ArticleInternational journal of epidemiology2022
Education-related inequalities in cause-specific mortality: first estimates for Australia using individual-level linked census and mortality data.
Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 16 citations in OpenAlex.
- Data Resource Profile: Australia's Person Level Integrated Data Asset (PLIDA).International journal of epidemiology · 2026Article
- Educational inequalities in site-specific cancer mortality: a Japanese census-linked study.Journal of epidemiology and community health · 2026Article
- Development of a comprehensive mortality database in Japan through data linkage of population census and vital statistics.Population health metrics · 2026Article
- Causes of death contributions to the sex gaps in life expectancy: evidence by education levels from Australia.BMC public health · 2026Article
- Inequalities in Quality-Adjusted Life Expectancy in Australia by Educational Attainment.PharmacoEconomics · 2025Article
- All-cause and cause-specific mortality attributable to educational inequalities in Spain.BMC 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
- Educational inequalities in all-cause and cause-specific mortality in Japan: national census-linked mortality data for 2010-15.International journal of epidemiology · 2024Article
- Trends and projections of cause-specific premature mortality in Australia to 2044: a statistical modelling study.The Lancet regional health. Western Pacific · 2024Article
- The impact of employment on mental healthcare use among people with disability: distinguishing between part- and full-time employment.Scandinavian journal of work, environment & health · 2023Article
- Changes in longevity inequality by education among OECD countries before the COVID-19 pandemic.BMC public health · 2023Observational
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Authors and funding
15 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocioeconomic inequalities in mortality are evident in all high-income countries, and ongoing monitoring is recommended using linked census-mortality data. Using such data, we provide the first estimates of education-related inequalities in cause-specific mortality in Australia, suitable for international comparisons.
methodsWe used Australian Census (2016) linked to 13 months of Death Registrations (2016-17). We estimated relative rates (RR) and rate differences (RD, per 100 000 person-years), comparing rates in low (no qualifications) and intermediate (secondary school) with high (tertiary) education for individual causes of death (among those aged 25-84 years) and grouped according to preventability (25-74 years), separately by sex and age group, adjusting for age, using negative binomial regression.
resultsAmong 13.9 M people contributing 14 452 732 person-years, 84 743 deaths occurred. All-cause mortality rates among men and women aged 25-84 years with low education were 2.76 [95% confidence interval (CI): 2.61-2.91] and 2.13 (2.01-2.26) times the rates of those with high education, respectively. We observed inequalities in most causes of death in each age-sex group. Among men aged 25-44 years, relative and absolute inequalities were largest for injuries, e.g. transport accidents [RR = 10.1 (5.4-18.7), RD = 21.2 (14.5-27.9)]). Among those aged 45-64 years, inequalities were greatest for chronic diseases, e.g. lung cancer [men RR = 6.6 (4.9-8.9), RD = 57.7 (49.7-65.8)] and ischaemic heart disease [women RR = 5.8 (3.7-9.1), RD = 20.2 (15.8-24.6)], with similar patterns for people aged 65-84 years. When grouped according to preventability, inequalities were large for causes amenable to behaviour change and medical intervention for all ages and causes amenable to injury prevention among young men.
conclusionsAustralian education-related inequalities in mortality are substantial, generally higher than international estimates, and related to preventability. Findings highlight opportunities to reduce them and the potential to improve the health of the population.
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