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The role of socioeconomic indicators on non-alcohol and alcohol-associated suicide mortality among women in Finland. A register-based follow-up study of 12 million person-years

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  • Mäki, Netta
  • Martikainen, Pekka

Abstract

This study was to analyse the effects and interrelationships of three socioeconomic indicators - education, occupation-based social class and income - on non-alcohol and alcohol-associated suicide mortality among women in Finland. The register data used comprised the 1990 census records linked to the death register for the years 1991-2001 for women who were 25-64 years old in 1990. Adjusted relative mortality rates and the relative index of inequality (RII) were estimated using Poisson regression. The study population experienced 1926 suicides, of which 563 (29%) had alcohol intoxication as a contributory cause. The age-adjusted effects of education on non-alcohol associated suicide were modest, while social class and income related inversely and strongly. The effect of social class was partly mediated by income, and social class explained income differences to some extent. The associations between these socioeconomic indicators and alcohol-associated suicide were stronger, and following adjustment for each other large effects were left for education, social class and income. Further adjustment for living arrangements had little effect on socioeconomic differences in both types of suicide, but practically all of the effects of income and some of education and social class were mediated by employment status. In conclusion, current material factors are hardly the main underlying drivers of socioeconomic differences in suicide among Finnish women. Low social class proved to be an important determinant of suicide risk, but the strong independent effect of education on alcohol-associated suicide indicates that the roots of these differences are probably established in early adulthood when educational qualifications are obtained and health-behavioural patterns set.

Suggested Citation

  • Mäki, Netta & Martikainen, Pekka, 2009. "The role of socioeconomic indicators on non-alcohol and alcohol-associated suicide mortality among women in Finland. A register-based follow-up study of 12 million person-years," Social Science & Medicine, Elsevier, vol. 68(12), pages 2161-2169, June.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:12:p:2161-2169
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    References listed on IDEAS

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    1. Wickrama, K.A.S. & Lorenz, Frederick O. & Conger, Rand D. & Elder, Glen Jr & Todd Abraham, W. & Fang, Shu-Ann, 2006. "Changes in family financial circumstances and the physical health of married and recently divorced mothers," Social Science & Medicine, Elsevier, vol. 63(1), pages 123-136, July.
    2. Lorant, V. & Kunst, Anton E. & Huisman, Martijn & Bopp, Matthias & Mackenbach, Johan, 2005. "A European comparative study of marital status and socio-economic inequalities in suicide," Social Science & Medicine, Elsevier, vol. 60(11), pages 2431-2441, June.
    3. Cubbin, C. & LeClere, F.B. & Smith, G.S., 2000. "Socioeconomic status and the occurrence of fatal and nonfatal injury in the United States," American Journal of Public Health, American Public Health Association, vol. 90(1), pages 70-77.
    4. Netta E. Mäki & Pekka T. Martikainen, 2008. "The Effects of Education, Social Class and Income on Non-alcohol- and Alcohol-Associated Suicide Mortality: A Register-based Study of Finnish Men Aged 25–64," European Journal of Population, Springer;European Association for Population Studies, vol. 24(4), pages 385-404, December.
    5. Strand, B.H. & Kunst, Anton, 2006. "Childhood socioeconomic status and suicide mortality in early adulthood among Norwegian men and women. A prospective study of Norwegians born between 1955 and 1965 followed for suicide from 1990 to 20," Social Science & Medicine, Elsevier, vol. 63(11), pages 2825-2834, December.
    6. Lisansky Gomberg, E.S., 1989. "Suicide risk among women with alcohol problems," American Journal of Public Health, American Public Health Association, vol. 79(10), pages 1363-1365.
    7. Koskinen, Seppo & Martelin, Tuija, 1994. "Why are socioeconomic mortality differences smaller among women than among men?," Social Science & Medicine, Elsevier, vol. 38(10), pages 1385-1396, May.
    8. Sorlie, P.D. & Backlund, E. & Keller, J.B., 1995. "US mortality by economic, demographic, and social characteristics: The National Longitudinal Mortality Study," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 949-956.
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