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Published in: International Journal of Public Health 6/2013

01-12-2013 | Original Article

Evolution of educational inequalities in mortality among young adults in an urban setting

Authors: Hannelore De Grande, Patrick Deboosere, Hadewijch Vandenheede

Published in: International Journal of Public Health | Issue 6/2013

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Abstract

Objectives

To gain insight into the evolution in educational inequalities in adolescent and young adult all-cause and cause-specific mortality in the urban setting of the Brussels-Capital Region.

Methods

Data were derived from record linkage between the censuses of 1991 and 2001 and register data on all-cause and cause-specific mortality and emigration in the respective periods of 1st October 1991 to 1st January 1996 and 1st October 2001 to 1st January 2006. Both directly and indirectly standardised mortality rates and the relative index of inequality (RII) were computed.

Results

Mortality rates among adolescents and young adults have dropped significantly, especially infections and traffic accidents. However, educational inequalities among men have slightly increased: men with a maximum primary education are four times more likely to die than those who are higher educated [RII = 4.09 (2.78–6.03)]. Among women, no social gradient is observed in either period, but a clear split between the lowest educated and other educational groups is apparent in the 2000s.

Conclusions

There is a positive evolution towards lower mortality among adolescents and young adults, but educational inequalities remain a public health concern.
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Literature
go back to reference Anderson RN, Miniño AM, Hoyert DL, Rosenberg HM (2001) Comparability of cause of death between ICD-9 and ICD-10: preliminary estimates. Natl Vital Stat Rep 49:1–32 Anderson RN, Miniño AM, Hoyert DL, Rosenberg HM (2001) Comparability of cause of death between ICD-9 and ICD-10: preliminary estimates. Natl Vital Stat Rep 49:1–32
go back to reference Baeten G (2001) The Europeanization of Brussels and the urbanization of Europe. Hybridizing the city. Empowerment and disempowerment in the EU district. Eur Urban Reg Stud 8(2):117–130CrossRef Baeten G (2001) The Europeanization of Brussels and the urbanization of Europe. Hybridizing the city. Empowerment and disempowerment in the EU district. Eur Urban Reg Stud 8(2):117–130CrossRef
go back to reference Blum RW (2009) Young people: not as healthy as they seem. Lancet 374:852–854CrossRef Blum RW (2009) Young people: not as healthy as they seem. Lancet 374:852–854CrossRef
go back to reference Borrell C, Pasarin MI, Cirera E, Klutke P, Pipitone E, Plasencia A (2001) Trends in young adult mortality in three European cities: Barcelona, Bologna and Munich, 1986–1995. J Epidemiol Community Health 55:577–582CrossRefPubMedCentralPubMed Borrell C, Pasarin MI, Cirera E, Klutke P, Pipitone E, Plasencia A (2001) Trends in young adult mortality in three European cities: Barcelona, Bologna and Munich, 1986–1995. J Epidemiol Community Health 55:577–582CrossRefPubMedCentralPubMed
go back to reference Borrell C, Rodríguez M, Ferrando J, Brugal MT, Pasarín MI, Martínez V, Plaséncia A (2002) Role of individual and contextual effects in injury mortality: new evidence from small area analysis. Inj Prev 8:297–302CrossRefPubMedCentralPubMed Borrell C, Rodríguez M, Ferrando J, Brugal MT, Pasarín MI, Martínez V, Plaséncia A (2002) Role of individual and contextual effects in injury mortality: new evidence from small area analysis. Inj Prev 8:297–302CrossRefPubMedCentralPubMed
go back to reference Casteels Y, Scheers M (2008) Evolution of road safety in Belgium 2000–2006. Belgian Institute of Road Safety (BIVV), Brussels Casteels Y, Scheers M (2008) Evolution of road safety in Belgium 2000–2006. Belgian Institute of Road Safety (BIVV), Brussels
go back to reference Cubbin C, Smith GS (2002) Socioeconomic inequalities in injury: critical issues in design and analysis. Annu Rev Public Health 23:349–375CrossRefPubMed Cubbin C, Smith GS (2002) Socioeconomic inequalities in injury: critical issues in design and analysis. Annu Rev Public Health 23:349–375CrossRefPubMed
go back to reference De Grande H (2013) Evolution of mortality patterns by nationality of origin among adolescents and young adults living in the Brussels-Capital Region. Forthcoming working paper De Grande H (2013) Evolution of mortality patterns by nationality of origin among adolescents and young adults living in the Brussels-Capital Region. Forthcoming working paper
go back to reference De Spiegelaere M, Closon M, Deboosere P, Humblet P (2009) Health and quality of life in Brussels. Brussels Stud, Synthesenota 11:1–11 De Spiegelaere M, Closon M, Deboosere P, Humblet P (2009) Health and quality of life in Brussels. Brussels Stud, Synthesenota 11:1–11
go back to reference Deboosere P, Eggerickx T, Van Hecke E, Wayens B (2009) The population of Brussels: a demographic screening. Brussels Stud, Synthesenota 3:1–16 Deboosere P, Eggerickx T, Van Hecke E, Wayens B (2009) The population of Brussels: a demographic screening. Brussels Stud, Synthesenota 3:1–16
go back to reference Galobardes B, Lynch J, Smith GD (2007) Measuring socioeconomic position in health research. Br Med Bull 81:21–37CrossRefPubMed Galobardes B, Lynch J, Smith GD (2007) Measuring socioeconomic position in health research. Br Med Bull 81:21–37CrossRefPubMed
go back to reference Hasselberg M, Laflamme L (2008) Road traffic injuries among young car drivers by country of origin and socioeconomic position. Int J Public Health 53:40–45CrossRefPubMed Hasselberg M, Laflamme L (2008) Road traffic injuries among young car drivers by country of origin and socioeconomic position. Int J Public Health 53:40–45CrossRefPubMed
go back to reference Jacobs D, Rea A (2007) Being young in Brussels, between diversity and adversity. Survey among senior students of Brussels’ city schools. Brussels Stud 8:1–19 Jacobs D, Rea A (2007) Being young in Brussels, between diversity and adversity. Survey among senior students of Brussels’ city schools. Brussels Stud 8:1–19
go back to reference Koivusilta LK, Rimpela AH, Kautiainen SM (2006) Health inequality in adolescence. Does stratification occur by familial social background, family affluence, or personal social position? BMC Public Health 6:110. doi:10.1186/1471-2458-6-110 CrossRefPubMed Koivusilta LK, Rimpela AH, Kautiainen SM (2006) Health inequality in adolescence. Does stratification occur by familial social background, family affluence, or personal social position? BMC Public Health 6:110. doi:10.​1186/​1471-2458-6-110 CrossRefPubMed
go back to reference Koskinen S, Martelin T (1994) Why are socioeconomic mortality differences smaller among women than among men? Soc Sci Med 38:1385–1396CrossRefPubMed Koskinen S, Martelin T (1994) Why are socioeconomic mortality differences smaller among women than among men? Soc Sci Med 38:1385–1396CrossRefPubMed
go back to reference Kunst A, Mackenbach JP (1994) The size of mortality differences associated with educational level in nine industrialized countries. Am J Public Health 84:932–937CrossRefPubMedCentralPubMed Kunst A, Mackenbach JP (1994) The size of mortality differences associated with educational level in nine industrialized countries. Am J Public Health 84:932–937CrossRefPubMedCentralPubMed
go back to reference Kunst A, Bos V, Mackenbach J (2001) Monitoring socio-economic inequalities in health in the European Union: guidelines and illustrations. Department of Public Health, Rotterdam Kunst A, Bos V, Mackenbach J (2001) Monitoring socio-economic inequalities in health in the European Union: guidelines and illustrations. Department of Public Health, Rotterdam
go back to reference Mackenbach JP, Kunst AE (1997) Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med 44:757–771CrossRefPubMed Mackenbach JP, Kunst AE (1997) Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med 44:757–771CrossRefPubMed
go back to reference Mäki N (2010) Not in all walks of life? Social differences in suicide mortality. Dissertation, Helsinki Mäki N (2010) Not in all walks of life? Social differences in suicide mortality. Dissertation, Helsinki
go back to reference Marmot (2004) The status syndrome: how social status affects our health and longevity. Owl Books, New York Marmot (2004) The status syndrome: how social status affects our health and longevity. Owl Books, New York
go back to reference Palella FJ Jr, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, Aschman DJ, Holmberg SD and the HIV outpatient study investigators (1998) Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. New Engl J Med 338:853–860 Palella FJ Jr, Delaney KM, Moorman AC, Loveless MO, Fuhrer J, Satten GA, Aschman DJ, Holmberg SD and the HIV outpatient study investigators (1998) Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. New Engl J Med 338:853–860
go back to reference Phelan JC, Link BG, Diez-Roux A, Kawachi I, Levin B (2004) “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Soc Behav 45:265–285CrossRefPubMed Phelan JC, Link BG, Diez-Roux A, Kawachi I, Levin B (2004) “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Soc Behav 45:265–285CrossRefPubMed
go back to reference EU Regional Policy (2011) Cities of tomorrow. Challenges, visions, ways forward. Brussels: European Commission EU Regional Policy (2011) Cities of tomorrow. Challenges, visions, ways forward. Brussels: European Commission
go back to reference Remes RH, Martikainen MP, Valkonen VT (2010) Mortality inequalities by parental education among children and young adults in Finland 1990–2004. J Epidemiol Community Health 64:130–135CrossRef Remes RH, Martikainen MP, Valkonen VT (2010) Mortality inequalities by parental education among children and young adults in Finland 1990–2004. J Epidemiol Community Health 64:130–135CrossRef
go back to reference Richter M, Vereecken CA, Boyce W, Maes L, Gabhainn SN, Currie CE (2009) Parental occupation, family affluence and adolescent health behaviour in 28 countries. Int J Public Health 54:4. doi:10.1007/s00038-009-8018-4 CrossRef Richter M, Vereecken CA, Boyce W, Maes L, Gabhainn SN, Currie CE (2009) Parental occupation, family affluence and adolescent health behaviour in 28 countries. Int J Public Health 54:4. doi:10.​1007/​s00038-009-8018-4 CrossRef
go back to reference Saurel-Cubizolles MJ, Chastang JF, Menvielle G, Leclerc A, Luce D (2009) Social inequalities in mortality by cause among men and women in France. J Epidemiol Community Health 63:197–202CrossRefPubMedCentralPubMed Saurel-Cubizolles MJ, Chastang JF, Menvielle G, Leclerc A, Luce D (2009) Social inequalities in mortality by cause among men and women in France. J Epidemiol Community Health 63:197–202CrossRefPubMedCentralPubMed
go back to reference Sethi D, Racioppi F, Baumgarten I, Bertollini R (2007) Reducing inequalities from injuries in Europe. Lancet 368:2243–2250CrossRef Sethi D, Racioppi F, Baumgarten I, Bertollini R (2007) Reducing inequalities from injuries in Europe. Lancet 368:2243–2250CrossRef
go back to reference Shkolnikov VM, Jasilionis D, Andreev EM, Jdanov DA, Stankuniene V, Ambrozaitiene D (2007) Linked versus unlinked estimates of mortality and length of life by education and marital status: evidence from the first record linkage study in Lithuania. Soc Sci Med 64:1392–1406. doi:10.1016/j.socscimed.2006.11.014 CrossRefPubMed Shkolnikov VM, Jasilionis D, Andreev EM, Jdanov DA, Stankuniene V, Ambrozaitiene D (2007) Linked versus unlinked estimates of mortality and length of life by education and marital status: evidence from the first record linkage study in Lithuania. Soc Sci Med 64:1392–1406. doi:10.​1016/​j.​socscimed.​2006.​11.​014 CrossRefPubMed
go back to reference UNESCO (2011) Revision of the International Standard Classification of Education. Paris: UNESCO. Rep nr. 36/C19 UNESCO (2011) Revision of the International Standard Classification of Education. Paris: UNESCO. Rep nr. 36/C19
go back to reference Valkonen T (1993) Problems in the measurement and international comparison of socio-economic differences in mortality. Soc Sci Med 36:409–418CrossRefPubMed Valkonen T (1993) Problems in the measurement and international comparison of socio-economic differences in mortality. Soc Sci Med 36:409–418CrossRefPubMed
go back to reference van Lenthe FJ, de Bourdeaudhuij I, Klepp KI, Lien N, Moore L, Faggiano F, Kunst AE, Mackenbach JP (2009) Preventing socioeconomic inequalities in health behaviour in adolescents in Europe: background, design and methods of project TEENAGE. Public Health 9:125. doi:10.1186/1471-2458-9-125 PubMedCentralPubMed van Lenthe FJ, de Bourdeaudhuij I, Klepp KI, Lien N, Moore L, Faggiano F, Kunst AE, Mackenbach JP (2009) Preventing socioeconomic inequalities in health behaviour in adolescents in Europe: background, design and methods of project TEENAGE. Public Health 9:125. doi:10.​1186/​1471-2458-9-125 PubMedCentralPubMed
go back to reference Viner RM, Coffey C, Mathers C, Bloem P, Costello A, Santelli J, Patton GC (2011) 50-year mortality trends in children and young people: a study of 50 low-income, middle-income, and high-income countries. Lancet 877:1162–1174CrossRef Viner RM, Coffey C, Mathers C, Bloem P, Costello A, Santelli J, Patton GC (2011) 50-year mortality trends in children and young people: a study of 50 low-income, middle-income, and high-income countries. Lancet 877:1162–1174CrossRef
go back to reference Wagstaff A, Paci P, Van Doorslaer E (1991) On the measurement of inequalities in health. Soc Sci Med 33:545–557CrossRefPubMed Wagstaff A, Paci P, Van Doorslaer E (1991) On the measurement of inequalities in health. Soc Sci Med 33:545–557CrossRefPubMed
go back to reference West P, Sweeting H (2004) Evidence on equalisation in health in youth from the west of Scotland. Soc Sci Med 59:13–27CrossRefPubMed West P, Sweeting H (2004) Evidence on equalisation in health in youth from the west of Scotland. Soc Sci Med 59:13–27CrossRefPubMed
Metadata
Title
Evolution of educational inequalities in mortality among young adults in an urban setting
Authors
Hannelore De Grande
Patrick Deboosere
Hadewijch Vandenheede
Publication date
01-12-2013
Publisher
Springer Basel
Published in
International Journal of Public Health / Issue 6/2013
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-013-0478-x

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