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[Social differences in mortality trends in Denmark].

Henrik Brønnum-Hansen1

  • 1Statens Institut for Folkesundhed, Øster Farimagsgade 5A, København K. hbh@niph.dk

Ugeskrift for Laeger
|June 14, 2006
PubMed
Summary

Life expectancy in Denmark increased from 1995-1999, but this gain was unequally distributed. Mortality declines were smallest for individuals with low educational levels, particularly women.

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Area of Science:

  • Public Health
  • Epidemiology
  • Sociology

Background:

  • Danish life expectancy stagnated for years before increasing in the mid-1990s.
  • The study investigates if this increase was uniform across educational strata.

Purpose of the Study:

  • To evaluate the association between educational level and the increase in life expectancy in Denmark.
  • To determine if mortality trends varied by socioeconomic status.

Main Methods:

  • Analysis of mortality data (1995-1999) for all Danish deaths aged 30-74.
  • Calculation and age-standardization of total, cause-specific, sex-specific, and age-specific death rates for three educational groups.

Main Results:

  • Age-standardized death rates decreased annually by 2.3% (men) and 1.2% (women) with low education, versus 4.0% (men) and 3.5% (women) with higher education.
  • Cancer mortality declined for medium/high education groups (women) and medium education (men), but not low education groups.
  • Cardiovascular disease mortality declined across all groups, but less so for the low-educated. COPD mortality increased in low-educated individuals and medium-educated women.

Conclusions:

  • The overall decline in mortality rates in Denmark (1995-1999) was socially unequally distributed.
  • Individuals with lower educational attainment experienced the smallest reduction in mortality.
  • The mortality decline was particularly modest for women with a low educational level.

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