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Mortality differentials among women: the Israel Longitudinal Mortality Study.
O Manor1, Z Eisenbach, A Israeli
1School of Public Health and Community Medicine, The Hebrew University-Hadassah Medical Organization, Ein Karem, Israel. om@cc.huji.ac.il
Social Science & Medicine (1982)
|October 19, 2000
Summary
Socio-economic status significantly impacts Israeli women's mortality, with North African origin and childlessness linked to higher risks. Addressing socio-economic factors can reduce these disparities.
Area of Science:
- Public Health
- Sociology
- Demography
Background:
- Mortality differentials are influenced by socio-demographic factors.
- Understanding these differentials is crucial for public health interventions.
Purpose of the Study:
- Examine mortality differentials among Israeli adult women based on ethnicity, marital status, number of children, and socio-economic status (SES).
- Compare these mortality differentials in women with those previously observed in Israeli men.
Main Methods:
- Linked 1983 Israeli census data (20% sample) with death records up to 1992.
- Analyzed data for 79,623 women, with 14,332 deaths recorded.
- Assessed SES using education, housing characteristics, and car ownership.
Main Results:
- Higher mortality observed in women of North African origin compared to Asian and European women.
- SES adjustments eliminated excess mortality for North African women and showed lower mortality for Asian women.
- Mortality declined with improved SES among women aged 45-69.
- Childless women exhibited the highest mortality rates.
- Mortality differentials were generally narrower for women aged 70+.
Conclusions:
- Socio-economic status is a key determinant of mortality differentials among Israeli women.
- Ethnic disparities in mortality are largely explained by SES.
- Childbearing history influences mortality risk.
- Gender differences in mortality differentials vary by socio-demographic factors and age.