Evidence map›Paper›PMID 31220246›Full record

ArticleEuropean journal of public health2019

All-cause and cause-specific mortality in Scotland 1981-2011 by age, sex and deprivation: a population-based study.

Denise Brown, Mirjam Allik, Ruth Dundas, Alastair H Leyland

Abstract readComparative Study
In one paragraph

Article in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Impact of Gender Inequalities in the Causes of Mortality on the Competitiveness of OECD Countries.International journal of environmental research and public health · 2020
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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

4 authors.

Denise BrownMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Mirjam AllikMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Ruth DundasMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Alastair H LeylandMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.

Funding

Chief Scientist Office SPHSU13Medical Research Council MC_UU_12017/13
6 · The paper itself

Abstract

backgroundAverage life expectancy has stopped increasing for many countries. This has been attributed to causes such as influenza, austerity policies and deaths of despair (drugs, alcohol and suicide). Less is known on the inequality of life expectancy over time using reliable, whole population, data. This work examines all-cause and cause-specific mortality rates in Scotland to assess the patterning of relative and absolute inequalities across three decades.

methodsUsing routinely collected Scottish mortality and population records we calculate directly age-standardized mortality rates by age group, sex and deprivation fifths for all-cause and cause-specific deaths around each census 1981-2011.

resultsAll-cause mortality rates in the most deprived areas in 2011 (472 per 100 000 population) remained higher than in the least deprived in 1981 (422 per 100 000 population). For those aged 0-64, deaths from circulatory causes more than halved between 1981 and 2011 and cancer mortality decreased by a third (with greater relative declines in the least deprived areas). Over the same period, alcohol- and drug-related causes and male suicide increased (with greater absolute and relative increases in more deprived areas). There was also a significant increase in deaths from dementia and Alzheimer's disease for those aged 75+.

conclusionsDespite reductions in mortality, relative (but not absolute) inequalities widened between 1981 and 2011 for all-cause mortality and for several causes of death. Reducing relative inequalities in Scotland requires faster mortality declines in deprived areas while countering increases in mortality from causes such as drug- and alcohol-related harm and male suicide.

Indexed as

Age FactorsSex FactorsSocioeconomic FactorsAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleHumansInfantInfant, NewbornLife ExpectancyMale

Identifiers

PMID31220246
PMCPMC6660111

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Registered trials

None linked

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.