Educational inequalities in diabetes mortality across Europe in the 2000s : the interaction with gender
Vandenheede, Hadewijch (Erasmus University Rotterdam)
Deboosere, Patrick (Vrije Universiteit Brussel)
Espelt, Albert (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Bopp, Matthias (University of Zurich)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Costa, Giuseppe (University of Turin)
Eikemo, Terje Andreas (Norwegian University of Science and Technology)
Gnavi, Roberto (University of Turin)
Hoffmann, Rasmus (Erasmus University Rotterdam)
Kulhanova, Ivana (Erasmus University Rotterdam)
Kulik, Margarete (University of California)
Leinsalu, Mall (National Institute for Health Development (Estònia))
Martikainen, Pekka (University of Helsinki)
Menvielle, Gwenn (Sorbonne Universités)
Rodríguez-Sanz, Maica (Universitat Autònoma de Barcelona)
Rychtarikova, Jitka (Charles University (Praga, República Txeca))
Mackenbach, J.P (Erasmus University Rotterdam)

Data:	2015
Resum:	Objectives: To evaluate educational inequalities in diabetes mortality in Europe in the 2000s, and to assess whether these inequalities differ between genders. Methods: Data were obtained from mortality registries covering 14 European countries. To determine educational inequalities in diabetes mortality, age-standardised mortality rates, mortality rate ratios, and slope and relative indices of inequality were calculated. To assess whether the association between education and diabetes mortality differs between genders, diabetes mortality was regressed on gender, educational rank and 'gender × educational rank'. Results: An inverse association between education and diabetes mortality exists in both genders across Europe. Absolute educational inequalities are generally larger among men than women; relative inequalities are generally more pronounced among women, the relative index of inequality being 2. 8 (95 % CI 2. 0-3. 9) in men versus 4. 8 (95 % CI 3. 2-7. 2) in women. Gender inequalities in diabetes mortality are more marked in the highest than the lowest educated. Conclusions: Education and diabetes mortality are inversely related in Europe in the 2000s. This association differs by gender, indicating the need to take the socioeconomic and gender dimension into account when developing public health policies.
Drets:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Diabetes mellitus ; Education ; Europe ; Gender ; Inequalities
Publicat a:	International Journal of Public Health, Vol. 60 Núm. 4 (january 2015) , p. 401-410, ISSN 1661-8564

DOI: 10.1007/s00038-015-0669-8
PMID: 25746676

10 p, 461.6 KB

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