Evidence map›Paper›PMID 32380544›Full record

ArticleInternational journal of epidemiology2020

Inequalities in all-cause and cause-specific mortality across the life course by wealth and income in Sweden: a register-based cohort study.

S Vittal Katikireddi, Claire L Niedzwiedz, Ruth Dundas, Naoki Kondo, Alastair H Leyland, Mikael Rostila

Abstract read
In one paragraph

Article in International journal of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
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  5. Wealth and health: the neglected economic determinant.The Lancet regional health. Europe · 2025
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  11. Inequalities in Mortality in the Asia-Pacific: A Cross-National Comparison of Socioeconomic Gradients.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024
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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

6 authors.

S Vittal KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
Claire L NiedzwiedzInstitute of Health & Wellbeing, Glasgow, UK.
Ruth DundasMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
Naoki KondoGraduate School of Medicine, University of Tokyo, Japan.
Alastair H LeylandMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
Mikael RostilaDepartment of Public Health Sciences, Stockholm University, Sweden.

Funding

Chief Scientist Office SCAF/15/02Chief Scientist Office SPHSU13Chief Scientist Office SPHSU15Chief Scientist Office SPHSU17Medical Research Council MC_UU_00022/2Medical Research Council MC_UU_12017/13Medical Research Council MC_UU_12017/15Medical Research Council MR/R024774/1
6 · The paper itself

Abstract

backgroundWealth inequalities are increasing in many countries, but their relationship to health is little studied. We investigated the association between individual wealth and mortality across the adult life course in Sweden.

methodsWe studied the Swedish adult population using national registers. The amount of wealth tax paid in 1990 was the main exposure of interest and the cohort was followed up for 18 years. Relative indices of inequality (RII) summarize health inequalities across a population and were calculated for all-cause and cause-specific mortality for six different age groups, stratified by sex, using Poisson regression. Mortality inequalities by wealth were contrasted with those assessed by individual and household income. Attenuation by four other measures of socio-economic position and other covariates was investigated.

resultsLarge inequalities in mortality by wealth were observed and their association with mortality remained more stable across the adult life course than inequalities by income-based measures. Men experienced greater inequalities across all ages (e.g. the RII for wealth was 2.58 [95% confidence interval (CI) 2.54-2.63) in men aged 55-64 years compared with 2.29 (95% CI 2.24-2.34) for women aged 55-64 years), except among the over 85s. Adjustment for covariates, including four other measures of socio-economic position, led to only modest reductions in the association between wealth and mortality.

conclusionsWealth is strongly associated with mortality throughout the adult life course, including early adulthood. Income redistribution may be insufficient to narrow health inequalities-addressing the increasingly unequal distribution of wealth in high-income countries should be considered.

Indexed as

Health Status DisparitiesIncomeMortalityAdultAgedAged, 80 and overCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedRegistriesSocioeconomic FactorsSwedenhealth equitymortalitypopulation registerSocial determinants of healthsocio-economic factors

Identifiers

PMID32380544
PMCPMC7394946

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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.