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Education and mortality in Spain: a national study supports local findings

Author

Listed:
  • Enrique Regidor

    (Universidad Complutense de Madrid
    CIBER Epidemiología y Salud Pública (CIBERESP)
    Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC))

  • Laura Reques

    (Instituto de Salud Carlos III)

  • María J. Belza

    (CIBER Epidemiología y Salud Pública (CIBERESP)
    Instituto de Salud Carlos III)

  • Anton E. Kunst

    (University of Amsterdam)

  • Johan P. Mackenbach

    (Erasmus MC)

  • Luis Fuente

    (CIBER Epidemiología y Salud Pública (CIBERESP)
    Instituto de Salud Carlos III)

Abstract

Objectives To estimate educational inequalities in mortality in Spain and in three Spanish areas: Madrid, Barcelona, and the Basque country. Methods A national prospective study was carried out including all persons aged 25–74 years living in Spain in 2001 and followed up for mortality over 7 years. The mortality rate ratio and difference from all causes and from leading causes of death were estimated for the entire Spanish population and for the above three geographical areas. Results With respect to people with the highest education, the mortality rate ratios in the entire population of Spain in people with the second highest, second lowest and lowest education were, respectively, 1.09, 1.10, 1.39 in women and 1.19, 1.27 and 1.54 in men. The mortality rate differences per 100,000 person-years were, respectively, 24.8, 28.3, 108.2 in women and 116.7, 162.5 and 319.1 in men. These estimates were intermediate in magnitude compared to those seen in the three geographical areas. Conclusions The results provide further evidence that educational inequalities in mortality are smaller in the south of Europe than in other European countries.

Suggested Citation

  • Enrique Regidor & Laura Reques & María J. Belza & Anton E. Kunst & Johan P. Mackenbach & Luis Fuente, 2016. "Education and mortality in Spain: a national study supports local findings," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 139-145, January.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:1:d:10.1007_s00038-015-0762-z
    DOI: 10.1007/s00038-015-0762-z
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    Cited by:

    1. Sílvia Garcia-Mandicó & Sergi Jiménez-Martín, 2020. "Spillovers in pension incentives and the joint retirement behavior of Spanish couples," Working Papers 2020-13, FEDEA.
    2. Pilar García-Gómez & Sílvia Garcia-Mandicó & Sergi Jiménez-Martín & Judit Vall-Castelló, 2018. "Trends in Employment and Social Security Incentives in the Spanish Pension System, 1980–2016," NBER Chapters, in: Social Security Programs and Retirement around the World: Reforms and Retirement Incentives, pages 317-371, National Bureau of Economic Research, Inc.
    3. Paola Bertuccio & Gianfranco Alicandro & Gabriella Sebastiani & Nicolas Zengarini & Giuseppe Costa & Carlo La Vecchia & Luisa Frova, 2018. "Mortality by occupation-based social class in Italy from 2012 to 2014," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 865-874, September.
    4. Lopuszanska-Dawid, M. & Kołodziej, H. & Lipowicz, A. & Szklarska, A. & Kopiczko, A. & Bielicki, T., 2020. "Social class-specific secular trends in height among 19-year old Polish men: 6th national surveys from 1965 till 2010," Economics & Human Biology, Elsevier, vol. 37(C).

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