ArticleEuropean journal of epidemiology2019
Progress against inequalities in mortality: register-based study of 15 European countries between 1990 and 2015.
Article in European journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
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Who cites it
58 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
- Generational variation and life‑course accumulation of social inequalities in all-cause mortality in Germany: a cohort-sequential study.International journal for equity in health · 2026Article
- Ten-year antidepressant medication trajectories among people who exit paid work when aged 66-76 years: a population-based cohort study.Social psychiatry and psychiatric epidemiology · 2026Article
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- Developing an implementation strategy to scale a community-based football intervention for Men's health: an implementation science study.Frontiers in health services · 2026Article
- Concentration of educational attainment and age-specific risk patterns of preventable avoidable mortality in Hungary, 2007-2023.Frontiers in public health · 2026Article
- The geography of American longevity: structural determinants of a 20-year life expectancy divide and a federal policy blueprint.Frontiers in public health · 2026Review
- Health inequalities in the Nordic countries: A comparative overview and update.Journal of internal medicine · 2025Review
- Childhood living conditions as predictors of self-rated health status in middle-aged and older adults: Evidence from a machine learning analysis in 27 high-income countries.medRxiv : the preprint server for health sciences · 2025Article
- Changes in inequalities of mortality and life expectancy by marital status: a case of Lithuania.BMC public health · 2025Article
- Comparison of Management and Outcomes of Hip Fractures Among Low- and High-Income Patients in Six High-Income Countries.Journal of general internal medicine · 2025Article
- A matter of measurement? A Swedish register-based study of migrant residential segregation and all-cause mortality.SSM - population health · 2025Article
- Reassessing socioeconomic inequalities in mortality via distributional similarities.Population health metrics · 2025Article
- Socioeconomic inequalities in mortality among Italian and immigrant residents: A longitudinal population-based study.Journal of migration and health · 2025Article
- Clustering of circumstances during the first 1000 days after conception and their association with school performance: a population-based cohort study from the Netherlands.BMJ public health · 2025Article
- Unpacking occupational and sex divides to understand the moderate progress in life expectancy in recent years (France, 2010's).International journal for equity in health · 2024Article
- The contribution of avoidable mortality to life expectancy differences and lifespan disparities in the European Union: a population-based study.The Lancet regional health. Europe · 2024Article
- Economic, cultural, and social inequalities in potentially inappropriate medication: A nationwide survey- and register-based study in Denmark.PLoS medicine · 2024Article
- Article
- Enabling the examination of long-term mortality trends by educational level for England and Wales in a time-consistent and internationally comparable manner.Population health metrics · 2024Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Socioeconomic inequalities in mortality are a challenge for public health around the world, but appear to be resistant to policy-making. We aimed to identify European countries which have been more successful than others in narrowing inequalities in mortality, and the factors associated with narrowing inequalities. We collected and harmonised mortality data by educational level in 15 European countries over the last 25 years, and quantified changes in inequalities in mortality using a range of measures capturing different perspectives on inequality (e.g., 'relative' and 'absolute' inequalities, inequalities in 'attainment' and 'shortfall'). We determined which causes of death contributed to narrowing of inequalities, and conducted country- and period-fixed effects analyses to assess which country-level factors were associated with narrowing of inequalities in mortality. Mortality among the low educated has declined rapidly in all European countries, and a narrowing of absolute, but not relative inequalities was seen in many countries. Best performers were Austria, Italy (Turin) and Switzerland among men, and Spain (Barcelona), England and Wales, and Austria among women. Ischemic heart disease, smoking-related causes (men) and amenable causes often contributed to narrowing inequalities. Trends in income inequality, level of democracy and smoking were associated with widening inequalities, but rising health care expenditure was associated with narrowing inequalities. Trends in inequalities in mortality have not been as unfavourable as often claimed. Our results suggest that health care expansion has counteracted the inequalities widening effect of other influences.
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