ArticleBMJ open2022
Educational differences in alcohol-related mortality and their impact on life expectancy and lifespan variation in Spain (2016-2018): a cross-sectional analysis using multiple causes of death.
Article in BMJ open, 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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Who cites it
11 citing papers in PubMed.
- Alcohol consumption patterns and association with educational attainment in Europe: an analysis of the 2023-24 European Social Survey.BMC public health · 2026Article
- Educational Disparities in Preventable Deaths: Do They Explain the Longevity Gap Between Mexico and Spain?Journal of aging and health · 2025Article
- Educational differences in alcohol-related morbidity and the role of working conditions: a Swedish register-based cohort study.European journal of public health · 2024Article
- Trends in educational inequalities in smoking-attributable mortality and their impact on changes in general mortality inequalities: evidence from England and Wales, Finland, and Italy (Turin).Journal of epidemiology and community health · 2024Article
- Long-term trends in educational inequalities in alcohol-attributable mortality, and their impact on trends in educational inequalities in life expectancy.Frontiers in public health · 2024Article
- Changes in Alcohol Intake by Educational Level Among Older Men and Women in Spain During the 21st Century.Innovation in aging · 2024Article
- Trends in cause-specific mortality: deaths of despair in Spain, 1980-2019.Journal of public health (Oxford, England) · 2023Article
- Cause-specific mortality in Spain during the pandemic: educational differences and its impact on life expectancy.European journal of public health · 2023Article
- Levels, trends, and determinants of cause-of-death diversity in a global perspective: 1990-2019.BMC public health · 2023Article
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Authors and funding
2 authors.
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Abstract
backgroundSocioeconomic inequalities in alcohol-related mortality in Spain exists, and are postulated to contribute to inequalities in all-cause mortality. We aim to assess absolute and relative educational inequalities in alcohol-related mortality, and to estimate the role of alcohol in educational inequalities in both life expectancy and lifespan variation in Spain.
methodsWe used multiple cause-of-death (MCOD) mortality data for individuals aged 30 and over for Spain (2016-2018) by educational attainment. We estimated by sex and educational attainment age-standardised alcohol-attributable mortality rates, relative and absolute indices of educational inequalities; and total life expectancy and lifespan variation at age 30 for all-cause mortality and after eliminating alcohol-attributable mortality.
resultsThe use of MCOD resulted in an additional 2543 annual alcohol-related deaths (+75% among men and +50% among women) compared with estimates derived from underlying causes of death. In absolute terms, educational inequalities were the highest among men aged 45-84 and among women aged 45-64. In relative terms, higher inequalities raised in working ages, whereas at older ages inequalities tended to be lower, although still important among men. Alcohol contributed to educational inequalities in life expectancy (men: 0.13 years (3.2%); women 0.02 years (0.7%)) and lifespan variation (2.1% and 1.4% for men and women, respectively).
conclusionAlcohol consumption remains an important lifestyle habit to be tackled in order to reduce socioeconomic inequalities in mortality in Spain, particularly among men.
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