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The contribution of smoking to regional mortality differences in the Netherlands


  • Fanny Janssen

    (Rijksuniversiteit Groningen)

  • Alette Spriensma

    (VU Medisch Centrum)


We quantify the effect of smoking on Dutch all-cause mortality differences between 40 NUTS-3 regions by mapping, correlating, and decomposing regional variance in age-standardised all-cause mortality, smoking-attributable mortality, smoking- and non-smoking-related mortality. Smoking and consequently smoking-related mortality clearly contribute to the significant regional differences in all-cause mortality, especially among males. Smoking-attributable mortality, which ranged from 22 to 30% among males and 7 to 14% among females, correlated significantly with all-cause mortality, especially for males. Excluding smoking-related mortality the variance declined. The variance in smoking-related mortality contributed 39% of the variance in all-cause mortality among males and 30 % among females.

Suggested Citation

  • 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, August.
  • Handle: RePEc:dem:demres:v:27:y:2012:i:9

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    References listed on IDEAS

    1. repec:aph:ajpbhl:1989:79:12:1621-1627_5 is not listed on IDEAS
    2. Brian Rostron, 2010. "A modified new method for estimating smoking-attributable mortality in high-income countries," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 23(14), pages 399-420, August.
    3. Brian Rostron & John Wilmoth, 2011. "Estimating the Effect of Smoking on Slowdowns in Mortality Declines in Developed Countries," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 461-479, May.
    4. 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.
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    Cited by:

    1. Fanny Janssen & Anthe van den Hende & Joop de Beer & Leo van Wissen, 2016. "Sigma and beta convergence in regional mortality: A case study of the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(4), pages 81-116, July.

    More about this item


    all-cause mortality; Netherlands; regional differences; smoking; smoking-related mortality; socioeconomic status;

    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General


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