Evidence map›Paper›PMID 30674585›Full record

ArticleJournal of epidemiology and community health2019

Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data.

Olof Östergren, Pekka Martikainen, Lasse Tarkiainen, Jon Ivar Elstad, Henrik Brønnum-Hansen

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Article
  2. The rising income gradient in life expectancy in Sweden over six decades.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  3. Article
  4. Alcohol and life expectancy.Environmental health and preventive medicine · 2025
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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

5 authors.

Olof ÖstergrenDepartment of Public Health Sciences, Stockholm University, Stockholm, Sweden, Europe.ORCID 0000-0002-7156-3260
Pekka MartikainenDepartment of Public Health Sciences, Stockholm University, Stockholm, Sweden, Europe.
Lasse TarkiainenPopulation Research Unit, Department of Social Research, University of Helsinki, Helsinki, Finland, Europe.
Jon Ivar ElstadNOVA, Centre for Welfare and Labour Research, Oslo Metropolitan University, Oslo, Norway.
Henrik Brønnum-HansenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-3513-7245

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite being comparatively egalitarian welfare states, the Nordic countries have not been successful in reducing health inequalities. Previous studies have suggested that smoking and alcohol contribute to this pattern. Few studies have focused on variations in alcohol-related and smoking-related mortality within the Nordic countries. We assess the contribution of smoking and alcohol to differences in life expectancy between countries and between income quintiles within countries.

methodsWe collected data from registers in Denmark, Finland, Norway and Sweden comprising men and women aged 25-79 years during 1995-2007. Estimations of alcohol-related mortality were based on underlying and contributory causes of death on individual death certificates, and smoking-related mortality was based on an indirect method that used lung cancer mortality as an indicator for the population-level impact of smoking on mortality.

resultsAbout 40%-70% of the between-country differences in life expectancy in the Nordic countries can be attributed to smoking and alcohol. Alcohol-related and smoking-related mortality also made substantial contributions to income differences in life expectancy within countries. The magnitude of the contributions were about 30% in Norway, Sweden and among Finnish women to around 50% among Finnish men and in Denmark.

conclusionsSmoking and alcohol consumption make substantial contributions to both between-country differences in mortality among the Nordic countries and within-country differences in mortality by income. The size of these contributions vary by country and sex.

Indexed as

IncomeLife ExpectancyLongevityAdultAgedAlcohol DrinkingCause of DeathDenmarkFemaleFinlandHumansLife StyleMaleMiddle AgedMortalityNorwayalcoholmortalityregisterssmokingsocial inequalities

Identifiers

PMID30674585
PMCPMC6581103

What OpenQuestion holds

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LicenceCC BY
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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.