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Increasing educational disparities in premature adult mortality, Wisconsin, 1990-2000
Eric N Reither1, Paul E Peppard, Patrick L Remington
1Utah State University, 0730 Old Main Hill, Logan, UT 84322-0730, USA. ereither@hass.usu.edu
Context:
Public health agencies have identified the elimination of health disparities as a major policy objective.
Objective:
The primary objective of this study is to assess changes in the association between education and premature adult mortality in Wisconsin, 1990-2000.
Design, Setting, And Subjects:
Wisconsin death records (numerators) and US Census data (denominators) were compiled to estimate mortality rates among adults (25-64 years) in 1990 and 2000. Information on the educational status, sex, racial identification, and age of subjects was gathered from these sources.
Main Outcome Measure:
The effect of education on mortality rate ratios in 1990 and 2000 was assessed while adjusting for age, sex, and racial identification.
Results:
Education exhibited a graded effect on mortality rates, which declined most among college graduates from 1990 to 2000. The relative rate of mortality among persons with less than a high school education compared to persons with a college degree increased from 2.4 to 3.1 from 1990-2000-an increase of 29%. Mortality disparities also increased, although to a lesser extent, among other educational groups.
Conclusion:
Despite renewed calls for the elimination of health disparities, evidence suggests that educational disparities in mortality increased from 1990 to 2000.
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