ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2020
Trends in socioeconomic inequalities in premature and avoidable mortality in Canada, 1991-2016.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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28 citing papers in PubMed, 61 citations in OpenAlex.
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- Inequalities in the burden of disease due to dementia, including Alzheimer disease, in British Columbia, Canada, from 2001 to 2022.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- Embodying disadvantage: a theoretically-informed analysis of pathways linking socioeconomic position with all-cause and cancer mortality in a nationally representative cohort of adults in Canada.BMC public health · 2025Article
- Premature Mortality in Patients With Anorexia Nervosa: A Matched Cohort Study of Cause of Death.The International journal of eating disorders · 2025Article
- Inequality trajectories in avoidable under-5 mortality in Colombia: A 23-year analysis of inequities (2000-2022).SSM - population health · 2025Article
- Family Physicians in Focused Practice in Ontario, Canada: A Population-Level Study of Trends From 1993/1994 Through 2021/2022.Annals of family medicine · 2025Article
- Social participation in health - case studies from primary health care in Kosovo.BMC public health · 2024Article
- Development and validation of a population-based risk algorithm for premature mortality in Canada: the Premature Mortality Population Risk Tool (PreMPoRT).BMJ public health · 2024Article
- The association between education and premature mortality in the Chinese population: a 10-year cohort study.The Lancet regional health. Western Pacific · 2024Article
- Socioeconomic inequalities in avoidable mortality in Italy: results from a nationwide longitudinal cohort.BMC public health · 2024Article
- Risk of premature mortality due to smoking, alcohol use, obesity and physical activity varies by income: A population-based cohort study.SSM - population health · 2024Article
- Trends in Avoidable Mortality in Kazakhstan From 2015 to 2021.International journal of health policy and management · 2024Article
- Avoidable Mortality in Korea 1997-2001: Temporal Trend and its Contribution to All-cause Mortality.International journal of public health · 2024Article
- Inequality in the Distribution of Air Pollution Attributable Mortality Within Canadian Cities.GeoHealth · 2023Article
- Educational inequalities in mortality and their mediators among generations across four decades: nationwide, population based, prospective cohort study based on the ChinaHEART project.BMJ (Clinical research ed.) · 2023Article
- Neighbourhood socioeconomic improvement, residential mobility and premature death: a population-based cohort study and inverse probability of treatment weighting analysis.International journal of epidemiology · 2023Article
- Socioeconomic gradient in mortality of working age and older adults with multiple long-term conditions in England and Ontario, Canada.BMC public health · 2023Article
- Suboptimal oral health and the risk of cardiovascular disease in the presence of competing death: a data linkage analysis.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
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3 authors at 1 institution in 1 country.
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Abstract
backgroundRecent epidemiologic findings suggest that socioeconomic inequalities in health may be widening over time. We examined trends in socioeconomic inequalities in premature and avoidable mortality in Canada.
methodsWe conducted a population-based repeated cohort study using the 1991, 1996, 2001, 2006 and 2011 Canadian Census Health and Environment Cohorts. We linked individual-level Census records for adults aged 25-74 years to register-based mortality data. We defined premature mortality as death before age 75 years. For each census cohort, we estimated age-standardized rates, risk differences and risk ratios for premature and avoidable mortality by level of household income and education.
resultsWe identified 16 284 045 Census records. Between 1991 and 2016, premature mortality rates declined in all socioeconomic groups except for women without a high school diploma. Absolute income-related inequalities narrowed among men (from 2478 to 1915 deaths per 100 000) and widened among women (from 1008 to 1085 deaths per 100 000). Absolute education-related inequalities widened among men and women. Relative socioeconomic inequalities in premature mortality widened progressively over the study period. For example, the relative risk of premature mortality associated with the lowest income quintile increased from 2.10 (95% confidence interval [CI] 2.02-2.17) to 2.79 (95% CI 2.66-2.91) among men and from 1.72 (95% CI 1.63- 1.81) to 2.50 (95% CI 2.36-2.64) among women. Similar overall trends were observed for avoidable mortality.
interpretationSocioeconomically disadvantaged groups have not benefited equally from recent declines in premature and avoidable mortality in Canada. Efforts to reduce socioeconomic inequalities and associated patterns of disadvantage are necessary to prevent this pattern of widening health inequalities from persisting or worsening over time.
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