ArticleInternational journal of epidemiology2019
Life-course socioeconomic differences and social mobility in preventable and non-preventable mortality: a study of Swedish twins.
Article in International journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Intergenerational socioeconomic mobility and adulthood all-cause mortality in the Hispanic community health study/study of Latinos.American journal of epidemiology · 2026Article
- Life course socioeconomic position and the risk of cardiovascular events and all-cause mortality in a Norwegian twin study.Scientific reports · 2025Article
- Does change in area-level deprivation, change health outcomes? A latent class growth analysis of population data.SSM - population health · 2025Article
- Life course socioeconomic position, intergenerational social mobility, and mortality among Brazilian public servants in the ELSA-Brasil cohort.Cadernos de saude publica · 2025Article
- Socioeconomic inequalities in avoidable mortality in Italy: results from a nationwide longitudinal cohort.BMC public health · 2024Article
- Intra-generational social mobility and mortality among older men in the Concord Health and Ageing in Men Project: A cohort study.SSM - population health · 2024Article
- Educational Influences on Late-Life Health: Genetic Propensity and Attained Education.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Influences of genetically predicted and attained education on geographic mobility and their association with mortality.Social science & medicine (1982) · 2023Article
- Short-term socioeconomic status shift and long-term cardiovascular outcomes in China: a population-based cohort study.Journal of epidemiology and community health · 2023Article
- Article
- Application of Dance Movement Therapy to Life-Death Education of College Students Under Educational Psychology.Frontiers in psychology · 2022Article
- Association of Wealth With Longevity in US Adults at Midlife.JAMA health forum · 2021Article
- A retrospective on fundamental cause theory: State of the literature, and goals for the future.Annual review of sociology · 2021Article
- SES inequalities in cause-specific adult mortality: a study of the long-term trends using longitudinal individual data for Sweden (1813-2014).European journal of epidemiology · 2020Article
- The Effects of Education on Mortality: Evidence From Linked U.S. Census and Administrative Mortality Data.Demography · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite advances in life expectancy, low socioeconomic status is associated with a shorter lifespan. This study was conducted to investigate socioeconomic differences in mortality by comparing preventable with non-preventable causes of death in 39 506 participants from the Swedish Twin Registry born before 1935.
methodsChildhood social class, own education, own social class and social mobility were used as separate indicators of socioeconomic status. These data were linked to the Swedish Cause of Death Register. Cause of death was categorized as preventable or non-preventable mortality according to indicators presented in the Avoidable Mortality in the European Union (AMIEHS) atlas. Using Cox proportional hazard models, we tested the association between the socioeconomic measures and all-cause mortality, preventable mortality and non-preventable mortality. Additional co-twin control analyses indicated whether the associations reflected genetic confounding.
resultsThe social gradient for mortality was most prominent for the adult socioeconomic measures. There was a social gradient in both preventable mortality and non-preventable mortality, but with an indication of a moderately stronger effect in preventable causes of death. In analyses of social mobility, those who experienced life-time low socioeconomic status (SES) or downward social mobility had an increased mortality risk compared with those with life-time high SES and upward social mobility. Adjustments for genetic confounding did not change the observed associations for education, social class or social mobility and mortality. In the co-twin control analyses of reared-apart twins, the association between childhood social class and mortality weakened, indicating possible genetic influences on this association.
conclusionsOur results indicate that there is an association between low adult socioeconomic status and increased mortality independent of genetic endowment. Thus, we do not find support for indirect social selection as the basis for mortality inequalities in Sweden.
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