Change in male and female life expectancy by social class: decomposition by age and cause of death in Finland 1971-95
Open Access
- 1 July 2001
- journal article
- research article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 55 (7), 494-499
- https://doi.org/10.1136/jech.55.7.494
Abstract
STUDY OBJECTIVE To quantify the contribution of different causes of death and age groups for trends in life expectancy for two major social classes. DESIGN AND SETTING Prospective study of mortality in Finland among all over 35 year old men and women. Baseline social class (manual/non-manual) was from the 1970, 1975, 1980, 1985 and 1990 census records, and follow up was by computerised record linkage to death certificates for 1971–1995. MAIN RESULTS From the early 1970s to the early 1990s life expectancy at age 35 increased by about five and four years among Finnish men and women respectively, with largest gains among 55–74 year old men and 65–84 year old women. Life expectancy increase was 5.1 years among non-manual and 3.8 years among manual men; corresponding figures for women were 3.6 and 3.0 years. In the 1980s, when differences in life expectancy increased most rapidly, decline in cardiovascular disease mortality was more rapid in the non-manual than the manual class. Furthermore, increasing mortality for alcohol associated causes, “other diseases”, and accidents and violence were most prominent in the manual class. CONCLUSIONS Explanations of increasing social inequalities in mortality that are based on one underlying factor are difficult to reconcile with the variability in the cause specific trends in social inequalities in mortality. The contribution of older ages to social inequalities in mortality should be more widely recognised.Keywords
This publication has 9 references indexed in Scilit:
- ALCOHOL IN RUSSIAAlcohol and Alcoholism, 1999
- Bias related to the exclusion of the economically inactive in studies on social class differences in mortalityInternational Journal of Epidemiology, 1999
- Alcohol and cardiovascular mortality in Moscow; new evidence of a causal associationJournal of Epidemiology and Community Health, 1998
- Do changes in cardiovascular risk factors explain the increasing socioeconomic difference in mortality from ischaemic heart disease in Finland?Journal of Epidemiology and Community Health, 1998
- Occupational class and cause specific mortality in middle aged men in 11 European countries: comparison of population based studies Commentary: Unequal inequalities across EuropeBMJ, 1998
- Does Health-Selective Mobility Account for Socioeconomic Differences in Health? Evidence from England and Wales, 1971 to 1991Journal of Health and Social Behavior, 1997
- Measuring the magnitude of socio-economic inequalities in health: An overview of available measures illustrated with two examples from EuropeSocial Science & Medicine, 1997
- Do changes in cardiovascular risk factors explain changes in mortality from stroke in Finland?BMJ, 1995
- Changes in risk factors explain changes in mortality from ischaemic heart disease in FinlandBMJ, 1994