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. 2008 Sep;24(3):265-286.
doi: 10.1007/s10680-007-9145-3. Epub 2007 Nov 21.

Cause-of-Death Contributions to Educational Inequalities in Mortality in Austria between 1981/1982 and 1991/1992: Les contributions des causes de décès aux inégalités de mortalité par niveau d'éducation en Autriche entre 1981/1982 et 1991/1992

Cause-of-Death Contributions to Educational Inequalities in Mortality in Austria between 1981/1982 and 1991/1992: Les contributions des causes de décès aux inégalités de mortalité par niveau d'éducation en Autriche entre 1981/1982 et 1991/1992

Roland Rau et al. Eur J Popul. 2008 Sep.

Abstract

This article uses census records and deaths records to analyze trends in educational inequalities in mortality for Austrian women and men aged 35-64 years between 1981/1982 and 1991/1992. We find an increasing gradient in mortality by education for circulatory diseases and especially ischaemic heart disease. Respiratory diseases and, in addition for women, cancers showed the opposite trend. Using decomposition analysis, we give evidence that in many cases changes in the age-structure within the 10-year interval had a bigger effect than direct improvements in mortality on the analyzed subpopulations.

Cet article utilise les données de recensement et certificats de décès pour analyser les tendances en matière d’inégalités de mortalité par niveau d’éducation pour les Autrichiens des deux sexes âgés de 35 à 64 ans entre 1981/1982 et 1991/1992. Le gradient de mortalité par niveau d’éducation a tendance à s’accentuer pour les maladies circulatoires et particulièrement pour les maladies ischémiques. La tendance opposée apparaît pour les maladies respiratoires, et, chez les femmes seulement, pour les cancers. En utilisant l’analyse par décomposition, nous démonstrons que des changements de structure par âge au cours de la période de 10 ans peuvent avoir un impact plus important sur les inégalités par niveau d’éducation que les baisses de mortalité.

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Figures

Fig. 1
Fig. 1
Relative mortality differentials: odds-ratios and their 95% confidence intervals for men with high education in relation to the reference category low education by cause of death in 1981/1982 and 1991/1992
Fig. 2
Fig. 2
Relative mortality differentials: odds-ratios and their 95% confidence intervals for women with high education in relation to the reference category low education by cause of death in 1981/1982 and 1991/1992

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