Educational differences in alcohol-related mortality and their impact on life expectancy and lifespan variation in Spain (2016-2018) : a cross-sectional analysis using multiple causes of death
Trias Llimós, Sergi (Centre d'Estudis Demogràfics)
Spijker, Jeroen (Centre d'Estudis Demogràfics)

Date:	2022
Abstract:	Socioeconomic inequalities in alcohol-related mortality in Spain exists, and are postulated to contribute to inequalities in all-cause mortality. We aim to assess absolute and relative educational inequalities in alcohol-related mortality, and to estimate the role of alcohol in educational inequalities in both life expectancy and lifespan variation in Spain. We used multiple cause-of-death (MCOD) mortality data for individuals aged 30 and over for Spain (2016-2018) by educational attainment. We estimated by sex and educational attainment age-standardised alcohol-attributable mortality rates, relative and absolute indices of educational inequalities; and total life expectancy and lifespan variation at age 30 for all-cause mortality and after eliminating alcohol-attributable mortality. The use of MCOD resulted in an additional 2543 annual alcohol-related deaths (+75% among men and +50% among women) compared with estimates derived from underlying causes of death. In absolute terms, educational inequalities were the highest among men aged 45-84 and among women aged 45-64. In relative terms, higher inequalities raised in working ages, whereas at older ages inequalities tended to be lower, although still important among men. Alcohol contributed to educational inequalities in life expectancy (men: 0. 13 years (3. 2%); women 0. 02 years (0. 7%)) and lifespan variation (2. 1% and 1. 4% for men and women, respectively). Alcohol consumption remains an important lifestyle habit to be tackled in order to reduce socioeconomic inequalities in mortality in Spain, particularly among men.
Grants:	European Commission ERC-2019-COG Ministerio de Ciencia e Innovación FJC-2019-039314-I Agencia Estatal de Investigación PID2020-113934RB-I00 Ministerio de Economía y Competitividad RYC-2013-14851
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Epidemiology ; Public health ; Demography
Published in:	BMJ open, Vol. 12 (january 2022) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2021-053205
PMID: 35074816

9 p, 392.5 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Social and Legal Sciences > Centre for Demographic Studies (CED-CERCA)
Articles > Research articles
Articles > Published articles