities in cancer mortality for women than for men.
conclusionsGender differences in the contribution of employment-related factors to the explanation of educational inequalities in all-cause mortality were found, but not of material, behavioural or family-related factors. A full understanding of educational inequalities in mortality benefits from a gender perspective, particularly when considering employment-related factors.
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