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Socio-economic mortality differences in the Netherlands in 1950-1984: A regional study of cause-specific mortality

Author

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  • Kunst, A.E.
  • Looman, C.W.N.
  • Mackenbach, J.P.

Abstract

The finding that mortality differences between occupational classes in England and Wales have widened during the postwar period raises the question whether a similar development has occured in other industrialised countries. In this paper, a comparison is made with results from a geographical study on the Netherlands. This study compares four periods between 1950 and 1984 by means of a standard regional division, a single socio-economic index, uniform cause-of-death groups and a standard regression procedure. During the postwar period, the relationship between socio-economic level and all-cause mortality has become (more) negative. This development can to a large extent be attributed to 'negative' trends for lung cancer, diabetes mellitus, ischaemic heart disease, cerebrovascular disease and traffic accidents. High-level regions have fared better partly because favourable changes in national mortality trends seem to have begun first in these regions. The findings from this regional study agree to a large extent with evidence from Dutch studies at the individual level. It is concluded that socio-economic mortality differences in England and Wales and the Netherlands have probably developed similarly in various respects.

Suggested Citation

  • Kunst, A.E. & Looman, C.W.N. & Mackenbach, J.P., 1990. "Socio-economic mortality differences in the Netherlands in 1950-1984: A regional study of cause-specific mortality," Social Science & Medicine, Elsevier, vol. 31(2), pages 141-152, January.
    • Handle: RePEc:eee:socmed:v:31:y:1990:i:2:p:141-152
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    Cited by:

    1. Fanny Janssen & Alette Spriensma, 2012. "The contribution of smoking to regional mortality differences in the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(9), pages 233-260.
    2. Regidor, Enrique & Lostao, Lourdes & Pascual, Cruz & Martinez, David & Calle, M Elisa & Dominguez, Vicente, 2005. "Income in large residential areas and premature mortality in six countries of the European Union," Health Policy, Elsevier, vol. 75(1), pages 99-108, December.
    3. Md. Emaj Uddin, 2017. "Family Demographic Mechanisms Linking of Socioeconomic Status to Subjective Physical Health in Rural Bangladesh," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 130(3), pages 1263-1279, February.
    4. Ivana Kulhánová & Rasmus Hoffmann & Terje Eikemo & Gwenn Menvielle & Johan Mackenbach, 2014. "Educational inequalities in mortality by cause of death: first national data for the Netherlands," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(5), pages 687-696, October.
    5. Takano, Takehito & Fu, Jia & Nakamura, Keiko & Uji, Kazuyuki & Fukuda, Yoshiharu & Watanabe, Masafumi & Nakajima, Hiroshi, 2002. "Age-adjusted mortality and its association to variations in urban conditions in Shanghai," Health Policy, Elsevier, vol. 61(3), pages 239-253, September.

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