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Published in: International Journal of Public Health 4/2018

01-05-2018 | Original Article

Does community deprivation determine longevity after the age of 75? A cross-national analysis

Authors: Ana Isabel Ribeiro, Elias Teixeira Krainski, Marilia Sá Carvalho, Guy Launoy, Carole Pornet, Maria de Fátima de Pina

Published in: International Journal of Public Health | Issue 4/2018

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Abstract

Objectives

Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender.

Methods

Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75–84 years who reached 85–94 years old was calculated at area-level for 2001–11. To estimate associations, we used Bayesian spatial models and a transnational measure of deprivation. Attributable/prevention fractions were calculated.

Results

Overall, there was a significant association between deprivation and survival in both genders. In England that association was stronger, following a dose–response relation. Although lesser in magnitude, significant associations were observed in Spain and Italy, whereas in France and Portugal these were even weaker. The elimination of socioeconomic differences between areas would increase survival by 7.1%, and even a small reduction in socioeconomic differences would lead to a 1.6% increase.

Conclusions

Socioeconomic deprivation was associated with survival among older adults at ecological-level, although with varying magnitude across countries. Reasons for such cross-country differences should be sought. Our results emphasize the importance of reducing socioeconomic differences between areas.
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Metadata
Title
Does community deprivation determine longevity after the age of 75? A cross-national analysis
Authors
Ana Isabel Ribeiro
Elias Teixeira Krainski
Marilia Sá Carvalho
Guy Launoy
Carole Pornet
Maria de Fátima de Pina
Publication date
01-05-2018
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 4/2018
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-018-1081-y

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