Socioeconomic differences in the use of ill-defined causes of death in 16 European countries
Kulhánová, Ivana (Erasmus Medical Center (Països Baixos))
Menvielle, Gwenn (Sorbonne Universités)
Bopp, Matthias (University of Zürich)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Deboosere, Patrick (Vrije Universiteit Brussel)
Eikemo, Terje A. (Norges teknisk-naturvitenskapelige universitat)
Hoffmann, Rasmus (Erasmus Medical Center (Països Baixos))
Leinsalu, Mall (National Institute for Health Development (Estònia))
Martikainen, Pekka (University of Helsinki)
Regidor, Enrique (Universidad Complutense de Madrid)
Rodríguez-Sanz, Maica (Institut d'Investigació Biomèdica Sant Pau)
Rychtarikova, Jitka (Charles University (Praga))
Wojtyniak, Bogdan (National Institute of Public Health (Polònia))
Mackenbach, J.P. (Erasmus Medical Center (Països Baixos))
Universitat Autònoma de Barcelona

Data:	2014
Resum:	Background: Cause-of-death data linked to information on socioeconomic position form one of the most important sources of information about health inequalities in many countries. The proportion of deaths from ill-defined conditions is one of the indicators of the quality of cause-of-death data. We investigated educational differences in the use of ill-defined causes of death in official mortality statistics. Methods: Using age-standardized mortality rates from 16 European countries, we calculated the proportion of all deaths in each educational group that were classified as due to "Symptoms, signs and ill-defined conditions". We tested if this proportion differed across educational groups using Chi-square tests. Results: The proportion of ill-defined causes of death was lower than 6. 5% among men and 4. 5% among women in all European countries, without any clear geographical pattern. This proportion statistically significantly differed by educational groups in several countries with in most cases a higher proportion among less than secondary educated people compared with tertiary educated people. Conclusions: We found evidence for educational differences in the distribution of ill-defined causes of death. However, the differences between educational groups were small suggesting that socioeconomic inequalities in cause-specific mortality in Europe are not likely to be biased.
Ajuts:	European Commission 20081309
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:	Data quality ; Education ; Europe ; Ill-defined causes of death ; Mortality
Publicat a:	BMC public health, Vol. 14 Núm. 1 (2014) , p. 1295, ISSN 1471-2458

DOI: 10.1186/1471-2458-14-1295
PMID: 25518912

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