Socio-economic mortality differences in the Netherlands in 1950-1984: A regional study of cause-specific mortality

A.E. Kunst, C.W.N. Looman and J.P. Mackenbach

Social Science & Medicine, 1990, vol. 31, issue 2, 141-152

Abstract: The finding that mortality differences between occupational classes in England and Wales have widened during the postwar period raises the question whether a similar development has occured in other industrialised countries. In this paper, a comparison is made with results from a geographical study on the Netherlands. This study compares four periods between 1950 and 1984 by means of a standard regional division, a single socio-economic index, uniform cause-of-death groups and a standard regression procedure. During the postwar period, the relationship between socio-economic level and all-cause mortality has become (more) negative. This development can to a large extent be attributed to 'negative' trends for lung cancer, diabetes mellitus, ischaemic heart disease, cerebrovascular disease and traffic accidents. High-level regions have fared better partly because favourable changes in national mortality trends seem to have begun first in these regions. The findings from this regional study agree to a large extent with evidence from Dutch studies at the individual level. It is concluded that socio-economic mortality differences in England and Wales and the Netherlands have probably developed similarly in various respects.

Keywords: socio-economic; differences; mortality; causes; of; death; trends (search for similar items in EconPapers)
Date: 1990
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Citations: View citations in EconPapers (5)

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