Socioeconomic differences in the use of ill-defined causes of death in 16 European countries
Kulhánová, Ivana (Erasmus Medical Center)
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)
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)
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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