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Monitoring of trends in socioeconomic inequalities in mortality


  • FFF1Anton E. NNN1Kunst

    (Erasmus University Medical Center)

  • FFF2Vivian NNN2Bos

    (Erasmus University Medical Center)

  • FFF2Otto NNN2Andersen

    (Danmarks Statistik)

  • FFF2Mario NNN2Cardano

    (Università degli Studi di Torino (UNITO))

  • FFF2Giuseppe NNN2Costa

    (Università degli Studi di Torino (UNITO))

  • FFF2Seeromanie NNN2Harding

    (Medical Research Council)

  • FFF2Örjan NNN2Hemström

    (Stockholms Universitet)

  • FFF2Richard NNN2Layte

    (Economic and Social Research Institute)

  • FFF2Enrique NNN2Regidor

    (Ministry of Health, Spain)

  • FFF2Alison NNN2Reid

    (University of Western Australia)

  • FFF2Paula NNN2Santana

    (Universidade de Coimbra)

  • FFF2Tapani NNN2Valkonen

    (Helsingin Yliopisto (University of Helsinki))

  • FFF2Johan P. NNN2Mackenbach

    (Erasmus University Medical Center)


This paper presents estimates of changes in socioeconomic inequalities in mortality between the 1980s and the 1990s in nine European countries. The best available evidence shows that relative inequalities in mortality generally widened, while the absolute gap remains about the same. However, the pace of change varied greatly, both between countries and within countries (by age and sex). Additional analyses of specific countries illustrated that data problems can often impede an accurate and detailed assessment of change in inequalities in mortality. These illustrations stressed the importance of evaluating methodological problems, and they point to the urgent need for further development of data sources.

Suggested Citation

  • FFF1Anton E. NNN1Kunst & FFF2Vivian NNN2Bos & FFF2Otto NNN2Andersen & FFF2Mario NNN2Cardano & FFF2Giuseppe NNN2Costa & FFF2Seeromanie NNN2Harding & FFF2Örjan NNN2Hemström & FFF2Richard NNN2Layte & FFF, 2004. "Monitoring of trends in socioeconomic inequalities in mortality," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(9), pages 229-254, April.
  • Handle: RePEc:dem:drspec:v:2:y:2004:i:9

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    References listed on IDEAS

    1. Iliana Kohler & Jordan Kaltchev & Mariana Dimova, 2002. "Integrated information system for demographic statistics ´ESGRAON-TDS´ in Bulgaria," MPIDR Working Papers WP-2002-010, Max Planck Institute for Demographic Research, Rostock, Germany.
    2. Mackenbach, Johan P. & Kunst, Anton E., 1997. "Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from Europe," Social Science & Medicine, Elsevier, vol. 44(6), pages 757-771, March.
    3. Iliana V. Kohler & Jordan Kaltchev & Mariana Dimova, 2002. "Integrated Information System for Demographic Statistics 'ESGRAON-TDS' in Bulgaria," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 6(12), pages 325-354, May.
    4. Regidor, Enrique & Gutiérrez-Fisac, Juan L. & Rodríguez, Carmen, 1995. "Increased socioeconomic differences in mortality in eight Spanish provinces," Social Science & Medicine, Elsevier, vol. 41(6), pages 801-807, September.
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    Cited by:

    1. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.
    2. 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.
    3. Elisenda Rentería & Cassio M. Turra, 2009. "Measuring educational differences in mortality among women living in highly unequal societies with defective data: the case of Brazil," Textos para Discussão Cedeplar-UFMG td348, Cedeplar, Universidade Federal de Minas Gerais.
    4. Christian Monteil & Isabelle Robert-Bobée, 2006. "Différentiels sociaux et familiaux de mortalité aux âges actifs : quelles différences entre les femmes et les hommes ?," Économie et Statistique, Programme National Persée, vol. 398(1), pages 11-31.
    5. Manderbacka, Kristiina & Järvelin, Jutta & Arffman, Martti & Häkkinen, Unto & Keskimäki, Ilmo, 2014. "The development of differences in hospital costs accross income groups in Finland from 1998 to 2010," Health Policy, Elsevier, vol. 118(3), pages 354-362.
    6. repec:bla:econom:v:85:y:2018:i:339:p:606-625 is not listed on IDEAS
    7. Iliana V. Kohler & Pekka Martikainen & Kirsten P. Smith & Irma T. Elo, 2008. "Educational differences in all-cause mortality by marital status," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 19(60), pages 2011-2042, December.
    8. Bengtsson, Tommy & van Poppel, Frans, 2011. "Socioeconomic inequalities in death from past to present: An introduction," Explorations in Economic History, Elsevier, vol. 48(3), pages 343-356, July.
    9. Vladimir M. Shkolnikov & Evgueni M. Andreev & Dmitri A. Jdanov & Domantas Jasilionis & Tapani Valkonen, 2009. "To what extent do rising mortality inequalities by education and marital status attenuate the general mortality decline? The case of Finland in 1971-2030," MPIDR Working Papers WP-2009-018, Max Planck Institute for Demographic Research, Rostock, Germany.

    More about this item


    Europe; methodology; mortality; socioeconomic factors; trends;

    JEL classification:

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


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