Sex, age, deprivation and patterns in life expectancy in Quebec, Canada: a population-based study
Open Access
- 25 March 2010
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 10 (1), 161
- https://doi.org/10.1186/1471-2458-10-161
Abstract
Little research has evaluated disparities in life expectancy according to material deprivation taking into account differences across the lifespan between men and women. This study investigated age- and sex-specific life expectancy differentials related to area-level material deprivation for the province of Québec, Canada from 1989-2004. Age- and sex-specific life expectancy across the lifespan was calculated for three periods (1989-1992, 1995-1998, and 2001-2004) for the entire Québec population residing in 162 community groupings ranked according to decile of material deprivation. Absolute and relative measures were calculated to summarize differences between the most and least deprived deciles. Life expectancy differentials between the most and least deprived deciles were greatest for men. Over time, male differentials increased for age 20 or more, with little change occurring at younger ages. For women, differentials increased across the lifespan and were comparable to men at advanced ages. Despite gains in life expectancy among men relative to women, differentials between men and women were greater for most deprived relative to least deprived deciles. Similar to the US, differentials in life expectancy associated with area-level material deprivation increased steadily in Québec from 1989-2004 for males and females of all ages. Differentials were comparable between men and women at advanced ages. Previous research indicating that life expectancy differentials between most and least deprived areas are greater in men may be due to a focus on younger age groups.Keywords
This publication has 32 references indexed in Scilit:
- The joint influence of area income, income inequality, and immigrant density on adverse birth outcomes: a population-based studyBMC Public Health, 2009
- Recent changes in the geography of social disparities in premature mortality in QuébecSocial Science & Medicine (1982), 2008
- The Reversal of Fortunes: Trends in County Mortality and Cross-County Mortality Disparities in the United StatesPLoS Medicine, 2008
- The Fall and Rise of US Inequities in Premature Mortality: 1960–2002PLoS Medicine, 2008
- Cause-specific inequalities in mortality in Scotland: two decades of change. A population-based studyBMC Public Health, 2007
- Material and social deprivation and health and social services utilisation in Québec: A local-scale evaluation systemSocial Science & Medicine (1982), 2007
- A multi-perspective approach for defining neighbourhood units in the context of a study on health inequalities in the Quebec City regionInternational Journal of Health Geographics, 2007
- The place of population change in explaining geographical inequalities in health in New ZealandInternational Journal of Epidemiology, 2006
- Social-class inequality in infant mortality in England and Wales from 1921 to 1980European Journal of Population, 1988
- DeprivationJournal of Social Policy, 1987