Reducing socioeconomic inequalities in life expectancy among municipalities: the Brazilian experience

Antonio Fernando Boing (), S. V. Subramanian and Alexandra Crispim Boing
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Antonio Fernando Boing: Harvard T H Chan School of Public Health
S. V. Subramanian: Harvard T H Chan School of Public Health
Alexandra Crispim Boing: Harvard T H Chan School of Public Health

International Journal of Public Health, 2019, vol. 64, issue 5, No 10, 713-720

Abstract: Abstract Objectives This study analyzed the evolution of regional and socioeconomic inequality in life expectancy (LE) at birth and the probability of living up to 40 (LU40) and up to 60 years of age (LU60) in Brazilian municipalities between 1991 and 2010. Methods We analyzed data from the last three national census (1991, 2000 and 2010) computed for the 5565 Brazilian municipalities. They were divided into centiles according to the average per capita income. Poisson regression was performed to calculate the ratios between the poorest and the richest centiles. Results The average LE (+ 8.8 years), LU40 [6.7 percentage points (pp)] and LU60 increased (12.2 pp) between 1991 and 2010. The ratio of LE between the 1% of richest counties and the 1% of poorest counties decreased from 1.20 in 1991 to 1.09 in 2010. While in the poorest municipalities there was a gain of around 12 years of life, among the richest this increase was around 7 years. Conclusions There was a remarkable decrease in regional and socioeconomic inequality in LE, LU40 and LU60 in Brazil between 1991 and 2010.

Keywords: Life expectancy; Socioeconomic factors; Mortality; Epidemiology; Brazil (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-019-01244-x

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