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Deprivation-specific life tables using multivariable flexible modelling – trends from 2000–2002 to 2010–2012, Portugal
- Source :
- BMC Public Health, Vol 19, Iss 1, Pp 1-8 (2019), BMC Public Health
- Publication Year :
- 2019
- Publisher :
- BMC, 2019.
-
Abstract
- Background Completing mortality data by information on possible socioeconomic inequalities in mortality is crucial for policy planning. The aim of this study was to build deprivation-specific life tables using the Portuguese version of the European Deprivation Index (EDI) as a measure of area-level socioeconomic deprivation, and to evaluate mortality trends between the periods 2000–2002 and 2010–2012. Methods Statistics Portugal provided the counts of deaths and population by sex, age group, calendar year and area of residence (parish). A socioeconomic deprivation level was assigned to each parish according to the quintile of their national EDI distribution. Death counts were modelled within the generalised linear model framework as a function of age, deprivation level and calendar period. Mortality Rate Ratios (MRR) were estimated to evaluate variations in mortality between deprivation groups and periods. Results Life expectancy at birth increased from 74.0 and 80.9 years in 2000–2002, for men and women, respectively, and to 77.6 and 83.8 years in 2010–2012. Yet, life expectancy at birth differed by deprivation, with, compared to least deprived population, a deficit of about 2 (men) and 1 (women) years among most deprived in the whole study period. The higher mortality experienced by most deprived groups at birth (in 2010–2012, mortality rate ratios of 1.74 and 1.29 in men and women, respectively) progressively disappeared with increasing age. Conclusions Persistent differences in mortality and life expectancy were observed according to ecological socioeconomic deprivation. These differences were larger among men and mostly marked at birth for both sexes. Electronic supplementary material The online version of this article (10.1186/s12889-019-6579-6) contains supplementary material, which is available to authorized users.
- Subjects :
- Male
Deprivation
inequality
Ungleichheit
EU-SILC
life-tables
multivariable modelling
health status
Lebenserwartung
sozioökonomische Faktoren
0302 clinical medicine
Residence Characteristics
gender-specific factors
Epidemiology
Bevölkerung
Life Tables
030212 general & internal medicine
Child
Health inequalities
Aged, 80 and over
education.field_of_study
Sozialwissenschaften, Soziologie
21. Jahrhundert
Mortality rate
lcsh:Public aspects of medicine
Middle Aged
Calendar period
Child, Preschool
ddc:300
Female
Research Article
Adult
medicine.medical_specialty
Adolescent
Population
Life-tables
socioeconomic factors
030209 endocrinology & metabolism
Socioeconomic factors
Population Studies, Sociology of Population
Sterblichkeit
Multivariable modelling
Young Adult
03 medical and health sciences
Age Distribution
Life Expectancy
medicine
Humans
Mortality
Sex Distribution
education
Poverty
Social sciences, sociology, anthropology
Socioeconomic status
Aged
twenty-first century
Portugal
business.industry
Public health
Infant, Newborn
Public Health, Environmental and Occupational Health
Infant
lcsh:RA1-1270
mortality
geschlechtsspezifische Faktoren
Linear Models
life expectancy
Life expectancy
Gesundheitszustand
Biostatistics
business
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 14712458
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....d40746e9196232ec906e8022d247020a