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Mortality by occupation-based social class in Italy from 2012 to 2014

Author

Listed:
  • Paola Bertuccio

    (Università degli Studi di Milano)

  • Gianfranco Alicandro

    (Università degli Studi di Milano
    Italian National Institute of Statistics)

  • Gabriella Sebastiani

    (Italian National Institute of Statistics)

  • Nicolas Zengarini

    (ASL TO3 Piedmont Region)

  • Giuseppe Costa

    (ASL TO3 Piedmont Region)

  • Carlo La Vecchia

    (Università degli Studi di Milano)

  • Luisa Frova

    (Italian National Institute of Statistics)

Abstract

Objectives Evaluating socio-economic inequality in cause-specific mortality among the working population requires large cohort studies. Through this census-based study, we aimed to quantify disparities in mortality across occupation-based social classes in Italy. Methods We conducted a historical cohort study on a sample of more than 16 million workers. We estimated the mortality rate ratios for each social class, considering upper non-manual workers as reference. Results Non-skilled manual workers showed an increased mortality from upper aero-digestive tract, stomach and liver cancers, and from diseases of the circulatory system, transport accidents and suicides in both sexes, and from infectious diseases, diabetes, lung and bladder cancers only in men. Among women, an excess mortality emerged for cervical cancer, whereas mortality from breast and ovarian cancers was lower. When education was taken into account, the excess mortality decreased in men while was no longer significant in women. Conclusions There are remarkable disparities across occupation-based social classes in the Italian working population that favour the upper non-manual workers. Our data could be useful in planning policies for a more effective health and social security system.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:7:d:10.1007_s00038-018-1149-8
    DOI: 10.1007/s00038-018-1149-8
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    References listed on IDEAS

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    6. 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.
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    1. Beata Gavurova & Viera Ivankova & Martin Rigelsky & Ladislav Suhanyi, 2020. "Impact of Gender Inequalities in the Causes of Mortality on the Competitiveness of OECD Countries," IJERPH, MDPI, vol. 17(10), pages 1-17, May.
    2. Gemma Lombardi & Silvia Pancani & Francesca Lorenzini & Federica Vannetti & Guido Pasquini & Roberta Frandi & Nona Turcan & Lorenzo Razzolini & Raffaello Molino Lova & Francesca Cecchi & Claudio Macch, 2022. "Assessing Relationships between Physically Demanding Work and Late-Life Disability in Italian Nonagenarian Women Living in a Rural Area," IJERPH, MDPI, vol. 19(14), pages 1-12, July.

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